Submit CVs – New Recruitment

CIC Insurance Group Limited, commonly referred to as CIC Group, is an insurance and investment group that operates mainly in Kenya, Uganda, South Sudan and Malawi

Care Officer – Microinsurance

About the Role

Reporting to the Assistant Manager Care Management, the role holder will ensure the efficient and effective management of insured members’ medical care by overseeing approvals, coordinating treatment processes, and monitoring benefit utilization in line with the organization’s policy guidelines, while delivering high-quality customer support.

Key Responsibilities

• Issue medical approvals for insured members seeking both inpatient and outpatient services, in accordance with the applicable policy terms.

• Monitor inpatient admissions, focusing on treatment costs and average length of stay, to ensure cost-effective care.

• Provide pre-authorization guidance for scheduled procedures, including optical and dental services.

• Conduct daily hospital visits to support insured members during hospitalization and ensure quality care delivery.

• Respond promptly and professionally to stakeholder inquiries regarding medical care management cases.

• Receive and respond to medical emergency calls through the 24-hour call center, ensuring compassionate, accurate, and timely assistance to clients and healthcare providers, with a strong emphasis on customer care and service excellence.

• Negotiate discounts with healthcare providers (doctors and hospitals) for specific procedures or high-cost cases as needed and coordinating with clients and medical providers to leverage on SHA/SHIF packages.

• Facilitate medical referrals and emergency evacuations when required, ensuring timely coordination and communication.

• Monitor the utilization of member benefits and share regular updates and insights with internal and external stakeholders.

• Prepare and submit accurate, timely reports as directed by management or policy guidelines.

• Review medical reports and laboratory results to assess clinical risk and provide informed recommendations to support the underwriting team in evaluating acceptance risk.

Who We’re Looking For

Essential Knowledge/Skills and Experience Required

• Bachelor’s Degree/ Diploma in Nursing, clinical medicine or healthcare related field

• Minimum of 3 years of experience

Provider Relations Officer – Microinsurance

About the Role

Reporting to the Assistant Manager provider & Forensic Management, the role holder will contract medical service providers, acting as a link between them and CIC, and ensure that providers act within agreed terms.

Key Responsibilities

• Negotiate fees upon contracting new service providers, on all aspects, i.e. consultation, procedures, inpatient and other costs;

• Train service providers on changes at CIC in terms of health products, changes in existing processes, new schemes on board, terminated schemes on smart and underwriting rules to enable better service to clients;

• Conduct impromptu audits of the medical service providers, to ensure all our contracted providers adhere to CIC rules and procedures regarding member access to service and policy exclusions;

• Liaise with the Sales, Underwriting care and claims teams to resolve service provider issues identified at inception of schemes;

• Facilitate the Contracting, suspension and termination of providers from the panel based on adherence to working terms and conditions.

• Negotiate for discounts with service providers and ensure the discount is earned as agreed by liaising with medical claims team and finance team.

• Proper documentation of all Service Provider contracts and ensuring that the contracts are up to date.

• Manage the provider Network and empanel new providers to meet clients’ needs in terms of service access.

• Address complaints in relation to service delivery issues, customer complaints and payment matters with the medical service providers.

• Analyze medical service provider utilization and develop appropriate strategic measures to manage and contain escalating medical cost.

Who We’re Looking For

Essential Knowledge/Skills and Experience Required

• Diploma in Nursing

• Minimum of 3 years of experience

• Diploma in Insurance is desirable.

Assistant Dealer

About the Role

Reporting to the Dealer, the role holder will support in the day-to-day management of dealing desk. The primary focus for this position will be best execution of all investment trades and providing trading administrative support services.

Key Responsibilities

• Updating the schedule of monthly primary bonds bids upon receiving instructions from the Portfolio Managers

• Liquidity management and updating the weekly bank deposit rates schedule as per negotiations with the banks as well as the daily liquidity sheet.

• Confirmation of bonds and equities pricing sent by other counterparties prior to confirmation of execution