NARAF Claims Administrator-1
Core
Process and resolve payment-related insurance claims end-to-end, including intake, triage, investigation, reconciliation, and closure, while ensuring audit-ready documentation and compliance with regulatory codes.
Role type
Claims Administrator
Builds
Processed claims transactions and resolved payment queries
Domain
Insurance / Claims Administration
Deliverable
client delivery
Required skills
Claims processing, payment reconciliation, case management, regulatory compliance, fraud identification, stakeholder engagement, workflow system management, numerical accuracy, SLA discipline
Preferred skills
Knowledge of Old Mutual products (Greenlight, Max Income, etc.), familiarity with AWD/BANCS/BIZAGI systems, call centre experience
Technologies
AWD, BIZAGI, BANCS, CMOS, EMS, Omunet, Outlook, MS Office
Responsibilities
Record and process customer orders; resolve basic and advanced customer issues including returns and complaints; interview customers to clarify requirements; enter CRM data after each contact; clear ageing cases and maintain audit-ready files; identify irregularities or potential fraud; analyze documentation for completeness before finalizing transactions; adhere to quality controls and authorization protocols.
Seniority
Junior to Mid-level, hands-on IC