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Care Officer – Medical


  • Responsible for accurate capture of inpatient undertakings, authorization, cost control and hospital length of stay management.


  • Facilitating admissions and discharges of insured members as per policy.
  • Conduct hospital visits.
  • Manage cost and average length of stay while the patients are in hospital to ensure prudent utilization.
  • Pre-authorize treatment for outpatient/inpatient cases as per the policy guidelines.
  • Timely respond to all queries from insured client, service providers and respective contact person on cases involving medical care management.
  • Maintain a good relationship with partners such as intermediaries at care management level.
  • Update the relevant stakeholders on the case management update
  • Coordination and facilitation of both road and air evacuation as per policy.
  • Seamless Coordinating of overseas treatment from admission to discharge.
  • Compile relevant reports within the scope of care management as per stipulated guidelines
  • Receive and respond to Medical emergency lines on a 24-hour basis to ensure adequate coverage of the call Centre
  • Negotiate for discounts from doctors and service providers on specific cases and procedures as they arise.

Academic and Professional Requirements


  • Bachelor’s degree in Nursing or clinical Medicine.    E
  • Computer literate in MS Office and other office applications    E
  •  Medical Insurance experience in a medical call centre is an added advantage    D

 Experience Required:

  • Relevant experience in busy health environment    3


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