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About the Organisation
Case Management Officer (Medical) job at Britam Insurance Company Uganda Limited | Apply Now
Kampala, Uganda
Britam is a leading diversified financial services group operating in Eastern and Southern Africa, committed to providing innovative insurance, asset management, and financial solutions that secure the future of individuals and businesses. With a strong reputation for excellence and reliability, Britam has earned recognition as a trusted brand in financial services, offering customer-centric products tailored to meet evolving market needs.
The company fosters a dynamic and inclusive work culture that values professional growth, innovation, and collaboration, providing employees with rewarding career opportunities, flexible work arrangements, and continuous learning programs. Established in 1965, Britam has evolved into a regional powerhouse, leveraging technology and data-driven strategies to enhance customer experiences through digital transformation and customized financial solutions.
The company operates in seven African countries, including Kenya, Uganda, Tanzania, Rwanda, South Sudan, Mozambique, and Malawi, serving millions of customers through a robust distribution network. Guided by core values of integrity, customer focus, innovation, and teamwork, Britam is committed to corporate social responsibility through initiatives in education, health, and environmental sustainability, empowering communities and fostering economic growth. For more information, visit their official website at www.britam.com.
Are you looking for Medical jobs in Uganda 2025 today? then you might be interested in Case Management Officer (Medical) job at Britam Insurance Company Uganda Limited
Full Time
Deadline:
30 Jul 2025
Job Title
Case Management Officer (Medical) job at Britam Insurance Company Uganda Limited
Britam Insurance Company Uganda Limited
Job Description
Job Title: Case Management Officer (Medical)
Company: Britam Insurance Company Uganda Limited
Location: Kampala, Uganda
Job Type: Full-time | Permanent | Entry Level
Shift: Day Job
Posting Date: 23 July 2025
Closing Date: Open until filled
Number of Openings: 1
Job Purpose
The Case Management Officer (Medical) will be responsible for coordinating all aspects of medical case management, including pre-authorizations, hospital admissions, discharge planning, and ongoing care coordination. The role ensures the delivery of high-quality patient care while optimizing medical costs and maintaining strong relationships with healthcare providers.
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.
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How to Apply
Manage end-to-end medical case management and pre-authorization processes for both inpatient and outpatient services.
Ensure timely and accurate approvals in accordance with policy terms and medical necessity.
Liaise with healthcare providers, third-party administrators (TPAs), and hospitals to facilitate efficient and high-quality treatment.
Monitor and manage complex and high-cost medical cases, including chronic conditions and frequent claimants.
Provide clinical support and recommendations to underwriting and claims teams for difficult or non-standard cases.
Train, mentor, and support junior staff while ensuring adherence to medical and operational processes.
Maintain updated treatment protocols and provider tariff lists in line with company and industry standards.
Assist in identifying fraudulent activities and participate in provider performance evaluations.
Keep abreast of medical, regulatory, and insurance industry developments to inform decision-making and improve practices.
Meet performance objectives as defined in departmental strategy and individual KPIs.
Perform other duties as assigned by management.
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INDUSTRIAL
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RESIDENTIAL
Bachelor’s degree in Nursing, Clinical Medicine, or a related health sciences field.
2–4 years of experience in medical case management, ideally within the health insurance or healthcare industry.
Strong clinical background with hands-on experience in handling medical claims or working with healthcare providers.
Solid understanding of medical insurance processes and policy requirements.
Familiarity with local insurance regulations and healthcare system practices.
Key Competencies
Strong clinical judgment and analytical skills
Effective communication and interpersonal abilities
Capable of handling multiple priorities in a fast-paced environment
Sound decision-making under pressure
Good understanding of customer service, healthcare market dynamics, and competitor landscape
High integrity and attention to detail
