Medical officer jobs in insurance companies

PURPOSE:Responsible for care facilitation/cost containment and call centre reachability.PRIMARY 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 proceduresConduct Hospital visits whenever the insured memb...

Core ResponsibilitiesPatient clinical management at Medical Centre; Diagnosis and treatment of patients by taking proper history, ordering and interpreting laboratory tests, make appropriate diagnosis and performing routine medical and surgical procedures and prescription of treatment for all patients Proper documentation of EMR (Electronic Medical records)Oversee the efficient referral of patien...

CIC Insurance Group Limited, commonly referred to as CIC Group, is an insurance and investment group that operates mainly in Kenya, Uganda, South Sudan and Malawi PURPOSE: Responsible for management of service provider in relation to contracting, accreditation and rationalization of existing service providers. PRIMARY RESPONSIBILITIES: Maintain a cordial working relationship with providers within...

1.Accurate and clear documentation of patient history, physical examination, investigations, and management.2.Initiate and maintain proper management and treatment of patients3.Appropriate and early consultation and referral of patients to specialists.4.Daily updates of the patients progress to the patient and the next of kin.5.Facilitates patient admissions, necessary consents and discharges.6.U...

PURPOSE: Responsible for vetting both in/ outpatient medical claims for payment. PRIMARY RESPONSIBILITIES: Vet and audit inpatient and outpatient medical bills/invoices in order to pay service providers promptly. Process reimbursement claims within the stipulated TAT. Batch outpatient invoices on the system and adjust amount payable as per the vetting findings; Check and reject incomplete invoice...

PACIS Insurance Company Limited was incorporated in Kenya in October 2004 and licensed to do business in August 2005 It is an initiative of the Catholic Church with a vision to be the icon of reliability and trustworthiness. PURPOSE OF THE JOB The jobholder is responsible for assessment, pricing and determining terms for medical risks. KEY RESPONSIBILITIES Underwriting Role Assess the new and exi...