Claims and Benefits Officer

Job Description

Lets Write Africa's Story Together!

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

The Claims and Benefits Officer is responsible for end-to-end processing of Group Life and Credit Life claims, ensuring accurate assessment, efficient processing, and exceptional service delivery. The role ensures adherence to policy terms, internal claims guidelines, regulatory standards, and risk mitigation practices, supporting the integrity and sustainability of the corporate claims function.

1. KEY TASKS AND RESPONSIBILITIES

• Register and acknowledge claims within agreed timelines and ensure completeness of claim documentation
• Perform claims assessment in line with policy terms, underwriting notes, and applicable reinsurance arrangements
• Prepare claim summaries and recommendations for approval based on internal authority limits
• Coordinate with internal stakeholders (underwriting, reinsurance, legal) to support accurate and defensible claims decisions
• Follow up with clients, brokers, or medical providers to resolve outstanding requirements or clarifications
• Ensure timely communication of claim outcomes to clients and intermediaries with empathy and professionalism
• Track and maintain claims registers and contribute to analysis of claims experience and turnaround performance
• Support escalations and contribute to