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  • Posted: Mar 15, 2025
    Deadline: Mar 28, 2025
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  • Kenya Commercial Bank Limited is registered as a non-operating holding company which started operations as a licensed banking institution with effect from January 1, 2016. The holding company oversees KCB Kenya - incorporated with effect from January 1, 2016 - and all KCB's regional units in Uganda, Tanzania, Rwanda, Burundi, Ethiopia and South Sudan. It als...
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    Bancassurance - Bank Officer Medical Claims Analyst

    Job Description

    • Process claims: Verify and analyzing medical claims as per scheme scope of cover whilst ensuring strict adherence to set guidelines and timelines. 
    • Manage Costs: Negotiate rates and discounts and monitor trends
    • Reconcile claims: Ensure claims are paid on time and reconcile with estimates
    • Follow up on claims: Ensure claims are reimbursed on time, and follow up on outstanding claims
    • Maintain records: keep records of claims related documents and payment vouchers and provide information to finance department
    • Reports: preparation of utilization reports and other reports as required by member / client
    • Communicate with providers: Resolve issues, clarify billing and share information 
    • Claim cost: management through enforcement of agreed tariffs, monitoring claims trend and conducting utilization review 
    • Compliance - Ensure legal compliance of medical claims data in accordance with the Data Protection Act and any other legislative guidelines. 
    • Relationship: Maintain strong working relationship with service providers, Insurance company partners, customers and business stakeholders

    MINIMUM POSITION QUALIFICATION REQUIREMENTS

    • Education     Bachelor’s Degree Bachelor of science in healthcare related field     RQ
    • Professional Qualifications    Certificate of proficiency in Insurance - COP    AA     
    • Master’s Degree    Health management OR a Business-Related Field    AA     

    Detail     Minimum[1] No of Years Need Type

    • Claims Processing    1    RQ
    • Claims vetting    1    RQ
    • Provider account reconciliations    1    RQ
    • Medical claims filing    1    DE
       

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    Method of Application

    Interested and qualified? Go to KCB Bank Kenya on eoin.fa.em3.oraclecloud.com to apply

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