Claims Vetting and Processing Officer
AI summary
CIC Insurance is hiring a Claims Vetting and Processing Officer in Nairobi to review and process provider invoices, detect fraudulent claims, and ensure only valid claims are paid. The role requires a Bachelor of Science in Nursing and at least one year of experience, with clinical qualifications as an added advantage. The vacancy expires on November 27, 2026.
- Claims vetting and audit of provider invoices before payment
- Fraud detection to minimize claims costs and loss ratios
- Bachelor of Science in Nursing required
- Minimum 1 year of experience needed
- KRN, KRCHN, or Clinical Medicine is an added advantage
- Deadline: November 27, 2026
AI job guide
Use this guide to check salary signals, requirements, documents, application steps and safety before you apply.
AI salary guide
Not enough public dataNot enough public salary data is available for this exact role. Before applying, prepare to ask about gross pay, benefits, contract length, probation period, transport and any allowances.
Can you qualify for this role?
- Required1+ years of relevant experienceThe job post includes a minimum experience signal.
- RequiredEducation or certification mentioned in the postThe captured text mentions education, a diploma, certificate, or licence.
- PreferredPractical evidence in internship, entregador, claims officerThe tags and summary point to skills connected with this role.
- RequiredAvailability to work in NairobiThe vacancy is associated with this location.
Documents to prepare
- Likely requiredUpdated CV
- Role specificCover letter or short employer message
- OptionalProfessional references
- Role specificAcademic or professional certificates
- VerifyID or passport only after verifying the employer
Application tips for this job
- Place your strongest Claims Vetting and Processing Officer evidence in the first half of your CV.
- In your cover letter or employer message, connect your experience to CIC Insurance and the role in Nairobi.
- Add concrete examples related to internship, entregador, claims officer, ideally with measurable outcomes or clear responsibilities.
- Follow the instructions from Opened Career Kenya; avoid sending documents to unofficial contacts or copied links.
- Confirm the deadline, interview location and employer contact before sharing personal documents.
- Plan to submit before the listed deadline: 2026-11-27.
Source and safety check
- Opened Career Kenya
- Original source link available
- Application method is clear
- Deadline is available: 2026-11-27
- No major risk signal was detected in the captured text.
Never pay for interviews, shortlisting, medical checks, uniforms, or job placement. Confirm every application at the original source before sharing personal documents. Report suspicious listing.
Interview preparation
- What experience makes you a strong fit for this Claims Vetting and Processing Officer role in internship, entregador?
- How have you handled responsibilities similar to those in this job post?
- Are you available to work in Nairobi under the listed contract or schedule?
- Prepare examples with clear responsibilities, tools used and measurable outcomes.
- Review the source and research CIC Insurance before the interview.
Ask what the first priorities will be in the role and how success will be measured.
Similar jobs to consider
Use AI to apply better
After confirming the original source, use Career Assistant to check role fit, tailor your CV and prepare a cover letter or employer message.
Original source description
September 28, 2026
Nairobi
,
Kenya
Expiration date: November 27, 2026
1 Year
Gender: Both
Qualifications
Bachelor Degree
Job Description
Job Purpose
To fulfil promises and obligations of risks assumed by the company on behalf of its clients. It entails critical analysis of claims intimated and making sure ONLY valid claims are paid. Detection of fraudulent claims is key in minimizing claims costs and keeping loss ratios low. To accurately assess, costs contain, process invoices in a timely manner for efficient service delivery
Key Responsibilities
- Vetting and audit of provider invoices before payment to ensure that they are valid and within the policy.
- Vetting and processing of allocated provider invoice payments within agreed timelines.
- Cost management by adhering to CIC contracted rates and guidelines.
- Advising the client/service providers on exclusions and non-payments within accepted time frame.
- Monitor policy claims experience trends and provider trends for escalation to provider management and client retention team for action and resolution.
- Enhance system processes relating to claims vetting and payment processing
- Responding to queries on payments to providers and members
- Negotiation with service providers for discounts and keeping record to include savings earned
- Participate in account reconciliation and sign off of allocated service providers to avoid interruption of services to insured members.
- Work on and share relevant claims reports as may be requested by the Assistant Manager.
- Participate in planning and budgeting for the department.
- Support all medical business events in both for internal events and those involving CIC stakeholders and /or the general public;
- Participate in various meeting and committees
- Any other duty as may be given by the Assistant Manager Claims Vetting & Audit
- Who We’re Looking For
- Essential Knowledge/Skills and Experience Required:
- Bachelor of Science in Nursing.
- KRN, KRCHN, Clinical Medicineis an added advantage.
- Minimum of 1 year of experience.