Lets Write Africa's Story Together!
Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.
Job Description
naTo ensure prompt settlement of medical claims within the Company’s policy terms and conditions.§ Verify and audit outpatient and inpatient claims as per the claims manual to ensure
compliance.
§ Negotiate professional fees and hospital charges including discounts to control
expenditure.
§ Oversee processing & settlement of all claims and authorize requisitions.
§ Develop and maintain service provider panels by holding regular business meetings with
key service providers
§ Supervise train and mentor staff.
§ Monitor, prevent and control medical claims fraud by making necessary visits to service
providers as situations require.
§ Prepare regular claims reports to clients, management and advice underwriter health
on relevant claims findings for medical risk revie
Skills
Action Planning, Claims Management, Claims Settlement, Data Compilation, Data Controls, Executing Plans, Financial Auditing, Insurance Claims Investigations, Oral Communications, Presenting SolutionsCompetencies
Business InsightCollaboratesDecision QualityDrives ResultsEnsures AccountabilityFinancial AcumenInstills TrustManages ComplexityEducation
Bachelor Degree Of MedicineClosing Date
15 September 2025 , 23:59The Old Mutual Story!
