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Claims Representative (GEH) - Provider Service Organisation at Cigna
JobSearch
Nairobi 🇰🇪 Kenya
Posted 1 day ago (7 Oct 2026) Updated about 1 hour ago
How to Apply
Apply via the Cigna careers portal at jobs.thecignagroup.com.
Job Description
The Claims Representative processes medical, dental, and vision claims, ensuring accuracy and compliance with policy terms. They interact with providers and internal teams to resolve issues and maintain productivity targets. Strong communication and customer‑service skills are essential for handling inquiries and achieving first‑call resolution.
Qualifications & Requirements
- • BA/BSc or HND in a relevant field
- • Ability to follow detailed instructions and procedures
- • Strong written and verbal communication skills
- • Attention to detail for accurate data entry and claim adjudication
- • Customer‑service orientation
Required Skills
Responsibilities
- • Process paper and electronic medical, dental, and vision claims from healthcare providers
- • Perform data entry and maintain accurate claim files
- • Adjudicate claims according to policy terms and quality standards
- • Monitor high‑cost claims and flag them for appropriate review
- • Ensure claims are settled within required turnaround times
- • Respond to inquiries about plan design, eligibility, and claim status, aiming for first‑call resolution
- • Communicate with internal teams and external providers to resolve issues