About Us
CIC Insurance Group is a leading insurance and financial services organisation with more than five decades of experience helping individuals, families, and organizations achieve financial security.
We have grown into a dynamic Group offering life, general, micro insurance, asset management, and investment solutions, with operations in Kenya, Uganda, South Sudan, and Malawi, and are listed on the Nairobi Securities Exchange.
Our tagline, “We Keep Our Word,” reflects our unwavering commitment to integrity, transparency, and delivering on our promises to our clients, partners, and communities.
CIC Group is passionate about innovation, digital transformation, and inclusive insurance solutions that meet the evolving needs of cooperatives, SMEs, corporates, and individuals. By joining us, you will be part of a team that is shaping the future of financial protection across Africa.
About the Role
To fulfil promises and obligations of risks assumed by the company on behalf of its clients. It entails critical analysis of claims intimated and making sure ONLY valid claims are paid. Detection of fraudulent claims is key in minimizing claims costs and keeping loss ratios low. To accurately assess, costs contain, process invoices in a timely manner for efficient service delivery
Key Responsibilities
- Vetting and audit of provider invoices before payment to ensure that they are valid and within the policy.
- Vetting and processing of allocated provider invoice payments within agreed timelines.
- Cost management by adhering to CIC contracted rates and guidelines.
- Advising the client/service providers on exclusions and non-payments within accepted time frame.
- Monitor policy claims experience trends and provider trends for escalation to provider management and client retention team for action and resolution.
- Enhance system processes relating to claims vetting and payment processing
- Responding to queries on payments to providers and members
- Negotiation with service providers for discounts and keeping record to include savings earned
- Participate in account reconciliation and sign off of allocated service providers to avoid interruption of services to insured members.
- Work on and share relevant claims reports as may be requested by the Assistant Manager.
- Participate in planning and budgeting for the department.
- Support all medical business events in both for internal events and those involving CIC stakeholders and /or the general public;
- Participate in various meeting and committees
- Any other duty as may be given by the Assistant Manager Claims Vetting & Audit
Who We’re Looking For
Essential Knowledge/Skills and Experience Required:
- Bachelor of Science in Nursing.
- KRN, KRCHN, Clinical Medicineis an added advantage.
- Minimum of 1 year of experience.
If you have the aforementioned professional and academic qualifications and you are ready to execute the above mandate, strictly apply through: https://careers.cicinsurancegroup.com/ clearly indicating the position being applied for.
The application should reach us by close of business on 5th October, 2026. Please note only short-listed candidates will be contacted. If you do not hear from us by 31st October, 2026 consider your application unsuccessful.
CIC Group is an equal opportunity employer and does not solicit or require any form of payment for employment opportunities.