Clarkson Insurance Brokers Ltd
We are an Insurance Intermediary who wishes to recruit the following positions in our Medical Department.
Nurse
Ref: NM/MD/2016
The job holder is to control and manage medical benefit utilization through pre – authorization and case management activities to ensure quality; appropriate cost effective care and good customer service are achieved.
Key Performance Areas:
- Negotiate / discuss professional fees as appropriate for each admission
- Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration)
- Ensure smooth discharge process and co-ordinate any necessary post-hospitalization/ step down facility care
- Assist in carrying out verification and medical audit of claims/invoices before settlement
- Develop and maintain monthly database on admissions, large claims and extended length of stay
- Respond to queries from clients, intermediaries and service providers
- Any other duty assigned by management.
Education and Experience:
- Diploma or Degree in Nursing,
- Diploma in Insurance / COP Degree in Health systems Management / Business management and 1 year experience.
Competencies:
- Excellent communication and negotiation skills,
- excellent public relations and interpersonal relationship skills.
- Good IT skills in database management and office systems,
- Good decision making in benefit utilization management,
- High levels of integrity and honesty
For considerations, email only a two page resume to hr@clarkson.co.ke to be received no later than 30th May 2016.
Only shortlisted candidates will be contacted.
Quote the reference number on the subject part of the email.