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Claims Representative - International Organisation Health

The Cigna Group
Nairobi, KE Posted 2 months ago

Job Description

CLAIMS REPRESENTATIVE - INTERNATIONAL ORGANISATION HEALTH Sokify is partnering with The Cigna Group to connect talented professionals with exciting career opportunities in the global healthcare sector. ABOUT THE ORGANISATION The Cigna Group operates as a premier global health service company with a presence in over 30 countries, serving more than 180 million customers and patients worldwide. Ranked 13th on the Fortune 500 in 2025, Cigna stands as one of the most trusted names in the healthcare industry. The organization is committed to improving health, well-being, and peace of mind for those it serves, fostering a culture built on trust, clear communication, and collaborative excellence. Leadership across the company remains consistent, approachable, and genuinely invested in employee well-being and work-life balance. THE ROLE As a Claims Representative, you'll play a crucial part in the claims processing lifecycle for an international health organization. Reporting to the Claims Supervisor, you'll assess, process, and adjust medical claims with precision while maintaining compliance with organizational policies, quality standards, and service agreements. Working alongside global colleagues, you'll deliver outstanding customer outcomes while upholding the highest standards of confidentiality and accuracy. KEY RESPONSIBILITIES You'll review and evaluate medical claims thoroughly, ensuring accurate processing within agreed timeframes. Your role involves maintaining precise data entry across multiple systems and applying analytical thinking to complex claim assessments. You'll manage competing priorities effectively while meeting both quality and productivity targets, escalating intricate or ambiguous claims appropriately. Beyond day-to-day processing, you'll identify process improvement opportunities, communicate professionally with internal teams, contribute to a positive collaborative environment, and rigorously protect sensitive medical information according to confidentiality requirements. QUALIFICATIONS REQUIRED You must hold a Bachelor's Degree in Business, Healthcare Administration, Insurance, Finance, or a closely related field. Fluency in English is essential. Proficiency in French, Portuguese, Spanish, German, or Arabic represents a significant advantage. ESSENTIAL SKILLS AND ATTRIBUTES This position demands exceptional attention to detail and commitment to accuracy. You should demonstrate strong analytical thinking and problem-solving capabilities, coupled with excellent time management and organizational abilities. Experience working across multiple systems is important, as is your capacity to adapt quickly and learn new processes with agility. Collaboration comes naturally to you, with a genuine customer focus underpinning your approach. Finally, integrity and discretion in handling confidential information are non-negotiable. WHY THIS OPPORTUNITY You'll work within a hybrid, multicultural environment that values diverse perspectives and global collaboration. Comprehensive medical and wellness benefits support your well-being, while structured learning and development opportunities fuel your professional growth. This role offers genuine career advancement potential within a respected global organization, backed by an inclusive culture genuinely committed to employee support. Your work directly impacts customers' healthcare journeys, ensuring your contributions deliver meaningful, tangible value. EQUAL OPPORTUNITY COMMITMENT The Cigna Group considers all qualified applicants for employment without regard to race, color, age, disability, sex, pregnancy-related conditions including lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, public assistance status, citizenship status, or any other characteristic protected by applicable employment opportunity legislation. Applicants requiring reasonable accommodation throughout the application process should contact SeeYourselfEMEA@cigna.com for assistance. Please note this email address is for accommodation requests only and cannot provide application status updates or accept resumes.