Deputy Director Claims & Case Management at The Social Health Authority (SHA)

Job Description

The Social Health Authority (SHA) is a State Corporation established under the Social Health Insurance Act, and mandated to provide financial risk protection for Kenyan residents by facilitating equitable access to quality healthcare. SHA is responsible for administering the Social Health Insurance Fund, Primary Healthcare Fund, and Emergency, Chronic, …

Deputy Director Claims & Case Management

JOB PROFILE

The Deputy Director, Claims and Case Management will provide strategic leadership in the administration, processing, and resolution of health insurance claims within the Social Health Authority (SHA). This role is responsible for developing and implementing claims management policies, ensuring efficiency, accuracy, and compliance with the Social Health Insurance Act, , and other regulatory frameworks. The position oversees claims adjudication, fraud detection and mitigation, dispute resolution, an...