CARE OFFICER – MICROINSURANCE
AI job insight
CIC Insurance Group is seeking a Care Officer–Microinsurance to manage insured members’ medical care, issue approvals, coordinate treatment and monitor benefit utilization. The role requires a nursing, clinical medicine or healthcare-related qualification and at least three years of experience.
- Manages medical approvals for inpatient and outpatient services under policy terms.
- Monitors admissions, treatment costs, length of stay and benefit utilization.
- Conducts daily hospital visits and handles medical emergency calls through a 24-hour call centre.
Similar jobs
More roles you may want to review before you leave.AI summary
CIC Insurance Group is seeking a Care Officer–Microinsurance to manage insured members’ medical care, issue approvals, coordinate treatment and monitor benefit utilization. The role requires a nursing, clinical medicine or healthcare-related qualification and at least three years of experience.
- Manages medical approvals for inpatient and outpatient services under policy terms.
- Monitors admissions, treatment costs, length of stay and benefit utilization.
- Conducts daily hospital visits and handles medical emergency calls through a 24-hour call centre.
- Coordinates referrals, emergency evacuations, provider discounts and SHA/SHIF packages.
- Requires at least three years of experience and a relevant nursing or clinical qualification.
AI job guide
Use this guide to check salary signals, requirements, documents, application steps and safety before you apply.
AI salary guide
Not enough public dataNot enough public salary data is available for this exact role. Before applying, prepare to ask about gross pay, benefits, contract length, probation period, transport and any allowances.
Can you qualify for this role?
- Required3+ years of relevant experienceThe job post includes a minimum experience signal.
- RequiredEducation or certification mentioned in the postThe captured text mentions education, a diploma, certificate, or licence.
- PreferredPractical evidence in security, call_center, internshipThe tags and summary point to skills connected with this role.
- RequiredAvailability to work in Rest of KenyaThe vacancy is associated with this location.
- UnclearComfort with the Full Time contract termsConfirm hours, duration, probation and benefits at the original source.
Documents to prepare
- Likely requiredUpdated CV
- Role specificCover letter or short employer message
- OptionalProfessional references
- Role specificAcademic or professional certificates
- VerifyID or passport only after verifying the employer
Application tips for this job
- Place your strongest CARE OFFICER – MICROINSURANCE evidence in the first half of your CV.
- In your cover letter or employer message, connect your experience to CIC Insurance Group and the role in Rest of Kenya.
- Add concrete examples related to security, call_center, internship, ideally with measurable outcomes or clear responsibilities.
- Follow the instructions from BrighterMonday Kenya; avoid sending documents to unofficial contacts or copied links.
- Confirm the deadline, interview location and employer contact before sharing personal documents.
- Prepare a polite question about pay, benefits and contract terms for later interview stages.
Source and safety check
- BrighterMonday Kenya
- Original source link available
- Application method is clear
- Deadline not specified
- No major risk signal was detected in the captured text.
Never pay for interviews, shortlisting, medical checks, uniforms, or job placement. Confirm every application at the original source before sharing personal documents. Report suspicious listing.
Interview preparation
- What experience makes you a strong fit for this CARE OFFICER – MICROINSURANCE role in security, call_center?
- How have you handled responsibilities similar to those in this job post?
- Are you available to work in Rest of Kenya under the listed contract or schedule?
- Prepare examples with clear responsibilities, tools used and measurable outcomes.
- Review the source and research CIC Insurance Group before the interview.
Ask what the first priorities will be in the role and how success will be measured.
Similar jobs to consider
Use AI to apply better
After confirming the original source, use Career Assistant to check role fit, tailor your CV and prepare a cover letter or employer message.
Original source description
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
- About Us
- CIC Insurance Group is a leading insurance and financial services organisation with more than five decades of experience helping individuals, families, and organizations achieve financial security. We have grown into a dynamic Group offering life, general, micro insurance, asset management, and investment solutions, with operations in Kenya, Uganda, South Sudan, and Malawi, and are listed on the Nairobi Securities Exchange. Our tagline, “We Keep Our Word,” reflects our unwavering commitment to integrity, transparency, and delivering on our promises to our clients, partners, and communities. CIC Group is passionate about innovation, digital transformation, and inclusive insurance solutions that meet the evolving needs of cooperatives, SMEs, corporates, and individuals. By joining us, you will be part of a team that is shaping the future of financial protection across Africa.
Job Purpose
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
- Log In and Apply
- Important safety tips
- Do not make any payment without confirming with the BrighterMonday Customer Support Team.
- If you think this advert is not genuine, please report it via the Report Job link below.
- Report Job
