Jubilee Insurance is seeking a Case Manager, Active Case Management (Job Reference Number: JHIL100016) to join our team in Nairobi. The ideal candidate will coordinate inpatient care, administer insurance benefits, interpret policies, and handle pre-authorization processes, while leveraging clinical knowledge to review medical reports and mitigate fraud, waste, and abuse in claims.
Qualifications & Requirements
Bachelor's degree or Diploma in Nursing, Clinical Medicine, or a related field.
Professional Nursing qualification (KRCHN) licensed by the Nursing Council of Kenya.
Relevant certifications in case management, healthcare management, or clinical specialties.
Clinical knowledge and the ability to interpret medical reports and treatment plans.
Proven ability to identify and mitigate fraud, waste, and abuse in medical claims.
Minimum of two (2) years of relevant experience in a similar or equivalent role within a medical insurance environment.
Demonstrated expertise in inpatient care coordination, insurance benefit administration, policy interpretation, and pre-authorization processes.
Experience in provider engagement will be an added advantage.
How to Apply
To apply, send your updated resume and cover letter to Recruitment@jubileekenya.com quoting the Job Reference Number JHIL100016.
How to Apply
To apply, send your updated resume and cover letter to Recruitment@jubileekenya.com quoting the Job Reference Number JHIL100016.
