About Us

Medical Administrators (K) Limited (MAKL) was founded in 2018 to fill the gap in Health Insurance Administration in Kenya, with a client-focused approach. Our objective is to enhance customer experience, bring in greater efficiency in health insurance administration and claim processing. We believe this will help curb or reduce medical billing related fraud even as we bridge direct relationships amongst insurance providers, healthcare providers and scheme members.
MAKL is growing out of Medical Insurance Administration and has expanded to the administration of our healthcare client’s domestic networks and ultimately aims to grow into one of the largest and most flexible Digital Third-Party Administrators in Eastern Africa.
We bring creative solutions to Health Care Systems, Customer Care Services, Insurance Carriers and specialize in customized health care benefits administration. We thrive on finding solutions that fit our client’s unique business requirements, demographics, and strategies.
While these would be “one-off” requirements for traditional carriers, they are what makes our customers the trailblazers. We provide out-of-the-box solutions to meet our customer’s needs.

MAKL is currently handling medical administration function for the biggest health insurance schemes in Kenya covering over 4 Million+ lives for Inpatient, Outpatient, Maternity, Dental and Optical healthcare service as well as international treatment. and we are regulated by Insurance Regulatory Authority (IRA) as a claim’s settlement agent.
Member verification, claims and preauthorization management are completely paperless as all documents are available on the system. This reduces the need of storage space and enables the claims and pre-authorization to be processed faster and can be accessed from anywhere by authorized representatives.
We have partnered with more than 800+ healthcare service providers within Kenya and East African countries, ranging from Government, Mission and Private; Level II to level VI. All registered by Kenya Medical Practitioners and Dentist Council (KMPDC).
We have a team of qualified medical personnel working 24X7 processing preauthorization requests and claims. Monthly we are managing an average of 400,000+ claims.
Our 24x7 professionally managed Call Center ensures all clients and members never lack support for any of their requirements or needs.
We are registered under Data Protection Act

Mission

We strive to be a successfully client driven, result oriented one stop; Insurance and healthcare administration consultancy of international repute for mutual benefits to all our stakeholders.

Vision

To be the leading third-party insurance administrator in Eastern Africa.

Our Core Values

  1. H
    Honesty
    Always demonstrate integrity by being honest and doing the right thing
  2. E
    Excellence
    Be committed to deliver quality services and customer delight
  3. A
    Accountability
    We are answerable for our actions and their outcomes and take ownership and accept the consequence
  4. R
    Respect
    We embrace and respect the diversity of our clients, employees and communities
  5. T
    Teamwork
    We achieve quality through teamwork and encourage collaboration

Our Services

Medical Administrators Kenya Limited is set up with the aim of providing sustainable solutions to challenges faced by hospitals in handling the Health Insurance and Health Schemes that sponsor a section of the population taking treatment without upfront payment.
When setting up a comprehensive medical scheme, you need professional help to get it done right. Medical Administrators (K) Ltd is equally equipped to guide and provide the below services:

  • Complimentary professional advice

  • Cashless health insurance policies

  • An open panel of medical service providers

  • Outpatient services

  • Maternity services

  • Dental services

  • Optical services

  • Air ambulance evacuations

  • Road ambulance evacuations

  • Chronic Disease management programs

  • International Treatment

  • Wellness Clinic

  • Customer Service (24/7 assistance)

  • Care program

  • Dedicated and real-time interactive social media platforms.

  • Mobile Applications e.g. WalimuCare App

  • Care Management

  • Claims Management

  • Professional health talks to staff

Pledge

I pledge to uphold work ethics and demonstrate high quality results.

I pledge to show appreciation and recognition towards my work mates.

I pledge to embrace diversity & inclusion within my work culture.