Job Openings at CIC Insurance

PURPOSE:

To provide general customer service in respect to medical business customers.

PRIMARY RESPONSIBILITIES:

• Receive and respond to Medical emergency lines and ensure 24 hour coverage.
• Handle phone calls and visitors, as well as resolve customers’ communication through electronic and physical channels.
• Issuance of both in and outpatient approvals for admissible requests for insured members.
• Communication to stakeholders on management of cases and financial liability through reports.
• Provide input for the customer service reports.
• Handle customer service issues and queries.
• Escalate Customer queries to the relevant job role if necessary.
• Maintain professional ambience within the office premises.
• Promote the organization’s customer service charter.

GENERIC DUTIES

• Participate in planning and budgeting for the department.
• Support all Medical business events in both for internal events and those involving CIC Stakeholders and /or the general public;
• Participate in premium collection and renewal follow up for clients.

PERSON SPECIFICATIONS

Academic Qualifications

• Minimum of A Diploma in Nursing or Health System Management

Professional Qualifications

• KRN/KRCHN

Experience

• Up to three (3) years’ relevant experience in busy health environment
• Experience in a medical call centre management unit will be an added advantage

Skills and Attributes

• Problem solving skills;
• Good analytical skills;
• Computer literate in MS Office and other office applications;
• Understanding of the working environment /competitors;
• Technical competence in insurance;
• Basic knowledge of regulations by AKI and IRA;
• High emotional intelligence;

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PURPOSE:

Responsible for receiving and processing claims for provider payment.

PRIMARY RESPONSIBILITIES:

• Receive of claims- all claims received are well stamped and keyed in for future reference.
• Dispatch received invoices, mails and claim books to respective sections
• Respond to walk in customer enquiries
• Process, capture and authorize batched claims
• Scan prepared vouchers and reference to Document Management System
• Upload, attach and index relevant documents to vouchers to Document Management System
• Dispose claim documents as per approved disposal procedure.
• Attend to customer and service providers ‘queries and complaints promptly and professionally.
• Follow up on registration and reconciliation of provider statements to ensure closure.
• Follow through to ensure all claims with issues at registration level for the allocated service providers have been addressed or escalated to the supervisor.

PERSON SPECIFICATIONS

Academic Qualifications

• Diploma in relevant field / Relevant technical training certificate / part qualification in relevant professional field

Experience

• Up to one (1) years’ relevant experience

Skills and Attributes

• Excellent communication and presentation skills
• Problem solving skills
• Excellent interpersonal skills
• Excellent customer care skills
• Good analytical skills
• Computer literate in MS Office and other office applications