C
IOH Member Claims Representative at Cigna
Cigna
Nairobi 🇰🇪 Kenya
Posted about 2 hours ago (25 Oct 2026) Updated about 2 hours ago
Job Description
The Claims Representative evaluates medical, dental, and vision claims to ensure they comply with policy terms and are processed accurately. The role involves reviewing documentation, adjudicating benefits, and communicating decisions to members and providers. Strong analytical skills and knowledge of healthcare billing are essential.
Qualifications & Requirements
- • Knowledge of medical billing, insurance policies, and claims procedures
- • Strong analytical and problem‑solving abilities
- • High attention to detail and accuracy
- • Minimum high school diploma
- certification in claims handling is a plus
Required Skills
Responsibilities
- • Review submitted medical, dental, and vision claims
- • Verify eligibility, coverage, and policy terms
- • Adjudicate benefits and calculate payable amounts
- • Resolve discrepancies and communicate decisions to claimants and providers
- • Maintain accurate claim records and documentation
- • Ensure compliance with regulatory and company standards