Job Details
Job Type:
Full Time
Workplace Type:
On-site
Qualification:
Diploma
Job Experience:
Mandatory
Job Location:
Nairobi County, Kenya
Closing Date:
Undisclosed
Salary:
Estimated: KES 25,000 - KES 120,000 / month
Other Pay:
Benefits
Role Overview
This position sits at the front line of membership administration, where accurate records determine whether people can actually access the healthcare benefits they are entitled to. Day to day, you will set up and maintain member eligibility data, handle enrollment and termination activity, and answer questions from clients, customers and colleagues who depend on that information being right. The work blends service, investigation and data stewardship, and it directly shapes how smoothly members move through their healthcare journey with Cigna Healthcare.
Key Responsibilities
- Create and maintain member eligibility records across multiple systems, covering new enrollments, mid-term adjustments, benefit elections and terminations.
- Keep eligibility data current through automated feeds, direct-connect interfaces and manual entry, reconciling any gaps between those channels.
- Act as a primary contact for clients, customers, vendors and internal partners on eligibility matters, responding by phone and email within agreed service timelines.
- Investigate rejected files, mismatched records and system errors, trace the underlying cause and correct the member data.
- Produce and review reports to verify data integrity, confirm work is complete and flag anomalies before they reach the member.
- Provide technical guidance and process explanations to clients and colleagues navigating eligibility administration.
- Handle member and customer information confidentially and in line with data privacy and regulatory requirements.
- Spot recurring process gaps and contribute suggestions, project support and improvement ideas that raise service quality and efficiency.
Requirements & Qualifications
- Diploma, bachelor's degree, or comparable professional experience in place of a degree.
- Strong written and verbal communication in both English and French.
- A genuine service orientation and interest in delivering a high-quality customer experience.
- High accuracy and close attention to detail when entering and checking data.
- Ability to juggle competing priorities and hit deadlines in a fast-moving environment.
- Solid analytical and problem-solving ability, particularly when working through data discrepancies.
- Comfort with Microsoft Office, especially Excel and Outlook.
- Aptitude for picking up new systems, tools and processes quickly.
Preferred experience
- Background in customer service, healthcare administration, insurance operations, eligibility management or a closely related area.
- Hands-on use of customer databases, reporting tools and case management platforms.
- Technical confidence to troubleshoot data and system issues.
- Track record of building positive working relationships with internal and external stakeholders.
- Strong organisation and time management, with a commitment to continuous improvement.
What We Offer / Why Join
You will join a diverse, collaborative team within an international operation, working alongside colleagues across functions and countries on work that has a visible effect on members' healthcare access. The role suits someone who takes ownership of their output, communicates confidently in English and French, and enjoys turning messy data into something reliable. If you like solving problems, improving how things get done, and handling sensitive information with integrity, this is a place to build real expertise in eligibility administration.
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