Claims Administrator OMLAU

Lets Write Africa's Story Together!

Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.

Job Description

• To provide general support to the division including managing the documentation, registration and Communication of claims processes.
• Registering of all claims received
• Follow up to obtain full documentation pertaining claims
• Send and follow up of Discharge vouchers sent to clients
• Manage relationship between UAP Life Retail & Corporate clients.
• Coordinate and attend review meetings with clients and company to monitor service
• Prepare reports for Investigated claims
• Prepare weekly and monthly Analytical reports for management.
• Ensure documentation is maintained in an efficient manner.
• Undertake any other duties as required commensurate with the level of the position

Qualifications:

A bachelor’s degree in business management or finance

Training in insurance; foundation stages – COP, ITC Diploma

 Experience:

2 years’ work experience.

SKILLS AND COMPETENCIES.

• Attention to detail
• Analytical and problem-solving skills

• Computer skills
• Communication and interpersonal skills
• Self-organisation skills
• Prioritisation skills

• Ability to work with minimum supervision

Provides administrative support in capturing, tracking and validating information on claims.

ResponsibilitiesInsurance Claims Evaluation

Interview and/or visit claimants to evaluate straightforward low-value claims. Determine the value of insured losses in line with the organization's claims policies and the contractual terms of the insurance policy, referring complex or disputed claims to senior colleagues for resolution.

Insurance Claims Administration

Carry out a range of information-gathering and data-processing activities to support the administration of insurance claims, including an initial review of claims documentation to identify further information needed and/or to allocate cases to the appropriate claims specialists/investigators.

Solutions Analysis

Assess compliance with established standards and protocols for routine inquiries.

Document Preparation

Prepare routine letters, memoranda, reports, and similar documents following detailed instruction. This is likely to involve using the full range of functions within standard office software.

Operational Compliance

Develop working knowledge of the organization's policies and procedures and of regulatory codes and codes of conduct relevant to own work, adhering to mandatory procedures to ensure own work is undertaken to the required standards.

Operations Management

Carry out operational tasks by following established processes. This will involve adjusting multiple settings or parameters to meet performance standards.

Document Management

Create, organize, and maintain files containing the correspondence and records of a senior colleague.

Resolving Customer Issues

Respond to basic and advanced customer issues, such as returns, exchanges, and complaints; escalate appropriately.

Personal Capability Building

Develop and maintain excellent process or technical skills by participating in assessment and development planning activities as well as formal and informal training and coaching.

Skills

Action Planning, Action Planning, Analytical Reports, Analytical Thinking, Business Management, Claims Documentation, Claims Management, Claims Settlement, Communication, Computer Literacy, Customer Follow-Ups, Customer Service, Data Controls, Desktop Publishing (DTP), Documentations, Executing Plans, File Maintenance, Insurance, Insurance Claims, Insurance Claims Investigations, Insurance Product Management, Insurance Sales, Interpersonal Communication, Numerical Aptitude, Office Administration {+ 7 more}

Competencies

CollaboratesEnsures AccountabilityFinancial AcumenOptimizes Work ProcessesOrganizational SavvyTech Savvy

Education

Bachelors Degree (B): Actuarial Science (Required), Bachelors Degree (B): Business Administration (Required), Bachelors Degree (B): Statistics (Required)

Closing Date

27 February 2025 , 23:59

The Old Mutual Story!