Vacancies at Old Mutual Kenya

Job Description

The Claims and Benefits Officer is responsible for end-to-end processing of Group Life and Credit Life claims, ensuring accurate assessment, efficient processing, and exceptional service delivery. The role ensures adherence to policy terms, internal claims guidelines, regulatory standards, and risk mitigation practices, supporting the integrity and sustainability of the corporate claims function.

KEY TASKS AND RESPONSIBILITIES

• Register and acknowledge claims within agreed timelines and ensure completeness of claim documentation
• Perform claims assessment in line with policy terms, underwriting notes, and applicable reinsurance arrangements
• Prepare claim summaries and recommendations for approval based on internal authority limits
• Coordinate with internal stakeholders (underwriting, reinsurance, legal) to support accurate and defensible claims decisions
• Follow up with clients, brokers, or medical providers to resolve outstanding requirements or clarifications
• Ensure timely communication of claim outcomes to clients and intermediaries with empathy and professionalism
• Track and maintain claims registers and contribute to analysis of claims experience and turnaround performance
• Support escalations and contribute to reviews of declined or disputed claims by compiling supporting evidence
• Ensure claims handling activities fully comply with internal claims guidelines, Anti-Money Laundering (AML) regulations, Data Protection Act (DPA), and Insurance Regulatory Authority (IRA) claims handling expectations
• Conduct beneficiary verification and escalate suspicious claims in line with AML/CFT policy
• Ensure confidentiality of personal and medical data is maintained at all times

SKILLS AND COMPETENCIES

• Strong knowledge of life insurance claims principles and policy interpretation
• High attention to detail and accuracy in claims documentation
• Empathy and emotional intelligence when dealing with bereaved clients
• Analytical and problem-solving capabilities in adjudicating complex claims
• Good written communication and reporting skills
• Team player with ability to coordinate across departments under pressure

KNOWLEDGE & EXPERIENCE

• 2–3 years’ experience handling group life or credit life claims

QUALIFICATIONS

• Bachelor’s degree in Commerce (BCOM), or a business-related field
• Professional insurance qualification (e.g., AIIK, ACII, LOMA)

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Job Description

• Delivery of the budget for both Grow pensions Business Sales through brokers, independent agents, tied agents and direct sales.

KEY TASKS AND RESPONSIBILITIES

• DELIVERY OF BUDGET – Ensure the set budget for pensions is realized for the year.
• MARKET INTELLIGENCE – Obtain market information in respect of Corporate and pensions business and ensure the information is used for product improvement so that our product offering remain relevant and continue to meet customer expectations

PROPOSALS FOLLOW UP:

• Ensure proposals are delivered within the agreed timelines.
• Follow up competitiveness of proposals sent out.
• Driving business and ensuring sustained growth, focusing on achieving/ surpassing sales targets.
• Expanding business reach and proactively creating new sales leads/ opportunities.
• Constantly interacting with prospects and maintaining cordial business relationship with key clients.
• Expanding channel business by sourcing new partners as well as maintaining efficient business relationships with existing partners to enhance growth of business operations.
• Handling high value sales, addressing minor details and identifying areas of improvements in customer service.
• Undertaking business case assessment to enhance channel sale relations, as well as assessing and evaluating new products.
• Managing an efficient sales cycle (sales pipeline) and value based service  cycle through use of deal pipelines to drive the following business goals: -
  • Identify Target customer
  • Meeting to determine needs
  • Client acquisition
  • Account Service Plan – client/intermediary visits, policy documentation, credit control, claims management, SLA’s etc.
• Ensure that proper management of accurate, quality and timely business reports.
• Monitor competitor activity and advise the business on opportunities/threats that are presented by such activities.

Risk Management, Internal Governance and Compliance

• Understanding and enforcing company policies and risk control measures in relation to handling of new clients.
• Escalate risks/control breaks to management when identified.  Assist in management of those risk/control breaks
• Compliance to all regulatory requirements and internal policies

SKILLS AND COMPETENCIES

• Decision Making,
• Initiating Action,
• Business Development, Key Accounts Management, Contractual Evaluation & Negotiation
• Ability to interact at all levels./stakeholder management
• Setting Strategies/ Sales Target, Clientele Development, Sales Management
• Coordination, Competitor Analysis
• Product Management, Customer Care
• Vendor Management
• Communication & Interpersonal, Leadership, Analytical Thinking Skills

KNOWLEDGE & EXPERIENCE

• Technical Knowledge,
• At least 3 years’ experience

QUALIFICATIONS

• Bachelor degree Marketing, Commerce or Business Administration
• Sales experience
• Pensions and Employee Benefits training and experience will be an added advantage

KEY RESULT AREAS & PERFORMANCE INDICATORS

• Meeting set revenue targets measured periodically
• Timely delivery of proposals and quotations
• The amounts of new revenue placed through targeted distribution channel partners.
• Debtor days for Distribution Channel partners
• Expense controls for Profitability of accounts placed
• The number of suggested new solutions to clients and distribution channel partners
• Timely periodical reports to seniors