Care Assessor at APA Insurance Limited

• Job Id:hFDyVxPrN5

KEY 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.

• Bachelor’s degree/Diploma in relevant field

1. Leadership skills
2. Interpersonal and  Communication skills
3. Analytical skills

• Relevant professional qualification

• At least 4 years relevant experience