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Claims Representative (GEH) – Provider Service Organisation at Cigna
Cigna
Kenya 🇰🇪 Kenya
Posted about 3 hours ago (11 Oct 2026) Updated about 3 hours ago
Job Description
The Claims Representative will process provider service claims, verify eligibility, and ensure accurate reimbursement in accordance with Cigna’s policies. The role serves as a liaison between providers and the organization, addressing inquiries and maintaining high levels of service quality.
Qualifications & Requirements
- • Bachelor’s degree in Business, Health Administration or related field
- • Minimum 2 years experience in medical or health‑care claims processing
- • Strong analytical and problem‑solving abilities
- • Excellent written and verbal communication skills
- • Proficiency with claims management software and Microsoft Office
Required Skills
Responsibilities
- • Review and adjudicate provider claims for accuracy and compliance
- • Verify member eligibility and benefits before claim processing
- • Communicate claim status and resolve provider inquiries promptly
- • Ensure adherence to internal policies, regulatory requirements and service level agreements
- • Maintain detailed claim records and update the claims management system
- • Identify trends or issues in claim submissions and recommend process improvements
- • Collaborate with internal teams to support provider onboarding and education