Claims Supervisor (Life Insurance)

Lets Write Africa's Story Together!

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

Job Description

Old Mutual Botswana is a member of the Old Mutual Group. We offer a wide range of short-term and long-term insurance services in Botswana with branches in Gaborone and Francistown. Our products provide insurance services to personal, commercial and corporate clients.

We are rooted in our purpose of Championing Mutually Positive Futures Every Day and believe that a great customer experience is anchored in a great employee experience

Required:

• COP (Life Insurance).

• Degree in Business, Insurance and Accounting or a similar field.

• At least 3 years relevant experience in Life Insurance.

Desirable( but not required):

• Underwriting and/or Premium Administration experience.

Ensures that general insurance claims are handled expeditiously and in a professional manner thereby meeting the customer expectations. Manages the claims function with a team of claims assessors and negotiators. Develops the claims policy, procedures, and practices. Evaluates risks with claims, coverage complexity, and those in excess of field approval limits. Provides counsel regarding claims evaluation and coverage.

ResponsibilitiesFraud/Financial Crime Investigation

Contribute to the investigation of cases of suspected fraud or financial crime by gathering, analyzing, and retaining information and physical evidence to support criminal investigation and/or legal action. Recommend further actions to the lead investigator.

Fraud/Financial Crime Management

Deliver fraud prevention reporting and analysis for a designated area of operations, using financial crime/fraud prevention systems to identify instances, patterns, and trends of suspicious activity, to enable the prevention of fraud and enable the initiation of loss mitigations and fraud investigations.

Fraud/Financial Crime-Management Systems Development

Review external research and analysis, and analyze customer or client transactions to identify fraud trends and emerging risks, and to support the development of fraud/financial crime prevention strategies, policies, procedures, and monitoring systems.

Insurance Claims Administration

Review and analyze complex insurance claims in line with the organization's standard claims procedures and customer service standards. Initiate investigations and engage independent loss adjusters and/or subject-matter experts where appropriate. Authorize claims within delegated authority and refer unresolved issues or disputes to line manager.

Insurance Claims Evaluation

Investigate the circumstances of claims and the nature and extent of clients' losses. Review and evaluate information gathered using own subject-matter expertise, and examine additional evidence provided by specialist investigators or subject-matter experts to determine the extent of liability. Negotiate settlement of insured losses in line with delegated authority.

Leadership and Direction

Explain the local action plan, to support team members in their understanding of what needs to be done, and how this relates to the broader business plan and the organization's strategy, mission, and vision; motivate people to achieve local business goals.

Work Scheduling and Allocation

Assign short-term work schedules to a team of subordinates in order to achieve expectations while following established timelines.

Financial Policies, Guidelines, and Protocols

Contribute to the development and delivery of financial policies, guidelines, and protocols to ensure the company complies with regulations and good financial practice.

Organizational Capability Building

Provide coaching to team members to develop their skills.

Performance Management

Respond to personal objectives and use performance management systems to improve personal performance; or monitor the performance of the team, allocate work and review completion, take appropriate corrective action to ensure timeliness and quality, and contribute to formal individual performance management and appraisal.

Regulatory and Compliance Management

Investigate standard incidents using current regulatory and compliance processes, systems, and procedures, and take action to solve immediate compliance issues. Advise more senior colleagues on more complex problems.

Solutions Analysis

Interpret data and identify possible answers. Involves navigating a wide variety of processes, procedures, and precedents.

Skills

Action Planning, Claims Management, Conflict Resolution, Current State Assessment, Customer Service Standards, Data Compilation, Data Controls, Executing Plans, Financial Auditing, Insurance Claims, Insurance Claims Investigations, Insurance Claims Management, Oral Communications, Policies & Procedures, Professional Etiquette, Regulatory Compliance, Taking Initiative, Typology

Competencies

Business InsightCommunicates EffectivelyDecision QualityDirects WorkEnsures AccountabilityFinancial AcumenInstills TrustManages Complexity

Education

Bachelors Degree (B)

Closing Date

13 April 2025 , 23:59

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