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Healthcare · Full-time

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Claims Representative- Cigna Healthcare

Cigna Healthcare

KenyaNot stated · Not statedCloses Wednesday, 4 November 2026, 23:59 EATChecked 30 Oct 2026
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About this role

This plain-English summary was prepared by work.ke from the original advert. Confirm all details on the source before applying.

Role overview

Cigna Healthcare is hiring a Claims Representative based at Kenya One Africa Place. This full-time role suits individuals with a degree or diploma who want to work in health insurance claims and customer service.

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What you will do

  • Adjudicate international medical, dental, and vision claims according to policy terms to meet productivity and quality goals.
  • Monitor high-cost claims and notify relevant parties.
  • Ensure claims are processed within required timeframes and report delays to the Supervisor.
  • Respond to enquiries about plan design, eligibility, and claims status, aiming for first call resolution.
  • Communicate effectively with internal and external customers to resolve issues.
  • Identify and suggest process improvements to senior team members.
  • Support team members to help achieve team goals.
  • Perform other ad hoc tasks as required by the business.

Requirements

  • Degree or diploma in a relevant field.
  • Customer-focused with problem-solving skills.
  • Ability to meet or exceed targets and handle multiple priorities.
  • Proficient in Microsoft Office applications.
  • Good command of English and arithmetic.
  • Experience in medical administration, claims, or contact centre environment is advantageous.
  • Excellent attention to detail and accuracy.
  • Strong interpersonal and communication skills, both verbal and written.
  • Ability to work independently and proactively recommend process improvements.
  • Organisational skills to prioritise and manage workflow.
  • Ability to exercise judgement.

How to apply

Apply through the employer's official contact by submitting a CV. The closing date for applications is Wednesday, 4 November 2026.

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