Job particulars
- Job title
- Claims Vetting & Processing Officer
- Hiring organisation
- s Expand Recruitment Services
- Location
- Nairobi, Kenya
- Employment type
- Full-time
- Work arrangement
- On-site
- Industry
- Insurance
- Level
- Entry
- Experience
- 1+ years
- Posted
- 28 Sept 2026
- Closing date
- 5 Oct 2026
Key responsibilities
- Vetting and audit of provider invoices before payment to ensure that they are valid and within the policy.
- Vetting and processing of allocated provider invoice payments within agreed timelines.
- Cost management by adhering to CIC contracted rates and guidelines.
- Advising the client/service providers on exclusions and non-payments within accepted time frame.
- Monitor policy claims experience trends and provider trends for escalation to provider management and client retention team for action and resolution.
- Enhance system processes relating to claims vetting and payment processing.
- Responding to queries on payments to providers and members.
- Negotiation with service providers for discounts and keeping record to include savings earned.
- Participate in account reconciliation and sign off of allocated service providers to avoid interruption of services to insured members.
- Work on and share relevant claims reports as may be requested by the Assistant Manager.
- Participate in planning and budgeting for the department.
- Support all medical business events in both for internal events and those involving CIC stakeholders and /or the general public;.
- Participate in various meeting and committees.
- Any other duty as may be given by the Assistant Manager Claims Vetting & Audit.
Candidate requirements
- Essential Knowledge/Skills and Experience Required:.
- Bachelor of Science in Nursing.
- KRN, KRCHN, Clinical Medicineis an added advantage.
- Minimum of 1 year of experience.
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Hiring organisation
s Expand Recruitment Services