Job Title: Call Center Nurse (Fresher Jobs)
Organisation: UAP Old Mutual Insurance
Duty Station: Kampala, Uganda
About Organisation:
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.
Job Summary: To manage medical benefit utilization through supervision of pre-authorization answer queries over the phone and give timely solutions to the customer.
Key Duties and Responsibilities:
The following key outputs are required from this role.
- Pre-Authorization of all admissions within 6 hours and technical guidelines.
- Minimize identifiable cases of fraud/abuse
- 4. Deliverables (work elements)
- The following detailed outputs are required from this role.
- 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.
- The incumbent will be responsible for ensuring adherence to, implementation of, and adoption of Compliance, Anti-Money Laundering (AML), and Sanctions-related policies, procedures, and process requirements within Old Mutual and its subsidiaries. This includes execution of customer due diligence processes, ensuring compliance with Know-Your-Customer (KYC) standards, conducting ongoing and enhanced due diligence, and maintaining data quality. Additionally, the role involves identifying and monitoring potential AML, Sanctions, or Compliance breaches and unusual activities, and escalating these concerns to the Risk and Compliance Office for further action.
Qualifications, Skills and Experience:
- Degree or Diploma in Nursing
- Provides a service as a temporary employee covering many fields.
Skills
- Analytical Thinking, Analytical Thinking, Call Center, Communication, Computer Literacy, Customer Due Diligence (CDD), Customer Queries, Daily Reporting, Data Quality, Data Query, Deliverables Management, Due Diligence, Enhanced Due Diligence, Ensure Compliance, Interpersonal Relationships, Invoices, Know Your Customer (KYC), Microsoft Excel, Microsoft Outlook, Negotiation, Nursing, Point of Service, Public Relations (PR), Reimbursement, Risk Compliance {+ 3 more}
Key competencies
- The following key behavioural competencies are required to be successful in this role.
- Excellent communication and negotiation skills
- To always keep time at the start of your shifts.
- Excellent public relations and interpersonal relationship skills
- Excellent networking with SP and other medical insurers
- Excellent analytical and monitoring skills
- Ability to work with speed and accuracy
- Strong Computer skills in Ms Word, Excel, Power Point and Ms Outlook
- Result – oriented, adheres to turn around times
- Strong teamwork spirit
How to Apply:
All candidates should apply online at the link below
Deadline: 12th November 2025
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Level of Education: Diploma, Associate’s Degree
Work Hours: 8
Experience in Months: no experience required