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Claims Administrator

Job DescriptionThe incumbent will ensure that Life insurance claims are handled expeditiously & professionally to meet customers’ expectations, Company’s Corporate Objectives & in accordance with the customer charter. They will also need to ensure proper claims underwriting so as to maintain company profitability & alignment with policy conditions.

KEY TASKS AND RESPONSIBILITIES

  • Ensure payment of eligible & properly documented claims within timelines as per Customer charter
  • Post and approve correct claims in the system
  • Ensure reserves (outstanding claims) are correctly and regularly reviewed to reflect current position of the company’s liability
  • Provide claims data to finance, actuarial, IRA and AKI
  • Constantly analyze & report on the performance of various classes of business and give recommendations to management on corrective measures to ensure the company remains profitable.
  • Carry out claims underwriting for various lines of business
  • Ensure that claims are registered and acknowledged promptly and customers are constantly updated on the status of the claim to ensure early conclusion of the claim and enhance customer satisfaction.
  • Maintain a claims register for both paid and unpaid claims
  • Ensure that reinsurance recoveries are initiated and followed to conclusion so as to reduce the final cost of the claim.
  • Ensure payment vouchers are raised in the system & manage signatories to ensure claims paid with customer charter
  • Explore the best alternative of dealing with a claim so as to minimize expenses and costs
  • Maintain effective business relationships by constantly interacting with customers and service providers so as to ensue customers have a pleasant experience
  • Prepare management reports (EXCOM, MANCOM) for the department to advice on the status of the department at any one time.
  • Advise Management on the loss ratios for Corporate business
  • Supervise, train, mentor and coach staff within the department to ensure they remain motivate
  • Ensure full compliance of claims payments with the IRA Anti-Money laundry and fraud detection guidelines

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SKILLS AND COMPETENCIES

  • Well- developed leadership skills
  • Assertiveness and self-drive
  • Good Interpersonal Skills
  • Good communication and negotiation skills
  • Speed and accuracy
  • Ability to work in a team environment
  • Ability to work under pressure and manage time effectively
  • Strong Analytical skills

QUALIFICATIONS, KNOWLEDGE & EXPERIENCE

  • A bachelor’s degree in a numerate field
  • ACII Qualifications, Actuarial or equivalent
  • 3 years working experience preferably in the Insurance Industry
  • Basic computer skills
  • Well- developed leadership skills
  • Assertiveness and self-drive
  • Good Interpersonal Skills
  • Good communication and negotiation skills

Skills

Education

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Closing Date24 November 2021

Team Leader – Pension Administration

Job DescriptionTo engage pension scheme trustees and manage the relationships of the said stakeholders in respect to retention of pension, retirement benefits and annuity business.

Stakeholder engagement such as pension administrators and regulators.

KEY TASKS AND RESPONSIBILITIES

  • Responsible for ensuring all scheme under the portfolio are in compliance with the relevant laws governing pension funds i.e. RBA Act, Insurance Act, Income Tax Act, Trust Law, Unclaimed Financial Authority Act , Scheme Trust Deed and Rules, Common Law.
  • Ensure Daily administration of the scheme is handled in accordance with the relevant laws governing pension funds i.e. RBA Act, Insurance Act, Income Tax Act, Trust Law, Scheme Trust Deed and Rules, Common Law.
  • Overseeing the preparation and presentation of the quarterly administration reports, investment reports and management accounts for the schemes under our portfolio at the quarterly Board of Trustees meetings, or to the sponsor as requested by the clients.
  • Responsible for monitoring and reporting the investments of the deposits administration fund and ensuring scheme funds are invested within the guidelines as provided in the investment policy Statement
  • Responsible for conserving existing clients and support the business acquisition team in growing the pension portfolio.
  • Using forums such as schemes’ annual general meetings, to carry out member education on the schemes’ features, budget changes and implications to the retirement benefits industry.
  • Ensuring client statements get to them withing the RBA guided timelines.
  • Manage the operations officer to ensure all customer data is captured and reviewed monthly for compliance
  • Ensure Pay out to pensioners/members is done withing the RBA guidelines
  • Manage all reporting for the Unit and represent in Operations forum
  • Giving regular feedback to company management on the available opportunities, industry trends, and benchmarks to enhance business conservation and growth

SKILLS AND COMPETENCIES

  • Solid background in providing Financial Advice with experience in dealing with Pensions and Investments directly with client facing experience.
  • Understanding relevant Legislation
  • Excellent Market Knowledge
  • Excellent organizational skills along with attention to detail.
  • Keeping abreast of ever-changing pensions legislation and its effects on the group life & pension Schemes within the country
  • Proficient in pensions administration
  • Ability to deliver results when objectives are set
  • Excellent relationship management and networking skills
  • High level of initiative and self-motivation
  • Ability to work independently while demonstrating excellent team working skills
  • Resilience to cope with pressure of working in a fast paced, dynamic and rapidly changing customer expectation
  • Must be an “upwardly mobile” individual who has formed quality networks with people of means.
  • Ability to communicate effectively with Senior Level Executives (written and verbal).
  • Strong project planning skills Assist with special projects and follow through until completion

Strong negotiation skills

  • Solid background in providing Financial Advice with experience in dealing with Pensions and Investments directly with client facing experience.
  • Understanding relevant Legislation
  • Excellent Market Knowledge
  • Excellent organizational skills along with attention to detail.
  • Keeping abreast of ever-changing pensions legislation and its effects on the group life & pension Schemes within the country
  • Proficient in pensions administration
  • Ability to deliver results when objectives are set
  • Excellent relationship management and networking skills
  • High level of initiative and self-motivation
  • Ability to work independently while demonstrating excellent team working skills
  • Resilience to cope with pressure of working in a fast paced, dynamic and rapidly changing customer expectation
  • Must be an “upwardly mobile” individual who has formed quality networks with people of means.
  • Ability to communicate effectively with Senior Level Executives (written and verbal).
  • Strong project planning skills Assist with special projects and follow through until completion
  • Strong negotiation skills

QUALIFICATIONS, KNOWLEDGE & EXPERIENCE

  • Bachelor’s degree in business or related discipline.
  • Progress in Insurance Professional Papers
  • TDPK and Certified Pension Analyst will be an added advantage
  • Minimum 5 years’ experience in Pensions Administration

Skills

Education

Closing Date24 November 2021

Business Processing Officer

Job DescriptionThe incumbent will optimally carry out business processing in the department and ensure that customer standards are met

KEY TASKS AND RESPONSIBILITIES

  • Ensure completeness of insurance documentations – KYC
  • Prepare Renewal lists and process renewal notices
  • Premiums Processing
  • Process underwriting documentations
  • Prepare policy documents/ contracts
  • Respond to inter departmental queries and complaints in a timely manner
  • Assist in credit control by ensuring no unpaid business is not booked
  • Membership Management- Deletions, additions, member lists, deactivation letters etc.
  • Preparation of Medical cards, activation, deactivation, issuance etc.
  • New medical scheme set ups- completion of contract files, payments, member lists etc.

SKILLS AND COMPETENCIES

  • Product knowledge and functions of the various departments.
  • Basic computer skills
  • Communication Skills
  • Attention to Details

QUALIFICATIONS, KNOWLEDGE & EXPERIENCE

  • Bachelors Degree in business or relevant field
  • At least 1 year experience preferably in the Insurance Industry

Skills

Education

Closing Date24 November 2021

Customer Service Officer

ob DescriptionThe incumbent will be responsible for enforcing underwriting controls in the branch including on-barding, certificates, booking of business, documentation, Implementing underwriting guidelines, processes and procedures to ensure quality underwriting and business, ensuring profitability of the branch through quality control and on-boarding, ensuring quality documentation, timely turn around and maintaining excellent customer service and retention support.

KEY TASKS AND RESPONISBILITIES

  • Enforce underwriting controls
  • Ensure compliance with underwriting guidelines
  • Debiting of premiums and processing of policy documents within set timelines
  • Debiting and processing of renewal endorsements
  • Processing and checking of underwriting Documents
  • Issuing of Endorsements
  • Issuing of Motor Certificates
  • Issuing and signing of yellow cards
  • Review and dispatch of notices within set TAT
  • Ensure work is done within the set standards of service – Customer service charter
  • Do a detailed weekly mail reports on outstanding work.
  • Give quality customer service to all our clients.
  • Safe keeping yellow cards.
  • Daily scanning and indexing of mails
  • Issuance of valuation letters and follow up
  • Adherence to the credit control policy
  • Follow up renewals and reporting on status
  • Processing of client and Bank refunds
  • 100% Adherence to the authority matrix
  • Adherence to the underwriting guidelines and memos
  • Ensure registry is fully maintained in an orderly and is up to date
  • Ensure compliance of AML and PEP guidelines
  • Ensure cross sale and up sale opportunities are maximized.
  • Premium receipting of Mpesa, VISA and cheque payments and ensure cheques are banked on time -GI and Medical
  • Issuing customers with updated/ correct customer statements
  • Assisting clients with claims reporting (both GI & Health) and follow ups with Head office
  • Onboarding of retail medical clients and ensuring the customers receive medical cards
  • Perform any other duties as may be required by the management.

SKILLS AND COMPETENCIES

  • Basic Underwriting skills
  • Customer service skills
  • Good Communication Skills
  • Computer Literate

QUALIFICATIONS, KNOWLEDGE & EXPERIENCE

  • Business Related Degree
  • Advanced Industry Qualifications/ C.O.P
  • 1 year’s experience preferably in the Insurance Industry

Skills

Education

Closing Date24 November 2021

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