Claims Officer Job in Kenya at oasis healthcare group

Why This Role Matters

This Claims Officer role allows professionals to develop key skills in Healthcare & Medical. The position offers career growth opportunities while supporting the company's mission and values.

Responsibilities for Claims Officer in Kenya

• The Claims Officer will be responsible for coordinating and managing the hospital’s insurance and corporate claims processes to ensure timely reimbursement and compliance with insurer guidelines. The role involves preparing, verifying, and submitting insurance claims accurately within the required timelines while ensuring that all supporting documentation is complete and properly recorded.
• One of the primary responsibilities will be reviewing patient files and verifying medical records to confirm that all treatments, procedures, laboratory tests, and pharmacy services are accurately captured before claims are submitted to insurers. This process requires close collaboration with clinical staff and administrative departments to ensure documentation accuracy and compliance with insurance requirements.
• The Claims Officer will also reconcile submitted claims against payments received from insurers and corporate clients. Any discrepancies or variances must be identified promptly and investigated thoroughly. The officer will follow up with insurance providers regarding pending claims, rejected claims, or partial payments to ensure that issues are resolved and reimbursements are processed without unnecessary delays.
• Another key responsibility involves monitoring claim rejection trends and analyzing the root causes of these rejections. The Claims Officer will recommend corrective measures and work with relevant departments to implement improvements that reduce errors and enhance claims acceptance rates.
• The officer will serve as a liaison between the hospital, insurance providers, and corporate clients to address claim-related queries and discrepancies. Maintaining strong communication with stakeholders will help ensure transparency and efficient resolution of claim issues.
• The Claims Officer will also maintain accurate records of all claims submitted and payments received, ensuring that claims tracking systems are regularly updated. Preparing periodic performance reports, including submission rates, rejection rates, and aging analysis of receivables, will be required to support financial monitoring and decision-making.
• Additionally, the role involves assisting in insurer audits, preparing reconciliation documentation, monitoring credit control for insurance accounts, and supporting continuous improvement initiatives aimed at strengthening claims management and revenue collection processes.

Qualifications for Claims Officer in Kenya

• Diploma

How to Apply for Claims Officer in Kenya

Interested candidates are invited to submit their cover letter and detailed curriculum vitae only, including the names and contacts of three professional referees, via email to hr@oasishealthcaregroup.com on or before 25th March 2026. Applicants must clearly indicate the job title and preferred location in the email subject line. For example: “CLAIMS OFFICER – BUSIA.” Only shortlisted candidates will be contacted. Canvassing of any nature will lead to automatic disqualification.