Healthcare and MedicalFull-TimeJunior-level(1-2 yrs)
Job Description
Role Overview
The role holder will be based in the Investigations Department and will support the doctor(s) in the analysis of medical claims arising from road traffic accidents. The individual will also play a key role in providing second medical opinions on the nature and extent of injuries sustained.
Key Roles and Responsibilities
Research and report writing pertaining to the confirmation of diagnosis made and treatments administered with claims and reporting on the same.
Submission of authenticated reports.
Authentication, Analysis, Interpretation and verification of medical treatment records pertaining to accident claims.
Identification of inconsistency between police and hospital records.
Responsible for highlighting misdiagnosis and/or irregular medical records.
Preparation of medical reports and statistics.
Understanding of medical health facility procedures and medical records.
Re-examination of road traffic accident victims in order to provide a second opinion.
Giving intelligence of fraud perpetrated in medical facilities.
Identify and report fraudulent activities and fraudsters within the medical facilities.
Any other responsibilities as communicated from time to time.
Academic and Professional Qualifications
Bachelor’s Degree in Nursing or its equivalent from a recognized institution or KRCHN/KRN-Diploma in Nursing.
Registered with Nursing Council of Kenya.
Must possess a valid license.
Member of a relevant professional body.
Experience
Must have at least two (2) years’ working experience in a busy hospital facility.
Working experience in the insurance industry is an added advantage.
Skills and Attributes
Basic MS office skills.
Strong interpersonal, communication and negotiation skills.
Superior analytical and report writing skills.
High moral and ethical standards with independence of mind and ability to defend his/her position on significant issues.
Excellent word processing and IT skills.
Ability to work under pressure and meet tight deadlines.
Good organisational and time management skills.
Ability to research, digest, analyse and present material clearly and concisely.
Ability to take initiative and pay attention to detail.
High level of integrity and reliability.
Flexibility and adaptability to juggle a range of different tasks and to work extra hours to meet deadlines.
Discretion and an understanding of confidentiality issues.
How to Apply
If you qualify for the above advertised role, kindly send us a detailed CV and Application Letter clearly demonstrating your fit as per the roles & responsibilities and the person specifications (academic/professional qualifications, experience, skills & attributes) listed above. Send your application documents to human.resource@directline.co.ke to reach us on or before 12th May 2026 5:00 PM.
How to Apply
If you qualify for the above advertised role, kindly send a detailed CV and Application Letter to human.resource@directline.co.ke. Your application should clearly demonstrate your fit regarding the roles, responsibilities, and specifications provided. Applications must reach the company on or before 12th May 2026 at 5:00 PM.
