CIC Africa Insurance (SS) Ltd, a subsidiary of CIC Insurance Group, is seeking to recruit a highly skilled individual for the position of Medical Claims Analyst. This role is based at the Head Office in Kenya and reports to the Medical Supervisor – Claims & Care Service Management. The successful candidate will be responsible for vetting both inpatient and outpatient medical claims for payment.
Key Responsibilities
Claims Vetting: Vet inpatient and outpatient medical bills/invoices and refer any suspicious claims to the supervisor.
Invoice Processing: Batch outpatient invoices on the system and adjust the amount payable as per the vetting findings.
Provider Relations: Check and reject incomplete invoices and return them with supporting documents to service providers; negotiate, adjust, and update service providers on their costs and accounts status.
Account Reconciliation: Reconcile statements of accounts for service providers and advise them on unpaid or underpaid bills.
Reserving: Review claims reserves on a continuous basis in view of new developments.
Customer Service: Attend to customer queries and complaints promptly and professionally.
Risk Management: Recommend risk improvement measures to the underwriter for appropriate action.
Requirements and Qualifications
Bachelor’s degree in a related field or a Diploma in Nursing – Required.
Diploma in Clinical Medicine is also acceptable.
Minimum of 3 years of relevant professional experience.
Registered Nursing Diploma is mandatory.
Technical competence in insurance and basic knowledge of regulatory requirements.
Computer literate in MS Office and other relevant office applications.
Excellent communication, presentation, and interpersonal skills.
Strong problem-solving, analytical, and negotiation skills.
How to Apply
Interested and qualified candidates should apply online through the CIC Insurance careers portal at https://careers.cicinsurancegroup.com before the deadline on April 2, 2026.
How to Apply
Interested and qualified candidates should apply online through the CIC Insurance careers portal at https://careers.cicinsurancegroup.com. Ensure your application is submitted before the deadline on April 2, 2026.
