Senior Medical Accountant

We currently have an exciting career opportunity for a Senior Medical Accountant at Jubilee Health Insurance Limited. The position holder will report to the Head of Reconciliation & Payments and will be based at our Head Office in Nairobi.

Key Skills and Competencies

1. Medical Claims Reconciliation – Accurate review and reconciliation of unpaid or underpaid medical claims.
2. Healthcare Provider Negotiation – Effective engagement and resolution of claim disputes with providers.
3. Insurance Policy & Tariff Interpretation – Deep understanding of benefit limits, exclusions, and
   regulatory/provider tariffs.
4. Accounting & Financial Analysis – Strong grasp of accounting principles to analyze and reconcile financial discrepancies.
5. Data Analysis & Reporting – Ability to interpret large datasets and produce insights to support
   reconciliation decisions.
6. Analytical Thinking – Ability to break down complex claim and financial data to identify discrepancies and solutions.
7. Attention to Detail – Ensures accuracy in claim reviews, reconciliations, and financial records.
8. Problem Solving & Decision Making – Quickly identifies root causes of issues and makes sound judgments in resolving them.
9. Communication & Negotiation – Strong interpersonal skills to engage with healthcare providers and
   internal teams effectively.
10. Integrity & Professionalism – Upholds ethical standards, handles sensitive data with confidentiality, and ensures compliance with regulations.

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