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  • Full Time
  • Nairobi
  • Applications have closed


Responsible for receiving and processing claims for provider payment.


  • Ensure that all claims received are well stamped and keyed in for future reference.
  • Dispatch received invoices, mails and claim books to respective sections
  • Dispatch claim forms and other relevant documents to providers
  • Confirm that smart claims have been billed correctly
  • Prepare valid claims for scanning.
  • Upload, attach and index relevant documents to Document Management System
  • Facilitate discarding of scanned claim documents as per the approved disposal procedure.
  • Registration of medical claims in the system
  • Follow up on registration and reconciliation of provider statements to ensure closure.
  • Follow through to ensure all claims with issues at registration level have been addressed or escalated to the supervisor for action
  • Respond to walk in customer enquiries
  • Attend to customer and service providers’ queries and complaints promptly and professionally
Key Skills, Knowledge, Experience and Behavioral Competencies
These are defined as;

 Proficiency Level Description  
Essential E
Desirable D

Academic and Professional Requirements

Particulars Detail Specific Field or Qualification  Need


Education Bachelor’s Degree Bachelor’s degree in Commerce or in any related field E
    Computer literate in MS Office and other office applications E

Experience Required:

 Description Required years of experience  Need Type
Relevant experience 1 E


Behavioural Competencies

These are defined as:

  Proficiency Level  Proficiency Definitions
Level 1


Aware (A)


·     Applies the competency in the simplest situations.

·     Requires close and extensive guidance.


Core Competencies  Proficiency Required
1.    Customer Focus A
2.    Business Acumen A
3.    Driving Innovation A
4.    Driving Business Performance A
5.    Negotiation and Influence A
6.    Effective Communication A

Leadership Competency Proficiency Required
1.             Planning and organizing A
2.             Accountability A
3.             Quality Decision Making A
4.             Building Partnerships A
5.             Continuous Learning A
6.             Emotional Intelligence A
7.             Conflict Management A


Special Position Requirements ( Optional section: any travel, security, hazard or related special conditions which apply to the position)

·       The role holder may be required to travel to distant branches or wherever the Company has any interest.

·       Role holder may be required to work extended working hours to ensure jobs are completed on schedule and to specification.



If you have the aforementioned professional and academic qualifications and you are ready to execute the above mandate, strictly apply through: clearly indicating the position being applied for.

The application should reach us by close of business on 23rd April 2023. Please note only short listed candidates will be contacted. If you do not hear from us by 22nd May 2023 consider your application unsuccessful.

N/B: This job advert is open to both internal and external candidates.


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