Claims Processing Officer

M.P. Shah Hospital

Located in Parklands Area in Nairobi, M.P. Shah Hospital is a modern 217-bed facility that is home to highly skilled and experienced specialists and professional medical staff.  For generations, we have been ranked among the best private hospitals in Kenya because of our excellent standards and the high quality of services and personal care we provide.
We are pacesetters in our field, inspired by our core value of care. We care about the dignity of our patients and strive to become a one-stop healthcare provider in East and Central Africa. We operate under the umbrella of the Social Service League which is a non-racial, non-religious, non-political charitable institution. The scope of the social service league includes the main hospital in Parklands, the Village Market Medical Clinic, and the Dinshaw Byramjee Dispensary and Dental Unit located in Nairobi downtown, at Ronald Ngala Street.
MP Shah Hospital has been recognized as a national referral facility with ISO 9001:2015 quality management certification. We are also affiliated to COSECSA (College of Surgeons of East Central and Southern Africa), an independent body that fosters postgraduate education in surgery and provides surgical training.

Sector
Health
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https://mpshahhosp.org/

Claims Processing Officer

Duties & Responsibilities:

  • Strengthen transparency and accountability in the claims processing process by managing all in-patient and out-patient invoices in a professional manner that offers an accurate reflection of all invoiced services. Ensure Minimal Rejection Rate by ensuring all complete set of documents are delivered whether online or physically as per client policies. Ensure all rejections are worked on within 5 working days from date of receipt.
  • Maintain the validity and accuracy of the hospital’s records by following up as is necessary for any incomplete documents received at the dispatch department and reviewing them to highlight any discrepancies captured on all documentations received. Maintain all documents sent to clients as per Hospital policies
  • Facilitate productive engagement with corporate clients by ensuring all claims are delivered accordingly, promptly as per corporate policies and all queries are resolved to promote client satisfaction.
  • Maintain client confidence and foster a culture of accountability by assisting in the retrieval of proof of deliveries when needed and working with the utmost degree of integrity and confidentiality within the set compliance framework.
  • Reporting: Ensure that all necessary reports are prepared and sent to the relevant parties on time as per agreed timelines.
  • Developing self and others. Drive continuous development of self and colleagues in the organization by enrolling in career and personal development courses/ programme, actively sharing lessons and insights with the rest of the team from personal experiences, and engaging with the line manager regularly for feedback on performance.

Minimum Requirements

Education

  • Diploma or Higher Diploma in business-related field
  • Years’ experience in a Finance and /or accounting position.
  • Accounting Knowledge has an added advantage

Key performance Indicators

  • Dispatch TAT for invoices. Inpatient – 24 hours and outpatient – 48 hours.
  • Ensure the rejections rate should be below 1%
  • Ensure 100% compliance with Invoices Vetting SOPs
  • Ensure all invoices are received within 24 hours

Competence and Attributes

  • Passion for results
  • Proficiency Microsoft Office
  • Attention to detail
  • Excellent written and verbal Communication skills
  • Problem solving
  • Analytical skills
  • Team Player

Method of application

If you are interested and qualified, kindly submit your application via the link provided below,

https://mpshahhosp.org/jobs/claims-processing-officer/?utm_source=Jobinkenya

Deadline May 14, 2026

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