Claims Business Analyst jobs

At Stratostaff we design, implement and manage workforce solutions for large, specialized or routine staff complements giving you the opportunity to focus on your core business.At Stratostaff we design, implement and manage workforce solutions for large, specialized or routine staff complements giving you the opportunity to focus on your core business. Profile Introduction Our client, a leading f...

Description Reporting to the Underwriting Manager, Health, this role serves to provide technical support aimed at maintaining a profitable and innovative health insurance portfolio.The key tasks assigned to this role include:Continuously reinforcing and implementing experience-based underwriting discipline.Providing flexibility in offering tailor-made corporate client solutions, with adequate pri...

Job DescriptionReporting to the Underwriting Manager, Health, this role serves to provide technical support aimed at maintaining a profitable and innovative health insurance portfolio.The key tasks assigned to this role include:Continuously reinforcing and implementing experience-based underwriting discipline.Providing flexibility in offering tailor-made corporate client solutions, with adequate ...

Job Description Reporting to the Underwriting Manager, Health, this role serves to provide technical support aimed at maintaining a profitable and innovative health insurance portfolio. The key tasks assigned to this role include: Continuously reinforcing and implementing experience-based underwriting discipline. Providing flexibility in offering tailor-made corporate client solutions, with adequ...

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. Summary Reporting to the Underwriting Manager, Health, this role serves to provide technical suppo...

Identify and investigate potential instances of fraud, waste or abuse (FWA) across all Cigna s International Markets books of business for claims incurred in a dedicated region (Middle East & Africa).Seek recovery of FWA payments from claim submissions.Ensure PI savings are tracked and reported accurately.Work in partnership to implement solutions and drive execution to prevent claims overpayment...

Identify and investigate potential instances of fraud, waste or abuse (FWA) across all Cigna's International Markets books of business for claims incurred in a dedicated region (Middle East & Africa).Seek recovery of FWA payments from claim submissions.Ensure PI savings are tracked and reported accurately.Work in partnership to implement solutions and drive execution to prevent claims overpayment...

Role Summary: As Fraud Analyst within Payment Integrity Team you will be directly supporting Cigna's affordability commitment within Cigna International's business. This role is responsible for detecting and recovering FWA payments, creating solutions to prevent claims overpayment and future spend monitoring within a dedicated region. Will work closely with other Payment Integrity team members, N...

Job Ref. No: JHIL112Role PurposeThe job holder will play a crucial role in pricing of risks associated with existing and new products. Leveraging technology, they will automate the pricing procedures, thereby enhancing operational efficiency and ultimately improving service delivery. They will work closely with other departments such as data analytics, products & strategy, marketing, business dev...

Role Summary:As Fraud Analyst within Payment Integrity Team you will be directly supporting Cigna's affordability commitment within Cigna International's business. This role is responsible for detecting and recovering FWA payments, creating solutions to prevent claims overpayment and future spend monitoring within a dedicated region. Will work closely with other Payment Integrity team members, Ne...

Jubilee Insurance was established in August 1937, as the first locally incorporated Insurance Company based in Mombasa in 1937. Jubilee Insurance has spread its sphere of influence throughout the region to become the largest Composite insurer in East Africa, handling Life, Pensions, general and Medical insurance. Job Ref. No: JHIL112 Role Purpose The job holder will play a crucial role in pricing...

Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world Role Summary: As Fraud Analyst within Payment Integrity Team you will be directly supporting Cigna s affordability commitment within Cigna International s bus...

Jubilee Insurance was established in August 1937, as the first locally incorporated Insurance Company based in Mombasa in 1937. Jubilee Insurance has spread its sphere of influence throughout the region to become the largest Composite insurer in East Africa, handling Life, Pensions, general and Medical insurance. Jubilee Insurance seeks to employ competent personnel to fill the following vacant p...

KEY RESPONSIBILITIESReport on financial plans including the budget and forecasts and provide insights on variances to enable timely corrective making and decision making.Maintain key performance indicators & dashboard, and in building data base for reporting. Analyse, cascade and track the KPIs framework and dashboards to track insurance sales performance per product, region, branch, individual a...

Kenya Commercial Bank Limited is registered as a non-operating holding company which started operations as a licensed banking institution with effect from January 1, 2016. The holding company oversees KCB Kenya incorporated with effect from January 1, 2016 and all KCB s regional units in Uganda, Tanzania, Rwanda, Burundi, Ethiopia and South Sudan. KEY RESPONSIBILITIES Report on financial plans in...

Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Responsibilities You will be responsible for the timely intake and processing of all incoming cases as well as Guarantee of Payments. The Guarantee of Payment is a confirmation towards the hospital regarding length of admission, treatment, and insured amount A...

We're growing quickly and we need your helpWe are looking for an experienced Senior Data Analyst / Scientist. You will be responsible for compiling actionable insights from data and assisting leaders to build data-driven processes. Your role will involve driving initiatives to optimize for health care quality and efficiency.ResponsibilitiesWork on the cutting edge of ML and statistical data analy...

Antara Health scales patient-centered health care for everyone by adding AI-assisted health navigation to make the hard parts of healthcare easy for patients and providers. Summary We are looking for an experienced Senior Data Analyst / Scientist. You will be responsible for compiling actionable insights from data and assisting leaders to build data-driven processes. Your role will involve drivin...

Apollo Group (Apollo Investments Limited)was an idea born from the need to harness synergies across the insurance business. Built on commitment, integrity and innovation, it has risen to be one of the leading financial groups in East Africa. Apollo Investments Limited (AIL) includes APA Insurance (Kenya and Uganda). KEY PRIMARY RESPONSIBILITIES Claim Documentation: Assist in the collection and ve...

At Heritage where we provide short term insurance products, we pride ourselves on our history of claims payment. This was recently recognized when we won the award for Outstanding Insurance Underwriter in Claims Settlement as nominated by members of the Association of Insurance Brokers of Kenya Job Summary The role holder will be responsible for processing and payment of general insurance claims ...

At Heritage where we provide short term insurance products, we pride ourselves on our history of claims payment. This was recently recognized when we won the award for Outstanding Insurance Underwriter in Claims Settlement as nominated by members of the Association of Insurance Brokers of Kenya. Job Summary The role holder will be responsible for assisting in risk management through assessing the...

The United Nations Development Programme (UNDP) is the United Nations global development network. Headquartered in New York City, UNDP advocates for change and connects countries to knowledge, experience and resources to help people build a better life Position Purpose Under the guidance and direct supervision of the Deputy Security Advisor and the Finance Specialist, the Finance Associate provid...

Description To assist in processing of medical claims with a focus on cost control and management of member benefits through linking and coding of inpatient and outpatient bills and capturing in the company medical business operating system(s).Capturing of claims as per set rules/guidelines and validate a claim against policy / scheme / guidelines, agreed etc.Organizing trainings on document uplo...

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. Responsibilities To assist in processing of medical claims with a focus on cost control and manage...