Medical

July 28, 2021

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Kenya

Claims Assessor - Temporary Position to Cover Maternity Leave (3 months)

Medical

Do you want to contribute to enable millions of people all over the world access to healthcare? Do you want to work in a fast-paced, international environment where you can truly make a difference? Join our highly skilled team of 190 colleagues at CarePay and have an impact from day one!

At CarePay Kenya, we have an exciting opportunity for an enthusiastic individual to join our agile and dynamic Medical Team as a Claims Assessor. This position is well suited to an individual who is proactive, keen with excellent reporting skills and ensures the client is properly supported.

If you are interested, please apply here.

About CarePay

CarePay is a data-driven company operating in Kenya, Nigeria, Tanzania and with headquarters located in Amsterdam. CarePay has developed a mobile health benefit platform, branded M-TIBA in Kenya, that has the potential to fundamentally change healthcare. The platform digitally connects patients, health payers (e.g. insurers, governments) and healthcare providers to one platform. We believe that through mobile technology everyone can be connected to health insurance against very low marginal costs. Our platform enables people to access health insurance schemes and pay for healthcare efficiently and transparently via a user-friendly health wallet on their mobile phone. Using our digital platform leads to reduced costs, creates huge data value, and enhances transparency and accountability.

So far, we have enrolled over 4.7 million people and have connected more than 3,000 healthcare providers. Since the start, CarePay has gained international traction. In 2017, CarePay won the FT/IFC Transformational Business Award and in 2018 CarePay was recognized as Technology Pioneer by the World Economic Forum. In 2019, CarePay won the Swiss Re Entrepreneurs for Resilience Award. In 2020 CarePay was selected as one of the pioneering use cases on Europe’s GAIA-X cloud platform and has been listed together with Safaricom in Fortune’s Change the World top 10, alongside companies like Zoom and Alibaba.

In April 2019, CarePay International raised $45 million in a Series A financing round to facilitate the expansion to other countries.

Job description

The purpose of this role is to ensure medical claims are vetted and that they meet the set objectives for a given project. The role will also involve giving detailed reporting on all the general findings from the claims vetted with the aim of improving project outcomes as well as to enhance system functionality.

Required skills

Key Qualifications, Experience & Skills

Degree in Nursing or other suitable medical background or other closely related field.

Atleast 2 years’ experience in claims assessing in the medical insurance industry.

Good understanding of private and public healthcare delivery.

Have strong understanding of medical treatments protocols and cost effective prescribing habits in relations to market segmentation.

Good analytical and problem-solving skills.

Excellent oral and written communication skills.

Proficient administrative and organization skills.

Strong interpersonal skills with ability to work with cross cultural and diverse people and teams.

Collaboration and team working skills.

Customer service skills.

Data Entry skills with ability to produce accurate work.

Reporting and good attention to details.

Ability to prioritize and work to deadlines.

Competent in the use of Microsoft Office applications including word processing and spreadsheets.

Flexible and ability to adapt or change to new situations and handle high levels of uncertainty

Ability to maintain confidentiality.

Personal qualities of integrity, credibility, professionalism and a commitment to CarePay’s mission.

 

Apply now