Claims Senior Administrator-2

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

Job Description

Handles a variety of coverage with a defined loss potential. Reviews and proceses claims of low to moderate face value or liability against policies and coverage information. Decision-making is structured and objective. Initiates necessary investigations. Exercises judgment to assign adjusters or to refer information to attorneys or subject-matter experts for additional data. Settles and negotiates claims within authorised authority.

ResponsibilitiesInsurance Claims Administration

Review and analyze assigned insurance claims in line with the organization's standard claims procedures and customer service standards. Engage loss adjusters and/or subject-matter experts where appropriate, authorize claims within delegated authority, and refer complex or unresolved issues to senior colleagues.

Insurance Claims Evaluation

Interview and/or visit claimants to evaluate the extent of liability and the value of insured losses in line with policy coverage. Adjust losses and negotiate settlement within delegated authority limits, referring complex or disputed claims to senior colleagues for resolution.

Fraud/Financial Crime Investigation

Carry out assigned information and evidence-gathering activities to support the investigation of cases of suspected fraud or financial crime and the instigation of criminal investigations and/or legal actions.

Fraud/Financial Crime Management

Use established prevention models, systems, and protocols to monitor client or customer activities or transactions, informing more senior colleagues about suspicious activities.

Operations Management

Provide operational support by performing a range of routine activities using existing systems and protocols.

Solutions Analysis

Find the most effective ways to respond to routine functional inquiries. Involves following procedures and precedents.

Document Preparation

Prepare moderately complex documents using a variety of applications for technology devices, such as standard office software. Also responsible for gathering and summarizing data for reports.

Resolving Customer Issues

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

Regulatory and Compliance Management

Carry out a wide range of compliance monitoring activities and give basic advice on compliance and regulatory requirements.

Operational Compliance

Develop knowledge and understanding of the organization's policies and procedures and of relevant regulatory codes and codes of conduct to ensure own work adheres to those standards. Obtain authorization from a supervisor or manager for any exceptions from mandatory procedure.

Personal Capability Building

Develop own capabilities by participating in assessment and development planning activities as well as formal and informal training and coaching. Develop and maintain an understanding of relevant technology, external regulation, and industry best practices through ongoing education, attending conferences, and reading specialist media.

Duties and responsibilities.
• Review and analyse assigned insurance claims in line with the organization's standard claims
procedures and customer service standards.
• Authorizor is responsible for validating, assessing, and authorizing claims in accordance with
organizational policies, service-level standards, and regulatory requirements
• Ensure claims meet contractual, policy, and legislative requirements.
• Conduct detailed eligibility checks and benefit assessments.
• Identify irregularities or potential fraud and escalate where necessary.
• Provide operational support services and sometimes act as first-line supervisor of a transactional
operations area. Involves using existing systems and protocols.
• Interpret data and identify possible answers. Involves navigating a wide variety of processes,
procedures, and precedents.
• Document Preparation, organize and prepare complex documents using a variety of applications
for technology devices, such as standard office software. Also responsible for gathering and
summarizing data for special reports.
• Resolving Customer Issues, respond to more advanced issue escalations promptly and
appropriately; provide managerial approvals as required.
• Personal Capability Building, develop own capabilities by participating in assessment and
development planning activities as well as formal and informal training and coaching. Develop and
maintain an understanding of relevant technology, external regulation, and industry best practices
through ongoing education, attending

Minimum Requirements...
• Namibian Citizenship.
• Matric (essential)
• Post-matric qualifications in administration, finance, or related field (advantageous)
• 1–2 years administration experience
• Experience in claims administration and/or claims authorisation
• Understanding of industry-specific regulations and compliance standards
• Experience handling high-volume or complex claims (advantageous)
• Knowledge of Old Mutual products and claim processes (e.g. Greenlight, Max Income, Max
Investment, OMP & Group Schemes) (advantageous)
• Familiarity with Old Mutual systems: AWD, BANCS, BIZAGI, CMOS, EMS, Omunet,
Outlook(advantageous)
• Computer literacy (MS Office) with accurate typing and disciplined document handling
• Numerical accuracy and reconciliation skills (allocations, variances, and balancing)
• Critical thinking and anticipation – question assumptions, identify next steps, and pre-empt issues
• SLA discipline and throughput management – prioritize effectively in high-volume environments
• Case management excellence – clean case notes, evidence trails, and audit-ready documentation
• Stakeholder engagement – professional, empathetic, and clear communication
• Quality assurance compliance – use of Quality Tool and authorization protocols, “first-time-right”
mindset
• Governance and confidentiality – strict adherence to POPIA and internal controls
• Excellent verbal and written communication – read, interpret, and respond to queries promptly and
professionally
• Ability to work under pressure and adapt to a changing environment
• High attention to detail and accuracy
• Good judgment and proactive problem-solving
• Team-oriented with strong interpersonal skills
• Deadline-driven and results-focused
• Ability to process information and provide clear, structured feedback

Skills

Accounting, Action Planning, Budget Management, Calendar Coordination, Computer Literacy, Data Analysis, Database Reporting, Data Compilation, Data Interpretations, Executing Plans, Financial Acumen, Management Reporting, Numerical Aptitude, Oral Communications, Report Review

Competencies

Action OrientedCollaboratesDrives ResultsEnsures AccountabilityFinancial AcumenInstills TrustManages ComplexityOptimizes Work Processes

Education

NQF Level 5 - Higher, Advance or Occupational Certificate or equivalent

Closing Date

30 August 2026 , 23:59

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