The insurance and financial services sector in Kenya continues to expand as organizations seek to strengthen their operational capacity, improve customer service, and enhance claims management processes. As the demand for efficient insurance services increases, companies are actively recruiting qualified professionals to support claims administration, processing, and client service functions. Claims management plays a critical role in ensuring that policyholders receive timely, accurate, and transparent handling of their insurance claims.
In line with this growth and the need to enhance operational efficiency, several opportunities have been announced for professionals seeking to build or advance their careers in insurance claims administration. These positions are based in Nairobi, Kenya, and are designed to support insurance operations through claims verification, documentation review, customer engagement, and coordination with internal and external stakeholders.
The available opportunities include the roles of Assistant Health Claims Officer, Health Claims Officer, and Assistant Claims Officer. Each position contributes to the overall claims management framework within the organization by ensuring claims are processed efficiently, records are maintained accurately, and customer inquiries are handled professionally.
These roles offer an opportunity for individuals interested in insurance operations, healthcare claims administration, and customer-focused service delivery to contribute to a professional environment focused on operational excellence and compliance with industry standards.
The following sections provide detailed job descriptions outlining the responsibilities and expectations for each position.
Assistant Health Claims Officer
Location: Nairobi, Kenya
Date Posted: 7 March 2026
The Assistant Health Claims Officer supports the health insurance claims function by assisting in the review, processing, and documentation of medical claims submitted by policyholders and healthcare providers. The role focuses on ensuring claims are handled accurately, efficiently, and in compliance with internal procedures and insurance guidelines.
Working closely with the Health Claims team, the Assistant Health Claims Officer plays a supportive role in verifying documentation, recording claim information, and facilitating communication between clients, healthcare providers, and internal departments. The position requires attention to detail, adherence to claims procedures, and the ability to manage multiple tasks in a structured work environment.
Key Duties and Responsibilities
Supporting the review and processing of medical claims submitted by healthcare providers and policyholders.
Assisting in verifying the completeness and accuracy of claim documentation before processing.
Recording claim details in the claims management system to maintain accurate records.
Supporting the evaluation of claim documents to ensure they align with policy coverage and organizational guidelines.
Coordinating with internal teams to ensure claims are processed within established timelines.
Responding to inquiries from clients and healthcare providers regarding claim status or documentation requirements.
Assisting in identifying missing or incomplete documentation and communicating with relevant parties to resolve issues.
Maintaining accurate claim records and ensuring documentation is properly archived in accordance with organizational policies.
Supporting the monitoring of claim processing timelines to ensure timely service delivery.
Assisting in preparing reports related to claim processing activities and departmental performance.
Ensuring adherence to claims management procedures and compliance with internal controls.
Participating in departmental activities aimed at improving claims processing efficiency and service quality.
Maintaining confidentiality of client and medical information handled during the claims process.
Supporting the implementation of claims administration systems and documentation procedures.
Health Claims Officer
Location: Nairobi, Kenya
Date Posted: 7 March 2026
The Health Claims Officer is responsible for managing the end-to-end processing of health insurance claims, ensuring that claims submitted by policyholders and healthcare providers are reviewed, verified, and processed in accordance with policy guidelines and regulatory requirements.
This role involves detailed evaluation of claim documentation, coordination with healthcare providers, and communication with policyholders to ensure transparency and accuracy throughout the claims management process. The Health Claims Officer also plays an important role in ensuring operational compliance, managing claim records, and supporting efficient claims administration within the organization.
Key Duties and Responsibilities
Receiving and reviewing health insurance claims submitted by policyholders and healthcare providers.
Assessing claim documentation to confirm eligibility under applicable insurance policies.
Verifying medical reports, invoices, and supporting documents submitted for claims processing.
Processing approved claims within established timelines and ensuring accurate claim settlements.
Communicating with healthcare providers to clarify medical documentation or treatment details when required.
Responding to policyholder inquiries regarding claim status, requirements, and processing timelines.
Maintaining accurate and organized claim records in the claims management system.
Ensuring all processed claims comply with internal policies, insurance guidelines, and regulatory standards.
Identifying discrepancies or irregularities in claim documentation and escalating concerns where necessary.
Collaborating with internal departments to resolve complex claims issues.
Preparing claims reports and maintaining data related to claims processing performance.
Supporting the improvement of claims management procedures and workflow processes.
Monitoring claims processing timelines to ensure service delivery targets are met.
Maintaining strict confidentiality when handling medical records and policyholder information.
Participating in internal reviews and audits related to claims processing activities.
Assistant Claims Officer
Location: Nairobi, Kenya
Date Posted: 5 March 2026
The Assistant Claims Officer supports the broader claims administration function by assisting in claims documentation review, system data entry, and coordination between clients, service providers, and internal teams. This role contributes to ensuring that claims are recorded, verified, and processed efficiently while maintaining accurate documentation and adherence to internal claims management procedures.
The position provides administrative and operational support within the claims department, helping ensure claims records are maintained correctly and inquiries are addressed promptly. The Assistant Claims Officer also assists in tracking claim progress and ensuring all required documentation is available for claims review and approval.
Key Duties and Responsibilities
Assisting in receiving and registering claims submitted by policyholders and service providers.
Reviewing claim documents to confirm completeness and accuracy before processing.
Capturing claim information into the claims management system to maintain accurate records.
Supporting claims officers in verifying claim documentation and policy coverage.
Coordinating communication between claimants, service providers, and internal departments regarding claim requirements.
Following up on pending documentation required for claim processing.
Supporting the maintenance of organized claim records and documentation archives.
Assisting in tracking the progress of claims through the processing cycle.
Responding to client inquiries related to claim documentation and submission procedures.
Preparing basic reports related to claims submissions and processing activities.
Ensuring adherence to established claims administration procedures.
Supporting internal quality checks and documentation reviews related to claims management.
Assisting with administrative duties within the claims department as required.
Maintaining confidentiality when handling client and claim-related information.
Supporting the continuous improvement of claims documentation and filing systems.
Application Process
Interested candidates who wish to pursue any of these opportunities should submit their applications through the organization’s recruitment platform.
