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Job Summary

Job Title:
Assistant Claims Officer (1-Year Fixed-Term Contract)
Employer:
Britam
Location:
Nairobi, Kenya
Country:
Kenya
Contract Type:
Full Time
Job Category:
Healthcare and Medical Jobs in Kenya
Number of Positions:
1
Deadline:
Wednesday, 14 May 2025

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Assistant Claims Officer (1-Year Fixed-Term Contract) job at Britam | Apply Now

Nairobi, Kenya

Full Time

Are you looking for Medical jobs in Kenya 2025 today? then you might be interested in Assistant Claims Officer (1-Year Fixed-Term Contract) job at Britam

Deadline: 

14 May 2025

About the Organisation

Britam is a leading diversified financial services group operating in Eastern and Southern Africa, committed to providing innovative insurance, asset management, and financial solutions that secure the future of individuals and businesses. With a strong reputation for excellence and reliability, Britam has earned recognition as a trusted brand in financial services, offering customer-centric products tailored to meet evolving market needs.

The company fosters a dynamic and inclusive work culture that values professional growth, innovation, and collaboration, providing employees with rewarding career opportunities, flexible work arrangements, and continuous learning programs. Established in 1965, Britam has evolved into a regional powerhouse, leveraging technology and data-driven strategies to enhance customer experiences through digital transformation and customized financial solutions.

The company operates in seven African countries, including Kenya, Uganda, Tanzania, Rwanda, South Sudan, Mozambique, and Malawi, serving millions of customers through a robust distribution network. Guided by core values of integrity, customer focus, innovation, and teamwork, Britam is committed to corporate social responsibility through initiatives in education, health, and environmental sustainability, empowering communities and fostering economic growth. For more information, visit their official website at www.britam.com.

Job Title

Assistant Claims Officer (1-Year Fixed-Term Contract) job at Britam

Britam

Job Description

This position involves managing the full cycle of medical insurance claims, including pre-authorizations, setting claim parameters, reviewing medical documentation, interacting with service providers, and ensuring compliance with organizational policies. The officer will promote cost containment through practices such as generic substitution and discouraging poly-pharmacy. The role also includes preparing reports, maintaining quality standards in claims handling, and ensuring that all claims are processed promptly.

Duties, Roles and Responsibilities

  • Vet all received claims (credit and reimbursement) and release them to finance on time

  • Set parameters for inpatient (IP) and outpatient (OP) admissions and claims (claim reserve, authorized cost, duration)

  • Ensure care provision aligns with policy guidelines through active client and provider interaction

  • Review medical reports and claims for compliance

  • Liaise with underwriters to confirm policy scope for various schemes

  • Discourage poly-pharmacy and promote safer, cost-effective prescribing alternatives

  • Encourage use of generic medicines to reduce pharmaceutical expenses

  • Prepare and submit regular claims reports to management

  • Ensure all claims are processed within the stipulated timeframes

  • Operate within the approved Delegated Authority Matrix

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SERVICES

COMMERCIAL

SERVICES

INDUSTRIAL

SERVICES

RESIDENTIAL

Qualifications, Education and Competencies

  • Diploma or Degree in Nursing, Clinical Medicine, or Pharmacy

  • Moderate understanding of insurance concepts

  • Professional qualification in FLMI, ACII, or IIK is an added advantage

  • 5–8 years of experience in case management, with at least 2 years in a supervisory role

  • Strong analytical, communication, and decision-making skills

  • High level of integrity and attention to detail

  • Ability to work independently and meet deadlines

  • Proficiency in healthcare and insurance management systems

How to Apply

ONLINE APPLICATION ONLY!

Interested candidates are advised that applications for this position must be submitted online. To apply please click the “Apply” button below.

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