Care Officer – Microinsurance

About the role

CIC Insurance Group, an insurance and financial services organisation operating in Kenya, Uganda, South Sudan and Malawi, is hiring a Care Officer for its microinsurance business. Reporting to the Assistant Manager Care Management, the role holder ensures efficient management of insured members' medical care by overseeing approvals, coordinating treatment processes and monitoring benefit use, while delivering high-quality customer support.

Key responsibilities

• Issue medical approvals for inpatient and outpatient services in line with policy terms.
• Monitor inpatient admissions, focusing on treatment costs and average length of stay.
• Provide pre-authorization guidance for scheduled procedures, including optical and dental services.
• Visit hospitals daily to support insured members during hospitalization.
• Handle medical emergency calls through the 24-hour call center and respond to stakeholder inquiries.
• Negotiate discounts with doctors and hospitals and coordinate clients and providers on SHA/SHIF packages.
• Facilitate medical referrals and emergency evacuations when required.
• Monitor benefit utilization and prepare reports as directed by management.
• Review medical reports and lab results to assess clinical risk and advise the underwriting team.

Required profile

• Bachelor's degree or diploma in nursing, clinical medicine or a healthcare-related field.
• Minimum of 3 years of experience.
• Open to both internal and external candidates; applications are made through the CIC careers page by close of business on 2 November 2026, and only shortlisted candidates are contacted.