JOB DESCRIPTION

This position is responsible for managing the client’s benefits as per the policy and responding to clients’ queries through email/telephone.

CARE ASSESSOR-KISUMU

• Company: APA Insurance
• Location: Kisumu
• Employment Type: Permanent
• Job Id: 70SlM9eTFT
• Date added: 07-Apr-2025
• Deadline: 14-Apr-2025

KEY PRIMARY RESPONSIBILITIES

• Reviewing and issuing  pre-authorization;
• Handling the 24-hour call centre (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 the continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship;
• Reporting adverse occurrences relating to clients’ management, and 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

• Bachelor’s degree in relevant degree

JOB SKILLS AND REQUIREMENTS

• Leadership skills 
• Interpersonal and  Communication skills
• Analytical skills

PROFESSIONAL QUALIFICATIONS

• Relevant professional qualification

EXPERIENCE

• At least 2 years relevant experience 

Click here to apply