Cellmed Health Medical Fund
DUE : 04 NOV 2022
DUTIES
Reporting to the Risk Manager,
The main responsibilities of the job are:
Review claims to identify errors, fraud, and trends.
Pre-authorize hospital admitted patients and monitor member benefits.
Register and follow up patients with chronic diseases under the chronic disease management program.
Conduct workplace – based wellness programs for corporate clients.
Investigate service providers and members with suspicious claiming patterns.
REQUIREMENTS
Diploma In Nursing
Diploma/Degree In Insurance And Risk Management OR Equivalent Is An Added Advantage
Diploma In Theatre Nursing And/Or Midwifery Is An Added Advantage
Ideal Candidate Must:
Have 2 years’ experience in claims investigations, case management and implementation of wellness programmes in a medical aid environment.
Possess excellent investigative, problem solving and decision making skills.
Have a strong client focus
Have good written and verbal communication skills.
Be a person of integrity who is transparent and able to observe and protect the confidential nature of information;
TO APPLY
All interested qualified and experienced candidates with the above-mentioned pre-requisites must email their current CVs and attach certified copies of their educational and professional qualifications, stating their current and expected remuneration details to hr@cellinsurance.co.zw on or before Friday 4 November 2022