Claims Vetting & Processing Officer
AI summary
CIC Insurance is hiring a Claims Vetting & Processing Officer in Nairobi to review and process provider invoices, detect fraudulent claims, and ensure only valid claims are paid. The role involves cost management, claims reporting, and supporting medical business events. This is an entry-level full-time position requiring a Bachelor of Science in Nursing and at least one year of experience.
- Entry-level full-time role at a major Kenyan insurer
- Focus on claims vetting, fraud detection, and cost containment
- Requires BSc Nursing; KRN/KRCHN or Clinical Medicine is an added advantage
- Minimum 1 year of experience needed
- Deadline to apply is 05/10/2026
AI job guide
Use this guide to check salary signals, requirements, documents, application steps and safety before you apply.
AI salary guide
Source salary availableThe source lists Open. Confirm the final pay, benefits, contract terms and allowances directly with the employer before accepting an offer.
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, no_experience, entregadorThe tags and summary point to skills connected with this role.
- RequiredAvailability to work in Not specifiedThe vacancy is associated with this location.
- UnclearComfort with the Full Time contract termsConfirm hours, duration, probation and benefits at the original source.
Documents to prepare
- Likely requiredUpdated CV
- Role specificCover letter or short employer message
- OptionalProfessional references
- VerifyID or passport only after verifying the employer
Application tips for this job
- Place your strongest Claims Vetting & 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 Not specified.
- Add concrete examples related to internship, no_experience, entregador, ideally with measurable outcomes or clear responsibilities.
- Follow the instructions from Corporate Staffing 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: 2026-10-05.
Source and safety check
- Corporate Staffing Kenya
- Original source link available
- Application method is clear
- Deadline is available: 2026-10-05
- 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 & Processing Officer role in internship, no_experience?
- How have you handled responsibilities similar to those in this job post?
- Are you available to work in Not specified 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.
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Original source description
Job Title: Claims Vetting & Processing Officer
Date Posted: 28/09/2026
Job Type: Full Time
Job Level: Entry
Employer: CIC Insurance
Industry: Insurance
Salary: Open
Location: Nairobi
Country: Kenya
Deadline: 05/10/2026
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
Qualifications
- Essential Knowledge/Skills and Experience Required:
- Bachelor of Science in Nursing.
- KRN, KRCHN, Clinical Medicineis an added advantage.
- Minimum of 1 year of experience.