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  • Posted: May 6, 2022
    Deadline: Not specified
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    Absa Bank Limited (Absa) is a wholly owned subsidiary of Barclays Africa Group Limited. Absa offers personal and business banking, credit cards, corporate and investment banking, wealth and investment management as well as bancassurance.
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    Care Manager-Nurse-2 First Assurance

    Job Summary

    Case management, handling all outpatient, inpatient, specialized services preauthorization, and Communicating with providers, clients and brokers on a timely basis

    Job Description

    • Manage 24 hour call centre
    • Prompt response to emails, admissions requests.
    • Critical analyzation of all medical requests from service providers.
    • Efficient & accurate submission of approvals in line with the medical policy .
    • Obtaining medical information from providers with written correspondence if necessary.
    • Capacity to continually apply negotiation skills with the service providers
    • Interacting with clients, Intermediaries and services providers as required to resolve problems in a manner that is legal, ethical and consistent with the principles of the policy.
    • Accurate checking and confirming membership validity, benefits and sending member statement upon enquiry.
    • Accurate guidance on provider network enquiries from brokers, providers, members etc.
    • Vetting and confirming validity of the service given by the service provider in relation to the member benefit covered, treatment given, adherence to provider panel rules and cost of treatment
    • Obtaining additional required information on invoice/claims from providers or clients.

    Education

    • Further Education and Training Certificate (FETC): Business, Commerce and Management Studies (Required)

    Method of Application

    Interested and qualified? Go to Absa Bank Limited on absa.wd3.myworkdayjobs.com to apply

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