Afriknack HRM
Care Analyst at Liberty Life
Salary
Negotiable
Experience
Entry
Views
55
Deadline
Jan 25, 2026
Job Description
The role holder will be responsible for ensuring that Heritage customers receive affordable, accessible, cost effective and high-quality healthcare services.
Key Responsibilities
1.Membership benefit utilization management
2.Verification and assessment of pre-authorization requests and claims
3.Hospitalizations management and cost optimization
4.Review and pre-screening of received claims
5.Customer service-handling calls, addressing client queries on all touch points
6.Maintain proper departmental standards
7.Process/adjudicate claims
8.Case management through hospital visits
Key Responsibilities
1.Membership benefit utilization management
2.Verification and assessment of pre-authorization requests and claims
3.Hospitalizations management and cost optimization
4.Review and pre-screening of received claims
5.Customer service-handling calls, addressing client queries on all touch points
6.Maintain proper departmental standards
7.Process/adjudicate claims
8.Case management through hospital visits
Requirements
- Qualifications
- Bachelor’s degree in Nursing/Diploma in Nursing or Clinical Medicine
- Experience
- At least 1 year technical knowledge in medical insurance or hospital setting.
- Competencies
- Understanding of health insurance operations and concepts
- Knowledge of medical claims processes and procedures
- Stakeholder management
- Customer service
- Method of Application
- If you meet the above requirements, you are encouraged to forward your application and updated CV to vacancies@heritage.co.ke by 25th January 2026. Clearly state the job title on the subject heading
Afriknack HRM
Human Resource Management
recruit@afriknack.co.ke