# Medical Claims Analyst Job Fidelity Shield Insurance Canonical URL: https://primejobalerts.com/jobs/medical-claims-analyst-job-fidelity-shield-insurance Company: Fidelity Shield Insurance Category: Banking & Financial Services Location: Kenya Work type: Full-time Work arrangement: On-site Published: 2026-09-29 Expires: 2026-11-13 ## Job Description Medical Jobs. Fidelity Shield Jobs. Medical Claims Analyst reviewing and adjudicating medical claims and monitoring quality control processes, requiring a bachelor’s degree or diploma in Nursing, Clinical Medicine or Healthcare Management, knowledge of medical coding and at least 7 years health insurance claims adjudication experience with 2 years in quality assurance, in a health insurance environment, on-site role. ### Key Responsibilities The key deliverables for the role are; - Review and assess medical claims for accuracy, completeness, and eligibility based on policy terms, medical guidelines, and coding systems - Attending to providers, specialists and customer queries by determining their requirements, answering to these inquiries, resolving problems, and ensuring good service as a friendly cost. - Adjudicating inpatient and outpatient medical claims while verifying the accuracy of information provided. - Oversee quality control processes and claims assessment, adjudication, payment, and communication - Monitor the quality of services provided by third-party vendors to ensure contractual obligations and service standards are met. Qualifications; - Bachelor’s degree or a Diploma in Nursing, Clinical Medicine, Healthcare Management. - Strong background in medical claims assessment will be a plus including knowledge of medical terminology, coding (ICD-10, CPT, HCPCS), and treatment procedures. - At least 7 years’ of experience in health insurance claims adjudication, with at least 2 year out of those, in quality assurance. ### How to Apply If you think you should be considered for this role, send your application to careers@fidelityshield.com by 05th Oct 2026. ## Requirements Apply by email: careers@fidelityshield.com ## Apply Use the canonical Prime Job Alerts page for full application instructions and source verification.