Care Officer at CIC Insurance Group
Job Description
Job Summary
Responsible for care facilitation/cost containment and call centre reachability. Care Officer open role.
Key Duties & Responsibilities
- Issuance of approval to insured members seeking both inpatient and outpatient care as per policy guidelines.
- Monitor cost, average length of stay on inpatient cases.
- Issue guidance on Pre-authorized optical, dental and scheduled procedures
- Conduct Hospital visits whenever the insured members are hospitalized
- Respond to stakeholder inquiries on cases involving medical care management.
- Receive and respond to Medical emergency lines and ensure 24-hour coverage
- Negotiate for discounts from doctors and hospitals on specific cases and procedures from time to time
- Facilitate referrals and medical evacuations when need be.
- Monitor benefits utilization and share timely updates to the stakeholders.
- Prepare and share timely reports as may be guided.
Minimum Qualifications Required
- Diploma in Nursing or Clinical Medicine
- Minimum of 2 years of experience in care management, medical claims and Call Centre
If you have the aforementioned professional and academic qualifications and you are ready to execute the above mandate, strictly apply through: https://careers.cicinsurancegroup.com/ clearly indicating the position being applied for.
N/B: This job advert is open to both internal and external candidates.
