Vacancy title:
Clinical Claims Review Senior Analysts

[Type: FULL_TIME, Industry: Healthcare, Category: Education,Teacher]

Jobs at:
Cigna Healthcare

Deadline of this Job:
Thursday, November 20 2025

Duty Station:
Nairobi | Nairobi | Kenya

Summary
Date Posted: Tuesday, November 11 2025, Base Salary: Not Disclosed

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JOB DETAILS:

Role summary

• The clinical value team is looking for 2 Medical Claims Review Senior Analysts (Band 3)
• As part of the Claims Review team you will be primarily responsible for the Medical Review, Coding, MNR and ICR of claims.

You will be:

• Interpreting key information from medical reports/invoices and translating this into medical coding in our hospitalization database and/or Salesforce application ‘Healthcloud’
• Analyzing invoices from providers all over the world to identify cost containment opportunities and you will be taking appropriate actions in line with our procedures to avoid unnecessary costs for our clients, members and Cigna
• Reviewing claims from a clinical point of view directly with Providers
• Collaborating with colleagues in different teams and roles (Claims Analysts, CSR’s, Doctors, Nurses etc) across the business while bridging cultural differences & backgrounds
• Attending weekly/Monthly/ad-hoc meetings with the team & supervisor to discuss and improve internal workflows and collaboration
• Serving as a contact person for other teams within Clinical and the wider business for expert advice on R&C calculations
• Taking ownership of your production making sure you meet the expected outputs

Work Hours: 8

Experience in Months: 24

Level of Education: bachelor degree

Job application procedure
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Interested candidates who meet the above qualifications should send their application

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