Claims Analyst, Retail Health Job Liberty Life
Looking for an insurance job in Kenya? Liberty Life is hiring a Claims Analyst, Retail Health, skilled in health insurance claims processing, medical billing assessment, fraud detection, and provider relations.
Job Summary
- The role holder will be responsible for assisting in risk management through assessing the eligibility of applicants to obtain medical cover, scheme performance analysis, proposal of appropriate renewal terms and scheme administration for those already on medical cover within the set standards of service
Key Responsibilities
- Review, assess, authenticate and capture outpatient and inpatient claims as per the claims manual and within the set TATs
- Timely scanning, barcoding and batching of received claims
- Processing of reimbursements within the set TATs
- Conduct quality assurance process before batches are authorized for pay run
- Notify brokers and clients of pended and declined claims within set timelines
- Manage pended and declined claims
- Liaise with agents, brokers and service providers on matters arising on claims
- Ensure all claims documents are archived in the relevant systems
- Maintain claims production within set targets
- Generate daily health claims status report
- Storage of all correspondence in Medware system
- Monitoring and processing of NHIF enhanced benefits for cost containment
- Recording and monitoring of roaming and counter-guarantee claims.
- Customer service – address clients’ queries in form of telephone queries, letters, emails and walk –in clients.
- Maintain proper department standards, discipline and confidentiality regarding patients’ illness.
- Embrace governance requirements with respect to KYC/AML/Data protection requirements per governing Acts.
Qualifications
- Bachelor’s degree in Insurance or business-related discipline
- Progress towards Diploma in Insurance (ACII or AIIK), (at least 3 papers or equivalent)
Experience
- 1 years’ experience in medical claims management in insurance/hospital setting
Competencies
- Understanding of insurance operations and concepts
- Knowledge of insurance regulatory requirements
- Knowledge of claims procedures
- Excellent organizational and stakeholder management skills
How to Apply
If you meet the above requirements, you are encouraged to forward your application and updated CV to vacancies@heritage.co.ke by 12th July 2026. Clearly state the job title on the subject heading.
🎯 Before You Apply For this Job.
Don’t apply with the same CV you use for every job.
Many qualified candidates miss out on interviews for one simple reason: they use the same CV for every job they apply for. Always customise your CV for the specific job you want.
Found a job you really want?
Send us your CV + the job advert and let our recruitment team review your CV against the requirements of the job.
We’ll identify exactly what the employer is looking for and customise your CV to match the job, giving you a stronger chance of getting shortlisted.
Plus, you’ll get 3 months of job-search support from our recruitment team to help you find suitable jobs, improve your applications, and secure your next job faster.
Don’t just apply. 👉 Click Here & Get Your CV Customised Today
Read Job Seeker Testimonials Below: Professionals Who Got Jobs Through Corporate Staffing
Related Jobs To Check Out
Jobs Managed by Our Recruitment Team
The vacancies below are managed directly by the Corporate Staffing recruitment team on behalf of our clients. Review the job advert, then submit your application through our recruitment team for consideration.
Browse Other Jobs Posted Today
Explore the latest job opportunities posted now. Apply early to maximize your chances, as many employers begin reviewing applications as soon as suitable candidates apply.