Medical Administrators Clinical Officer – Claim Analysts Jobs in Kenya

Medical Administrators Clinical Officer – Claim Analysts Jobs in Kenya

Principle Role

  • A clinical officer who will be able to apply their medical expertise in Medical insurance claims processing

    Key Responsibilities and Deliverables:

  • Responding to pending issues from service providers.

  • Ensuring set targets are met and TAT observed and achieved.

  • Vetting and processing of reimbursements.

  • Process Company’s response to claims/Preauth

  • Monitoring inventory records.

  • Coordination of claims/Preauth processing.

  • Follow up with providers for bills, discrepancies in bills and other information that is holding up processing.

  • Respond to client enquiries on claims through e-mail, phone or directly.

  • Resolve problems related to claims/preauth by liaising with Medical service Providers panel.

  • Clinical officer has to be well equipped with the latest trends and technologies used.

  • Expert in drafting the process in and out.

  • Smart in tackling various types of clients.

  • Supervising the educational material provided to patients by clinical officer.

  • Evaluating the Preparation and delivery of claims presentations by clinical officer.

  • Provide cover for colleagues in their absence, ensuring that the handling of their Preauth/claims is kept up to date.

  • Liaising with other healthcare personnel for efficient delivery of patient care.

  • Responding to mails, calls, and medical related queries on social media platform.

  • Any other duties as may be assigned.

    and Experience

    Minimum Qualifications and Experience Requirements

  • Diploma clinical medicine and surgery.

  • Registered and licensed by the relevant medical body.

  • Minimum of 3 years of experience in relevant medical field

  • Experience in the Health Insurance industry will provide an added advantage

  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

  • Knowledge and experience in reading, analyzing, and interpreting reports and support procedures.

  • Proficiency in MS Office - specifically Excel, Access, Word, PowerPoint.

  • Ability to effectively present information and respond to questions from management, peers and customers.

  • Self-driven, customer centric , team player and good communication Skills

  • Willingness to go the extra mile.

    How to Apply

  • Please submit your updated CV with a cover letter via email to

  • for review on future positions.

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