ALAC
APA Life Assurance Company Ltd
Care Assessor at APA Life Assurance Company Ltd
KenyaFull TimeMid-Senior Level
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APA Life Assurance Company Ltd
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PRIMARY RESPONSIBILITIES:
Reviewing and issuing pre-authorization;
Handling the 24hour call center (cell phones /office lines) and responding to clients queries as they arise;
Interacting with clients, brokers, clinicians, APA relationship officers and schemes HR's as required to resolve problems/update progress in a manner consistent with the principles of the policy;
Conducting hospital visits to assess patient's care throughout continuum of care for diagnosis/procedures as well as maintaining the client's /provider relationship;
Reporting adverse occurrences relating to clients' management, policy with appropriate action to ensure compliance with quality patient care;
Coordinating step down management and referrals for all clients with chronic diseases;
Participating in health talks/wellness camps and service meetings;
Participating in company CSR and brand building activities in liaison with other departments.
Academic Qualifications
Skills and Attributes
Leadership skills
Interpersonal and Communication skills
Analytical skills
Professional Qualifications
Experience