Care Manager (Contract) – Call Centre FAK at Absa Bank Limited

Job Description 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. Job Summary Case management, handling all outpatient, inpatient, specialized services preauthorization, andCommunicating with providers, clients, and brokers on a timely basis. Responsibilities 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. RequirementsRelevant Experience & Qualification Bachelor’s degree/Diploma in nursing or other related medical fieldAt least one years’ experience in a similar role in the insurance industry / hospital facilityKRCHN Registration Education Further Education and Training Certificate (FETC): Business, Commerce and Management Studies (Required)