Old Mutual Kenya is based in Nairobi and is part of a larger group that offers solutions in long-term savings, asset management and investment. We offer solutions to individuals and corporates underpinned by our core values which are: Respect, Integrity, Accountability and Pushing beyond boundaries.KEY TASKS AND RESPONSIBILITIES Pre-authorize scheduled and non-scheduled admissions within the set guidelines Negotiate/discuss professional fees as appropriate for each admission Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration) Visit all admitted clients within Nairobi region and its environ Liaise with Doctors on the day-to-day management of patients and obtain medical reports/ expected length of stay where indicated Ensure smooth discharge process and co-ordinate any necessary post-hospitalization/ step down facility care Revise reserves after discharge of member Collect feedback from admitted clients on quality and scope of service by the service provider Assist in carrying out verification and medical audit of claims/invoices before settlement Develop and maintain monthly database on admissions, large claims and extended length of stay. Respond to queries from clients, intermediaries and service providers Liaise with other medical underwriter for purposes of market surveys and development of new controls, standards and products Any other duty assigned by management SKILLS AND COMPETENCIES Excellent communication and negotiation skills Excellent public relations and interpersonal relationship skills Extensive networking with SP and other medical insurers Excellent analytical and monitoring skills Good IT skills in database management and office systems Good decision making in benefit utilization management  High levels of integrity and honesty QUALIFICATIONS, KNOWLEDGE & EXPERIENCE Diploma or Degree in Nursing                      Diploma in Insurance/ COP Degree in Health systems Management/ Business management  3 years’ experience in clinical setting +2 years in insurance set up