Lets Write Africa’s Story Together! Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.

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Job Description

Claims Processing: Receive, review, assess and calculate claims in accordance with policy requirements.

Document Verification: Analyze claim documentation, ensuring completeness and accuracy before processing payments.

Customer Engagement: Communicate with customers and other stakeholders to provide updates on claim statuses and requirements.

Regulatory Compliance: Ensure all claims adhere to internal policies, regulatory requirements, and industry best practices.

Risk Management: Assess potential risks in claims processing, implement strategies to mitigate financial and reputational risks, and ensure early detection of fraudulent claims.

Reporting: Prepare and maintain accurate claim records and reports for management review.

Process Improvement: Recommend and implement improvements to claims procedures to enhance efficiency and customer satisfaction.

Any other duties assigned from time to time

Career counseling

Provides a positive customer experience by being helpful and sensitive to customer needs, managing expectations and providing solutions including directing customers to the correct channel in adherence to procedural, productivity and quality standards. Provides specialist product and service knowledge that may lead to sales generation.

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Responsibilities Product/Service Information

Provide advanced product/service information and respond to basic customer questions about the product/service.

Customer Order Processing

Record and process custom/special customer orders, often dealing with ambiguous delivery expectations.

Resolving Customer Issues

Respond to basic issue escalations promptly and appropriately; provide managerial approvals as required.

• Receive, review, assess and calculate claims in accordance with policy requirements.
• Analyze claim documentation, ensuring completeness and accuracy before processing payments.
• Communicate with customers and other stakeholders to provide updates on claim statuses and requirements.
• Ensure all claims adhere to internal policies, regulatory requirements, and industry best practices.
• Assess potential risks in claims processing, implement strategies to mitigate financial and reputational risks, and ensure early detection of fraudulent claims.
• Prepare and maintain accurate claim records and reports for management review.
• Recommend and implement improvements to claims procedures to enhance efficiency and customer satisfaction.
• Any other duties assigned from time to time
• Provides a positive customer experience by being helpful and sensitive to customer needs, managing expectations and providing solutions including directing customers to the correct channel in adherence to procedural, productivity and quality standards.
• Provides specialist product and service knowledge that may lead to sales generation.
• Provide advanced product/service information and respond to basic customer questions about the product/service.
• Record and process custom/special customer orders, often dealing with ambiguous delivery expectations.
• Respond to basic issue escalations promptly and appropriately; provide managerial approvals as required.

• Claims processing
• Document verification
• Customer engagement
• Regulatory compliance
• Risk management
• Reporting
• Process improvement
• Customer service
• Product and service knowledge

• Policy requirements knowledge
• Accuracy in documentation analysis
• Communication skills
• Understanding of internal policies and regulatory requirements
• Risk assessment abilities
• Reporting skills
• Problem-solving skills
• Customer service orientation
• Product and service knowledge