Healthcare and MedicalFull-TimeJunior-level(1-2 yrs)
Job Description
This role of Care Analyst is primarily responsible for ensuring that customers, specifically , receive healthcare services that are affordable, accessible, cost-effective, and of high quality.
Heritage customers
Key Responsibilities
Membership benefit utilization management
Verification and assessment of pre-authorization requests and claims
Hospitalizations management and cost optimization
Review and pre-screening of received claims
Customer service - handling calls, addressing client queries on all touch points
Maintain proper departmental standards
Process/adjudicate claims
Case management through hospital visits
Qualifications and Experience
Qualifications
Bachelor’s degree in Nursing, OR a Diploma in Nursing or Clinical Medicine.
Experience
At least 1 year of technical knowledge in medical insurance or a hospital setting.
Competencies
Successful candidates should possess the following core competencies:
Strong understanding of health insurance operations and concepts.
Comprehensive knowledge of medical claims processes and procedures.
Excellent stakeholder management abilities.
Superior customer service skills.
How to Apply
If you meet the above requirements, you are encouraged to forward your application and updated CV to vacancies@heritage.co.ke by 25th January 2026. Clearly state the job title on the subject heading.
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