Claims Administrator-1
Core
Process claims transactions, verify information, and ensure compliance with policy and regulatory requirements for Namibia.
Role type
Claims Administrator
Builds
Accurate claim payments and processed transactions
Domain
Insurance / Claims Administration
Deliverable
client delivery
Required skills
claims processing, eligibility checks, benefit assessments, fraud identification, document analysis, data entry, call center operations, numerical reconciliation, SLA management, case management, quality assurance compliance
Preferred skills
knowledge of Old Mutual products, familiarity with AWD/BANCS/BIZAGI/CMOS/EMS/Omunet systems, call center experience
Technologies
MS Office, AWD, BANCS, BIZAGI, CMOS, EMS, Omunet, Outlook
Responsibilities
Receive, review, assess, and process claims transactions; make calls to stakeholders to verify information and assess potential payouts; conduct detailed eligibility checks and benefit assessments; identify irregularities or potential fraud; analyze documentation for completeness and accuracy before finalizing transactions; respond to customer issues and complaints; ensure claims meet contractual, policy, and legislative requirements.
Seniority
Entry-level to Junior
