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Insurance Claims Specialist

M.P. Shah Hospital  ยท Healthcare / Medical

Full Time Nairobi
Nairobi
Deadline: 14 May 2026
Posted May 6, 2026

Duties & Responsibilities:

Improve the efficiency and accuracy of claims processing by expertly managing both inpatient and outpatient invoices, while maintaining a high level of transparency and accountability. To minimize rejection rates, adhere strictly to client policies regarding document delivery, whether online or physical. Quickly address any rejections within 5 working days from the date they are received.

Ensure the authenticity and precision of the hospital’s records by examining any incomplete documentation obtained from the dispatch department and verifying their accuracy through thorough examination. Additionally, ensure that all client-received documents are handled in accordance with established hospital protocols.

Effectively manage relationships with corporate clients through timely delivery of claims in accordance with company guidelines, efficient resolution of queries, and maintenance of high levels of customer satisfaction.

Ensure the preservation of client trust through diligent management of evidence of delivery, while adhering to strict standards of discretion and ethical conduct within the established regulatory guidelines.

Ensuring Timely Report Preparation and Distribution: It is imperative to guarantee that all required reports are promptly compiled and transmitted to the designated recipients in accordance with established deadlines.

Fostering growth and improvement. Promote ongoing advancement of both individual and collective capabilities within the company through participation in professional development programs and workshops, while also contributing to a culture of learning by imparting knowledge and skills acquired from personal experiences to team members. Additionally, maintain open communication with the line manager to receive regular performance evaluations.

Minimum Requirements

Education

A degree in a business-related field is required for this position.

The candidate must possess several years of professional experience in either finance or accounting.

Possessing knowledge in accounting can be highly beneficial.

The role of a Key Performance Indicator (KPI) Analyst requires an individual to have excellent analytical skills, attention to detail, and strong problem-solving abilities. The KPI Analyst will be responsible for tracking, analyzing, and reporting on key performance indicators across various departments within the organization. This includes identifying areas of improvement, developing strategies to address these issues, and presenting findings to senior management. Additionally, the KPI Analyst must possess strong communication skills to effectively collaborate with cross-functional teams and stakeholders. A Bachelor’s degree in a quantitative field such as business analytics or statistics is preferred, but not required. The ideal candidate will have at least 2 years of experience in a similar role.

The position requires proficiency in dispatching timely invoices for both inpatient services (within 24 hours) and outpatient services (within 48 hours).

Strive to maintain a rejection rate of less than 1%.

Guarantee strict adherence to all guidelines outlined in the Invoicing Approval Procedures (SOPs) for achieving full compliance.

Immediately process and verify receipt of all incoming invoices to maintain accurate financial records.

Competence and Attributes

The ideal candidate should possess a strong drive to achieve success in their work. They must be highly motivated and goal-oriented with an unwavering commitment to delivering exceptional outcomes.

Expertise in utilizing various applications within the Microsoft Office suite is essential for this role.

A meticulous approach is required for this role, with a keen eye for observing minute details that can impact the success of the project or task at hand.

Proficient in both written and oral communication with exceptional clarity and articulation.

The ideal candidate for this role will possess exceptional problem-solving skills, with the ability to analyze complex issues, identify potential solutions, and implement effective strategies to overcome challenges in a timely manner.

The ideal candidate for this role must possess exceptional analytical skills to effectively analyze data and provide insights that drive business decisions. They should be able to identify trends, patterns, and anomalies in large datasets with ease and accuracy. Additionally, the successful applicant will need strong problem-solving abilities to develop creative solutions to complex issues faced by the organization. Furthermore, they must have excellent communication skills to clearly convey their findings to stakeholders across all levels of the company. Finally, the candidate should be a team player who can collaborate effectively with colleagues from diverse backgrounds and departments.

We are seeking a highly motivated individual to join our dynamic team as a Team Player. The successful candidate will be responsible for collaborating with colleagues across various departments to achieve common goals, fostering positive relationships and promoting open communication within the team. Key responsibilities include actively listening to feedback, providing constructive input, and contributing to problem-solving efforts. This role requires excellent interpersonal skills, strong project management abilities, and a proactive approach to work. The ideal candidate will be able to thrive in a fast-paced environment and possess the ability to think critically under pressure. As part of our team, you will have the opportunity to grow your skill set, develop new competencies, and make a meaningful impact on our organization’s success.

Qualifications

Diploma

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