Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world. Within its international division, a dedicated unit - headquartered in Belgium - focuses on the needs of International Organisations. This unit is specialised in servicing customers in remote areas as well as central hubs with five service centres in each time zone (Miami, Antwerp, Madrid, Nairobi and Kuala Lumpur) and local representations on every continent. When you work at Cigna, you can count on a different kind of career. >> Why join us? Healthy careers Cigna gives you the opportunity to grow and develop professionally and personally. Because we know our success begins with yours. Healthy returns We offer you monetary and non-monetary rewards. Our compensation is differentiated among employees based on responsibilities and performance. Healthy culture We stand for a work environment that includes the beliefs, values, norms, and management style of our company. Communication is key to our culture. Healthy life We show commitment to our employeesâ health, well-being and security, with a strong focus on wellness.YOUR JOB Delivers administrative, technical, and operative tasks related to the processing, validation, and correction of partner claim data. Works with standardized reports, performs ruleâÂÂbased corrections in policy administration system, raises IT tickets where required, and supports the accuracy of automated data feeds. Understands and applies simple instructions and procedures. Work is allocated on a daily or taskâÂÂbyâÂÂtask basis with clear direction. This role is an entry point into administrative operations. What are your main Duties/Responsibilities: Run, prepare, and categorize the weekly reports, including sorting lines by error code and updating BAU trackers. Correct basic data issues in the policy administration system (e.g., member numbers, procedure codes, diagnosis codes, service dates, partner IDs, net/billed amounts) using defined SOP steps and system prompts. Follow ruleâÂÂbased instructions for each error category, applying fixes or routing items to IT when required. Escalate to Supervisor and raise IT tickets for duplicate closures, forced claim loads, invalid data corrections, or adjustments that cannot be resolved directly. Work on adjustment and reconciliation reports, documenting claim numbers, preparing tracking sheets, and reprocessing or reversing claims following predefined procedures. Mailbox ownership and handling of the escalated cases within the TAT´s. Maintain accurate documentation, add standard claim comments, and ensure reports and logs are correctly archived per SOP. Identify and report to Supervisor continuous improvement opportunities - Mapping, reporting, processes. Carry out other administrative tasks as required to support business needs. YOUR PROFILE Excellent attention to detail with a strong focus on accuracy and data integrity. Ability to follow structured, stepâÂÂbyâÂÂstep procedures without deviation. Comfortable working in multiple internal systems. Basic Excel skills (sorting, filtering, adding columns, structuring tabs). Strong organizational skills with the ability to manage repetitive tasks efficiently. Proficient in Microsoft Office applications. English language skills required. Experience in administrative operations, data entry, or sharedâÂÂservices roles is an advantage but not essential. Diploma or Degree in Business ,IT or Medical field required KEY COMPETENCIES High attention to detail and accuracy when handling structured data tasks. Clear written and verbal communication with internal stakeholders. Ability to organize workload, prioritize tasks, and follow established processes. Strong problemâÂÂsolving within the limits of ruleâÂÂbased parameters. Proactive in flagging issues, inconsistencies, or system errors. Ability to work independently with close supervision and clear instruction.
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Claims Associate Representative (Ghb) - Provider Service Organisation At Cigna
Insurance
full time
Nairobi
Posted 17 hours ago
KES 40,000 – KES 80,000,000