Case Manager
AAR Insurance (Tanzania) Limited is a subsidiary of AAR Holdings which is the largest and most successful private Insurance company in East Africa. In Tanzania its Head Office is in Dar es Salaam and branches are in Arusha and Mwanza.
AAR Insurance Tanzania Limited offers equal employment opportunities to qualified men and women
In line with our corporate objective of constantly reviewing and enhancing our key performance areas we wish to engage the following person:
Case Manager (1 Position)
Purpose of the Position:
To satisfy AAR customers with professional and ethical care service to patients who are hospitalized, and those members being rescued or evacuated for further treatment and/or check-ups while also providing satisfactory customer handling by visiting them on a regular basis for customer retention
The Successful candidate will be based in Dar Es Salaam and will report to Chief Operations Officer
Key Performance Areas:
- Medical Rescue and Evacuation
- Medical referrals
- Follow up on patient’s admission
- Reports writing on daily admission and monthly analysis
- Advise on coverage and care
- Customer care
- Medical Reimbursement
- Underwriting hospitalization cases
- Guidance and counseling
Duties Include:
- To Review doctors’ practices and implement change to improve patient care provided at the accredited hospitals by the AAR insurance
- To provide thorough medical report to the management team that shows exact prevalence of diseases average number of admitted patients and average medical costs per admissions
- To assess all the Inpatient bills; crosschecking that all the medical services listed corresponds with the medical treatment and the provided medical charges from the accredited hospitals
- Medical reconciliation with the accredited hospitals on the rejected In patient bills
- To negotiate affordable prices charged_for the medical services provided by the accredited hospitals annually
- To assess and approve all referral cases that need to be send to abroad.
- To organize all the logistics of transport and medical treatment of the clients/ patients to the respective accredited hospitals in abroad
- To assess membership validity and benefits limits of all admitted patients at all accredited hospitals by AAR insurance.
- To provide authorization/committal letters for all admissions at the accredited hospitals and service providers by the AAR insurance
- To conduct immediate and safe means of evacuating clients /patients with critical conditions or emergency conditions to the accredited hospitals.
Key Performance Measures:
- Customer satisfaction index
- Management of hospitalization costs
- Accuracy and timeliness in providing progress reports on new and old cases
- Documentation and storage of clinical data
- Accuracy in assessment, interpretation and intervention
- Adherence to SOPs and company policies
Level of Education, skills and Experience
- Degree of Medicine
- At least 2 years experience in case management
- Computer Literate
- Good interpersonal skills
- Proven ability to manage conflict
- Excellent communication and organization skills
Applicants are requested to enclose a detailed CV, cover letter and copies of relevant testimonials and send to the:
Human Resources Officer
AAR Insurance (Tanzania) Ltd
Plot # 74,| Serengeti Rd/ Warioba Str Off Mwai Kibaki Rd | Mikocheni|
P.O. Box 9600, Dar es Salaam
Or by mail to [email protected]
The deadline for submitting applications is close of business Friday 13th September 2019
