Senior Claims Analyst
2025-09-10T16:24:33+00:00
Old Mutual Insurance
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https://www.oldmutual.co.ug/
FULL_TIME
kigali
Kigali
00000
Rwanda
Insurance
Management
2025-09-15T17:00:00+00:00
Rwanda
8
To ensure prompt settlement of medical claims within the Company’s policy terms and conditions.
PRINCIPAL ACCOUNTABILITIES.
- 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 review.
- To perform any other task that may be assigned by his superior.
Qualifications and experience
- University Degree in Medicine or Health related.
- Basic Insurance qualification.
Skills and competencies
- Good communication and negotiation skills.
- Good public relations and interpersonal relationship skills.
- Extensive networking with SP and other medical insurers
- Good analytical and monitoring skills
- User IT skills in database management and office systems.
- Good decision-making skills.
- Integrity and honesty.
PRINCIPAL ACCOUNTABILITIES. 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 review. To perform any other task that may be assigned by his superior.
Skills and competencies Good communication and negotiation skills. Good public relations and interpersonal relationship skills. Extensive networking with SP and other medical insurers Good analytical and monitoring skills User IT skills in database management and office systems. Good decision-making skills. Integrity and honesty.
Qualifications and experience University Degree in Medicine or Health related. Basic Insurance qualification.
JOB-68c1a6418cca7
Vacancy title:
Senior Claims Analyst
[Type: FULL_TIME, Industry: Insurance, Category: Management]
Jobs at:
Old Mutual Insurance
Deadline of this Job:
Monday, September 15 2025
Duty Station:
Kigali | Rwanda
Summary
Date Posted: Wednesday, September 10 2025, Base Salary: Not Disclosed
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JOB DETAILS:
To ensure prompt settlement of medical claims within the Company’s policy terms and conditions.
PRINCIPAL ACCOUNTABILITIES.
- 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 review.
- To perform any other task that may be assigned by his superior.
Qualifications and experience
- University Degree in Medicine or Health related.
- Basic Insurance qualification.
Skills and competencies
- Good communication and negotiation skills.
- Good public relations and interpersonal relationship skills.
- Extensive networking with SP and other medical insurers
- Good analytical and monitoring skills
- User IT skills in database management and office systems.
- Good decision-making skills.
- Integrity and honesty.
Work Hours: 8
Experience in Months: 24
Level of Education: bachelor degree
Job application procedure
Please visit our careers page through:
https://oldmutual.wd3.myworkdayjobs.com/en-US/Old_Mutual_Careers/details/Senior-Claims-Analyst_JR-71118?q=kigali
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