Job Title: Administrative Assistant (Female) Organisation: Cads Ventures Ltd Duty Station: …
No Experience Call Center Nurse Medical Jobs – UAP Old Mutual Insurance
Job Title: Call Center Nurse Medical UG (No Experience Jobs)
Organisation: UAP Old Mutual Insurance
Duty Station: Kampala, Uganda
About the Company:
The UAP Old Mutual Group is an integrated Financial Service business comprising Faulu Microfinance Bank, UAP and Old Mutual. The Group, which is operational in East Africa services to more than 1.2 million customers across Kenya, Uganda, Tanzania, Rwanda and South Sudan. The UAP Old Mutual Group now comprises of three key players as a result of the acquisition of a controlling stake in Faulu in 2014 and UAP in 2015 by Old Mutual. The acquisitions resulted in Old Mutual Kenya UAP Holdings and Faulu Microfinance Bank, forming one of the largest financial services groups with a growing footprint in East and Central Africa. UAP and Old Mutual have been major players in the financial services market in East Africa for decades. The two entities have vast experience in Insurance, Investment, Asset Management and Banking, and are passionate about helping our customers achieve their financial goals.
Key Duties and Responsibilities:
To manage medical benefit utilization through supervision of pre-authorization answer queries over the phone and give timely solutions to the customer.
Pre-Authorization of all admissions within 6 hours and technical guidelines.
Minimize identifiable cases of fraud/abuse
To resolve customer queries over the phone and offer solutions to the customers in a timely manner
Supervise Pre-authorization of scheduled and non-scheduled admissions within the set guidelines and carry out verification and medical Audit of claims/invoices before settlement.
Managing requests for services from providers, intermediaries and clients, providing information on the UAP Old Mutual provider network and available benefits per scheme policy
In conjunction with SMART applications resolve card issues raised at the point of service
Authorization of all optical requests from the different providers within 6 hours and prepare daily reports
To attend to reimbursements from the different providers in a timely manner and provide daily reports.
Liaise with other medical schemes for purposes of evaluating medical risk.
To formulate committal letters of discharges as a result of the requests from the different service providers.
Qualifications, Skills and Experience:
Education: Diploma (Dip): Nursing (Required)
Skills: Authentication, Call Center, Customer Queries, Daily Reporting, Data Query, Invoices, People Management, Point of Service, Reimbursement, School Admissions, Supervision
How to Apply:
All suitably qualified candidates are encouraged to submit your application and complete Curriculum Vitae by applying online through visiting Old Mutual’s e-recruitment jobs portal at the web link below.
Deadline: 9th October 2024
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