PURPOSE OF THE POSITIONThe Internal Investigator shall be responsible for conducting objective, fair, thorough, unbiased and timely investigations into allegations/suspicions of fraud committed by policyholders against the Organization as instructed by the claims-handling team.Record detailed statements from involved parties and relevant witnesses in efforts to sieve through cases requiring furth...
The company was incorporated in 1982 by the Al Fateem Group of Dubai and was later acquired by Kenyans in 1988. Kenya Orient Insurance was then formed in 2004 after a transfer of ownership from the previous proprietors to its current owners. We have since enjoyed steady growth as a company and are fast becoming a force to reckon with in the industry.PURPOSE OF THE POSITION The Internal Investigat...
The company was incorporated in 1982 by the Al Fateem Group of Dubai and was later acquired by Kenyans in 1988. Kenya Orient Insurance was then formed in 2004 after a transfer of ownership from the previous proprietors to its current owners. We have since enjoyed steady growth as a company and are fast becoming a force to reckon with in the industry. PURPOSE OF THE POSITION The Internal Investiga...
The company was incorporated in 1982 by the Al Fateem Group of Dubai and was later acquired by Kenyans in 1988. Kenya Orient Insurance was then formed in 2004 after a transfer of ownership from the previous proprietors to its current owners. We have since enjoyed steady growth as a company and are fast becoming a force to reckon with in the industry. Purpose Of The Position The Internal Investiga...
Kenyatta University Teaching, Referral & Research Hospital (KUTRRH) is a leading National Referral Hospital with a 650 bed capacity and equipped with state-of-art medical amenities. The hospital is well equiped to offer Oncology, Trauma & Orthopedics, Renal among other services. The Hospital is located along Northern Bypass Rd. near Kahawa West, Nairobi Ref. V/FT/29/2024 (2 Positions) Job Purpose...
The Internal Investigator shall be responsible for conducting objective, fair, thorough, unbiased and timely investigations into allegations/suspicions of fraud committed by policyholders against the Organization as instructed by the claims-handling team. Record detailed statements from involved parties and relevant witnesses in efforts to sieve through cases requiring further investigations by a...
Book and manage clinic slots; Respond to emails and phone calls; Assemble all information concerning patients clinical background and referral needs; Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital physicians; As per the referral guidelines, provide appropriate clin...
Kenyatta University Teaching, Referral & Research Hospital (KUTRRH) is a leading National Referral Hospital with a 650 bed capacity and equipped with state-of-art medical amenities. The hospital is well equiped to offer Oncology, Trauma & Orthopedics, Renal among other services. The Hospital is located along Northern Bypass Rd. near Kahawa West, Nairobi Ref. V/FT/23/2024 (2 Positions) Job Purpose...
Job SummaryThe successful candidate will ensure a seamless process for patients seeking treatment and coming in for treatment from outside Nairobi, Kenya Enhancing medical tourism. He/she will also provide support for referrals for Outreach Centres.ResponsibilitiesBook and manage clinic slots;Respond to emails and phone calls;Assemble all information concerning patients' clinical background and r...
IntroductionAga Khan University Hospital, Nairobi is a private not-for-profit teaching hospital that provides tertiary and secondary level healthcare services. It is one of the hospitals in East Africa accredited by the Joint Commission International from USA. The University Hospital has been providing high quality care for the people of East Africa and beyond for over 60 years. Job SummaryThe su...
Aga Khan University Hospitals in Karachi, Pakistan and Nairobi, Kenya are private, not-for-profit institutions providing high quality health care. The Main Hospitals serve as the principal sites for clinical training for the University s Medical Colleges and Schools of Nursing and Midwifery in Pakistan and East Africa. Job Summary The successful candidate will ensure a seamless process for patien...
Posting reimbursements and provider invoice details into the Mashinani System.Maintain close contact with appointed health care service providers to ensure strict compliance with agreed procedures and guidelines. Ensure that healthcare providers have adequate claim forms to serve members.Carry out vetting and verification of outpatient and inpatient claims.Ensure that the panel of doctors is stri...
M.P Shah Hospital is looking to recruit a professional, and evidence-driven person for a vacancy in the Marketing, Brand & Communication Department, as a Client Relations Officer reporting to the Clients Relations Manager, the overall purpose of this role is to support business growth and development of assisting in prospecting, negotiating and closing new revenue streams for B2B accounts and pro...
1.\tPeople Management; \tLiaise with the HM/HR to ensure optimal staff levels, including reallocation of staff per staffing needs, as well as efficient use of overtimes and locums. \tRegular staff engagement and monthly staff meetings with documented evidence of attendance \tParticipate in the recruitment, interviewing, orientation & development of medical staff, including mentoring, coaching and...
M.P Shah Hospital is looking to recruit a professional, and evidence-driven person for a vacancy in the Marketing, Brand & Communication Department, as a Client Relations Officer reporting to the Clients Relations Manager, the overall purpose of this role is to support business growth and development of assisting in prospecting, negotiating and closing new revenue streams for B2B accounts and pro...
Job Objective/ Purpose:To manage medical services by providing leadership in patient care, maintaining standards of care, directing, developing the staff, to ensure provision of highly professional medical and auxiliary services in OPD.Key Responsibilities:People Management;Liaise with the HM/HR to ensure optimal staff levels, including reallocation of staff per staffing needs, as well as efficie...
Avenue Hospital was founded in 1995 for the purpose of managing the outpatient department at the Hospital, and to extend medical services to corporate clientele through an innovative concept of Managed Healthcare. Job Objective/ Purpose: To manage medical services by providing leadership in patient care, maintaining standards of care, directing, developing the staff, to ensure provision of highly...
Job Purpose:Reporting to the Claims Manager, the incumbent will be responsible for customer satisfaction by increased personal contact with clients in hospital and reduce turnaround time in processing of medical claims and enhance cost effective care of medical claims.Key responsibilities:Posting reimbursements and provider invoice details into the Mashinani System.Maintain close contact with app...
Main Duties / ResponsibilitiesA medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.Medical claims processors are expected to hav...
A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.Medical claims processors are expected to have an extensive knowledge of me...
Job Purpose: Reporting to the Claims Manager, the incumbent will be responsible for customer satisfaction by increased personal contact with clients in hospital and reduce turnaround time in processing of medical claims and enhance cost effective care of medical claims. Key responsibilities: Posting reimbursements and provider invoice details into the Mashinani System. Maintain close contact with...
We are looking for a detail-oriented claims processor to join our insurance team. You will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments.To be successful as a claim's processor, you should have excellent organ...
Main Duties / Responsibilities A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. In addition, a processor must keep meticulous records of claims and follow up on lapsed cases. Medical claims processors are expected to...
Premier Hospital is an 82 bed specialized hospital located in Nyali, Mombasa offering high quality emergency, outpatient and inpatient care. We have a patient centered culture and our approach is to provide you with comprehensive healthcare, which is focused on all aspects of your health and overall well-being. Our service delivery model is anchored on Compassion, Care and Competence. Our Doctors...
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