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Risk Assessor (CIMFAD) 12.2025 at CELL INSURANCE GROUP

Harare, Harare, Zimbabwe -

Full Time

Start Date

Immediate

Expiry Date

10 Mar, 26

Salary

0.0

Posted On

10 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Investigations, Case Management, Wellness Programs, Investigative Skills, Problem-Solving Skills, Decision-Making Skills, Client Focus, Communication Skills, Integrity, Confidentiality

Industry

Insurance

Description

The main responsibilities of the job are: Reviewing claims to identify errors, fraud, and trends. Pre-authorizing hospital admissions and monitoring member benefits. Registering and following up with patients enrolled in the chronic disease management program. Conducting workplace-based wellness programs for corporate clients. Investigating service providers and members with suspicious claiming patterns. Qualifications: Diploma in Nursing Degree in Nursing is an added advantage. Insurance and Risk Management qualification is an added advantage. Diploma in Theatre Nursing and/or Midwifery is an added advantage. Ideal Candidate must: Have at least 2 years’ experience in claims investigations, case management, and implementation of wellness programmes within a medical aid environment. Possess excellent investigative, problem-solving, and decision-making skills. Demonstrate a strong client focus. Have good written and verbal communication skills. Be a person of integrity, with the ability to handle sensitive information confidentially and transparently.

Responsibilities

The Risk Assessor will review claims to identify errors, fraud, and trends, as well as pre-authorize hospital admissions and monitor member benefits. They will also conduct workplace-based wellness programs and investigate suspicious claiming patterns.