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About the Organisation
CIC Insurance Group is a leading cooperative-based insurance and financial services provider with operations in Kenya, Uganda, Malawi, and South Sudan. The Group offers a wide range of insurance, pension, savings, and investment products tailored to meet the needs of individuals, corporates, and cooperative societies. With a strong reputation for innovation, customer focus, and reliability, CIC is committed to providing financial security and peace of mind to its clients.
Care Officer job at CIC Insurance Group | Apply Now
Nairobi, Kenya
Are you looking for HSE jobs in Kenya 2025 today? then you might be interested in Care Officer job at CIC Insurance Group
Full Time
Deadline:
30 Sept 2025
Job Title
Care Officer job at CIC Insurance Group
CIC Insurance Group
Job Description
The Care Officer will:
Issue approvals to insured members seeking inpatient and outpatient care in line with policy guidelines.
Monitor inpatient costs and average length of hospital stay.
Provide guidance on pre-authorized optical, dental, and scheduled procedures.
Conduct hospital visits for admitted insured members.
Respond to stakeholder inquiries on medical case management.
Receive and respond to medical emergency calls and ensure 24/7 availability.
Negotiate discounts with doctors and hospitals for specific cases and procedures.
Facilitate referrals and medical evacuations when necessary.
Monitor benefits utilization and update stakeholders promptly.
Prepare and share timely reports as guided by management.
Duties, Roles and Responsibilities
Qualifications, Education and Competencies
See all details of the qualifications, competencies and education for this role under the "How to Apply" section below.
ONLY ONLINE APPLICATIONS:
Interested and qualified candidates are advised that all applications should be submitted online.
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Go to the "Jobs" tab
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Read the detailed job description, Roles and Qualifications.
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How to Apply
Issue care approvals in line with CIC policies.
Monitor inpatient admissions and costs.
Guide insured members on pre-authorized procedures.
Conduct hospital visits and liaise with medical providers.
Respond to emergency and inquiry calls promptly.
Negotiate medical discounts with providers.
Facilitate medical referrals and evacuations.
Track and report on benefit utilization.
Prepare periodic reports and updates.
SERVICES
COMMERCIAL
SERVICES
INDUSTRIAL
SERVICES
RESIDENTIAL
Education:
Minimum Diploma in Nursing or Clinical Medicine.
Experience:
At least 2 years of relevant experience in care management, medical claims, and/or call centre operations.
Key Skills & Competencies:
Strong knowledge of medical care management and insurance processes.
Excellent communication and negotiation skills.
Ability to work under pressure and handle emergencies.
Strong organizational and reporting skills.
Willingness to travel to branches or work extended hours when required.
