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Call Center Nurse Medical UG job at Old Mutual | Apply Now

Are you looking for administrator jobs in Uganda 2024 today? then you might be interested in Digital Payments Manager job at Dfcu Bank

Kampala, Uganda

Full-time

Deadline: 

9 Oct 2024

UAP Old Mutual Group is a subsidiary of Old Mutual Limited (OML) based in South Africa and operates in 13 Markets across the region including Uganda. We’re an integrated financial services provider in East Africa, leveraging on the strength of our capabilities in local expertise and the global group. We’re glad to partner with individuals and corporates to provide financial solutions including, General Insurance, Life Insurance, Asset Management, Investment and Banking.

Old Mutual is a premium African financial services organisation that offers a broad spectrum of financial solutions to retail and corporate customers across key market segments in 14 countries. The lines of business include Life and Savings, Property and Casualty, Asset Management and Banking and Lending.
We are rooted in our purpose of Championing Mutually Positive Futures Every Day and believe that a great customer experience is anchored in a great employee experience.

Call Center Nurse Medical UG job at Old Mutual

Old Mutual

To manage medical benefit utilization through supervision of pre-authorization answer queries over the phone and give timely solutions to the customer.

JOB DETAILS: Job Description

• Pre-Authorization of all admissions within 6 hours and technical guidelines. 

• Minimize identifiable cases of fraud/abuse 

• To resolve customer queries over the phone and offer solutions to the customers in a timely manner 

• Supervise Pre-authorization of scheduled and non-scheduled admissions within the set guidelines and carry out verification and medical Audit of claims/invoices before settlement. 

• Managing requests for services from providers, intermediaries and clients, providing information on the UAP Old Mutual provider network and available benefits per scheme policy 

• In conjunction with SMART applications resolve card issues raised at the point of service

• Authorization of all optical requests from the different providers within 6 hours and prepare daily reports 

• To attend to reimbursements from the different providers in a timely manner and provide daily reports. 

• Liaise with other medical schemes for purposes of evaluating medical risk. 

• To formulate committal letters of discharges as a result of the requests from the different service providers. 


Skills

• Authentication, Call Center, Customer Queries, Daily Reporting, Data Query, Invoices, People Management, Point of Service, Reimbursement, School Admissions, Supervision

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SERVICES

COMMERCIAL

SERVICES

INDUSTRIAL

SERVICES

RESIDENTIAL

SERVICES

COMMERCIAL

SERVICES

INDUSTRIAL

SERVICES

RESIDENTIAL

SERVICES

COMMERCIAL

SERVICES

COMMERCIAL

SERVICES

COMMERCIAL

SERVICES

COMMERCIAL

SERVICES

INDUSTRIAL

SERVICES

RESIDENTIAL

Diploma (Dip): Nursing (Required)

APPLICATIONS FOR THIS POSITION MUST BE ONLINE

Click the "Apply Button" Below to submit your Application

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