Insurance Claims Analyst jobs in Nairobi

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...

PURPOSE: Responsible for vetting both in/ outpatient medical claims for payment. PRIMARY RESPONSIBILITIES: Vet and audit inpatient and outpatient medical bills/invoices in order to pay service providers promptly. Process reimbursement claims within the stipulated TAT. Batch outpatient invoices on the system and adjust amount payable as per the vetting findings; Check and reject incomplete invoice...

Job Description To process general insurance claims in an expeditious and professional manner thereby meeting the customer's expectations and the overall departmental objectives. KEY TASKS AND RESPONSIBILITIES Reviewing and processing general insurance claims and giving recommendation on settlement or repudiation. Liaising with customers and intermediaries for full claim documentation. Acknowledg...

Job Description The Medical Claims Analyst is responsible for managing and overseeing medical reinsurance claims in accordance with established treaties. This role involves documenting and reporting reinsurance recoveries, collaborating with intermediaries to ensure compliance with corporate strategy, and reconciling recoveries against financial records. Additionally, the analyst is tasked with r...

Role Purpose Responsible to review and approve medical services requested by providers or customers according to medical necessity review guidelines. Will ensure customers receive the best quality care, diagnostics and treatment and avoid over or under-utilization of clinical services. Ability to review, investigate and respond to external and internal inquiries/complaints. Provide guidance to ot...

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 the elective processing of underwriting documents ...

Insurance Jobs In Kenya. Job SummaryThe role holder will be responsible for processing of medical claims with a focus on accuracy, cost containment, risk management and customer excellence.Key Responsibilities Review, assess, authenticate and capture outpatient and inpatient claims as per the claims manual and within the set TATsTimely scanning, barcoding and batching of received claimsProcessing...

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 The Medical Claims Analyst is responsible for managing and overseeing medical reinsurance ...

CIC Insurance Group Limited, commonly referred to as CIC Group, is an insurance and investment group that operates mainly in Kenya, Uganda, South Sudan and Malawi PURPOSE: Responsible for vetting both in/ outpatient medical claims for payment. PRIMARY RESPONSIBILITIES: Vet and audit inpatient and outpatient medical bills/invoices in order to pay service providers promptly. Process reimbursement c...

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. Within its international division, a dedicated unit headquartered in Belgium focuses on the needs of International Organisations. This unit is specialised in...

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. We are also rated AA- by Global Rating Company (GRC), for amongst other reasons, our high claims payin...

The new NCBA has harnessed the power of both NIC and CBA to create a bank that brings together the best of both worlds from cutting edge mobile banking to good old-fashioned relationship management; from scalable business banking to financial services that grow as your business does; from best-in-class choice of products to investment solutions tailored to your specific needs. Job Purpose To atte...

Job Summary The role holder will be responsible for ensuring that Heritage customers receive a ordable, accessible, cost e ective and high-quality healthcare services. Key Responsibilities Maintain constant contact with hospitals to ensure continuous well-being of all the stakeholders and handling of medical claims with effciency and accuracy. Pre-authorise scheduled and non-scheduled admissions ...

CIC Insurance Group Limited, commonly referred to as CIC Group, is an insurance and investment group that operates mainly in Kenya, Uganda, South Sudan and Malawi PURPOSE: To achieve customer satisfaction through efficient and prompt claims settlement. PRIMARY RESPONSIBILITIES: Register and analyse intimated claims and advise client on supporting claims documents; Appoint service providers where ...

Britam is a leading diversified financial services group, listed on the Nairobi Securities Exchange. The group has interests across the Eastern and Southern Africa region, with operations in Kenya, Uganda, Tanzania, Rwanda, South Sudan, Mozambique and Malawi. The group offers a wide range of financial products and services in Insurance, Asset management, Banking and Property. Our Mission is to pr...

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). It underwrites General Insurance risks such as Fire, Marine, Aviation, Personal A...

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. Within its international division, a dedicated unit headquartered in Belgium focuses on the needs of International Organisations. This unit is specialised in...

Insurance Jobs In Kenya. Madison Life Assurance Kenya Limited, a subsidiary of Madison Group Limited, is a well-known provider of life assurance, group schemes and pension administration in Kenya. The Group also provides through two other subsidiaries, general insurance, underwriting as well as fund management services. Claims Analyst The Company is recruiting for the position of Claims Analyst o...