Medical Claims Analyst at Fidelity Shield Insurance
| Location | NAIROBI, Kenya |
| Date Posted | March 1, 2026 |
| Category |
Government
Health Care / Medical Insurance Management |
| Job Type |
Full-time
|
| Currency | KES |
Description
Fidelity Shield Insurance Company Limited is a leading general insurance provider offering a wide range of products to cater for individuals, private corporate companies, small and medium enterprises, governmental organisations and many more.
Responsibilities
he key deliverables for the role are;
- Attending to providers, specialists and customer queries by determining their requirements, answering to these inquiries, resolving problems, and ensuring good service as a friendly cost.
- Adjudicating inpatient and outpatient medical claims while verifying the accuracy of information provided.
- Managing healthcare costs by ensuring that care is appropriate, cost-effective, and aligned with policy coverage.
Qualifications;
- Bachelor’s degree or a Diploma in Nursing, Clinical Medicine, Healthcare Management.
- Strong background in medical claims assessment will be a plus including knowledge of medical terminology, coding (ICD-10, CPT, HCPCS), and treatment procedures.
- At least 1 to 3 years’ of experience in health insurance claims processing, adjudication, or claims management.
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