Clarkson Insurance Brokers Nurse Job

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Clarkson Insurance Brokers Ltd

We are an Insurance Intermediary who wishes to recruit the following positions in our Medical Department.
Nurse
Ref: NM/MD/2016
The job holder is to control and manage medical benefit utilization through pre – authorization and case management activities to ensure quality; appropriate cost effective care and good customer service are achieved.

 

Key Performance Areas: 
  • Negotiate / discuss professional fees as appropriate for each admission
  • Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration)
  • Ensure smooth discharge process and co-ordinate any necessary post-hospitalization/ step down facility care
  • Assist in carrying out verification and medical audit of claims/invoices before settlement
  • Develop and maintain monthly database on admissions, large claims and extended length of stay
  • Respond to queries from clients, intermediaries and service providers
  • Any other duty assigned by management.
Education and Experience: 
  • Diploma or Degree in Nursing,
  • Diploma in Insurance / COP Degree in Health systems Management / Business management and 1 year experience.
Competencies: 
  • Excellent communication and negotiation skills,
  • excellent public relations and interpersonal relationship skills.
  • Good IT skills in database management and office systems,
  • Good decision making in benefit utilization management,
  • High levels of integrity and honesty

 

   How to Apply

   

For considerations, email only a two page resume to [email protected] to be received no later than 30th May 2016.
Only shortlisted candidates will be contacted.
Quote the reference number on the subject part of the email.
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