Medical Claims Analyst
AI summary
Fidelity Shield Insurance is hiring a Medical Claims Analyst in Nairobi to review and adjudicate medical claims, handle provider and customer queries, and oversee quality control processes. The on-site, full-time role requires a diploma or degree in Nursing, Clinical Medicine, or Healthcare Management, plus at least 7 years of health insurance claims experience including 2 years in quality assurance.
- On-site full-time role in Nairobi with a 05/10/2026 application deadline
- Requires 7+ years of health insurance claims adjudication experience
- Quality assurance experience (2 years) is mandatory
- Medical coding knowledge (ICD-10, CPT, HCPCS) is a strong advantage
- Salary listed as open
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?
- Required7+ 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 analyst, claims, quality assuranceThe 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
- Role specificAcademic or professional certificates
- VerifyID or passport only after verifying the employer
Application tips for this job
- Place your strongest Medical Claims Analyst evidence in the first half of your CV.
- In your cover letter or employer message, connect your experience to Fidelity Shield Insurance and the role in Not specified.
- Add concrete examples related to analyst, claims, quality assurance, 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 Medical Claims Analyst role in analyst, claims?
- 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 Fidelity Shield 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: Medical Claims Analyst
Date Posted: 29/09/2026
Job Type: Full Time
Job Level: Middle
Employer: Fidelity Shield Insurance
Industry: Medical
Salary: Open
Location: Nairobi
Country: Kenya
Deadline: 05/10/2026
Medical Jobs. Fidelity Shield Jobs. Medical Claims Analyst reviewing and adjudicating medical claims and monitoring quality control processes, requiring a bachelor’s degree or diploma in Nursing, Clinical Medicine or Healthcare Management, knowledge of medical coding and at least 7 years health insurance claims adjudication experience with 2 years in quality assurance, in a health insurance environment, on-site role.
Key Responsibilities
- The key deliverables for the role are;
- Review and assess medical claims for accuracy, completeness, and eligibility based on policy terms, medical guidelines, and coding systems
- Attending to providers, specialists and customer queries by determining their requirements, answering to these inquiries, resolving problems, and ensuring good service as a friendly cost.
- Adjudicating inpatient and outpatient medical claims while verifying the accuracy of information provided.
- Oversee quality control processes and claims assessment, adjudication, payment, and communication
- Monitor the quality of services provided by third-party vendors to ensure contractual obligations and service standards are met.
- Qualifications;
- Bachelor’s degree or a Diploma in Nursing, Clinical Medicine, Healthcare Management.
- Strong background in medical claims assessment will be a plus including knowledge of medical terminology, coding (ICD-10, CPT, HCPCS), and treatment procedures.
- At least 7 years’ of experience in health insurance claims adjudication, with at least 2 year out of those, in quality assurance.