Job Title: Analyst, Care Management
Date Posted: 07/07/2026
Job Type: Full Time
Employer: Liberty Life
Industry: Insurance
Salary: Open
Location: Nairobi
Country: Kenya
Deadline: 12/07/2026
Looking for an insurance job in Kenya? Liberty Life is hiring a Care Management Analyst skilled in medical claims review, utilization management, healthcare data analysis, and provider relations.
Job Summary
- The role holder will be responsible for ensuring that Heritage
customers receive affordable, accessible, cost effective and high-quality
healthcare services.
Key Responsibilities
- Maintain constant contact with hospitals to ensure continuous
well-being of all the stakeholders and handling of medical claims with
efficiency and accuracy
- Pre-authorise scheduled and non-scheduled admissions within the set
guidelines
- Liaise with the hospitals and doctors for prompt discharge plan of
the admitted members
- Assess and authenticate inpatient and outpatient medical claim
documents
- Ensure smooth discharge process and co-ordinate any necessary
post-hospitalisation care
- Pre-screening and vetting of inpatient, outpatient and
reimbursements claims to ensure adherence to agreed tariffs and clinical
protocols, with clearly documented notes in case of decline and any
discount offered by the providers
- Conduct hospital visits and monitoring of inpatient bills
- Daily monitoring of interim bills and appropriate interventions for
high quality of care
- Daily status reporting of the clinical status of the admitted
members
- Contact centre management, pre-authorization approvals on payments
and responding to member and provider enquiries
- Ensure timely notification to the stakeholder team of all the
declined cases as per the policy guidelines
- Timely resolution of all the complaints raised by clients
- Responding to all clients and providers requests within 24 hours
- Ensure all counter guaranteed and roaming cases have official
letters before approvals are done
- Authorization of maternity bookings and wellness letters are issued
within 24hrs
- Monitoring client with chronic diseases by ensuring managed health
care forms are completed by the doctors for proper follow up and
management Health talks, wellness and check-ups management with providers
and all stake holders
- Ensure inculcation of the TCF (Treating Customers Fairly) culture
- Embrace governance requirements with respect to KYC/AML/Data
protection requirements per governing Acts
Qualifications
- Degree or Diploma in Medicine, Nursing, Clinical Officer or Pharmacy
Experience
- 1 years’ experience technical knowledge in medical insurance or
hospital setting
Competencies
- Understanding of health insurance operations and concepts
- Knowledge of medical claims processes and procedures
- Stakeholder management
- Customer service
How to Apply
If you meet the above
requirements, you are encouraged to forward your application and updated CV
to vacancies@heritage.co.ke by 12th July
2026. Clearly state the job title on the subject heading.
