To utilize expertise, skills and knowledge gained as a qualified healthcare professional in the assessment of risk, ensuring quality of care provision and in maintaining quality control of costs in line with the company’s policies and procedures.
- Assessing new application forms and makes recommendations based on the potential risk
- Providing an oversight and case management of surgical/medical cases
- Giving advice and assistance in the generation and modification of contracts, procedures and benefits to promote best practices in healthcare quality and cost control
- Group assessments
- Providing information to Call Centre Agents and any other department to equip them in dealing with queries
- Assessing and resolving reported cases of over servicing and benefit abuse
- Assessing and resolving fraudulent claims and non-disclosure against established medical protocols
- Attending meetings with contracted providers of professional medical services to resolve queries and establish working relations
- Must have a medical background preferably nursing with a degree or diploma
- Must have 5 O’Level subjects
- A’Level is an added advantage
- Must have at least three (3) years continuous working experience
- Must have hospital experience
- A customer care qualification is an added advantage
- working experience in a similar position an added advantage
If interested please send Cvs to recruitment@distinctive.co.zw
Through email