Claims & Benefits Officer Job Old Mutual, Nairobi, Kenya
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.
Tasks & 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 & 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)
How to Apply
1. Applying For Jobs That You Qualify But Not Getting Interviews?
Click Here And Get An Expert Review Of Your CV From Our Recruitment Team Plus 3 Months Job Search Assistance. Land Your Next Job Faster.
2. Register your CV with us today for a better job.
Upload your CV to be considered for jobs that match your skills, experience and career level. Upload your CV here — It's free.
3. Stay relevant in a competitive job market.
Register for short professional courses starting next month. See courses starting next month.
4. Pass Your Next Job Interview With Confidence
Learn how to confidently sell your value and negotiate best salary in interviews. Click here for interview preparation. Interview with confidence.
Job Seeker Testimonials
Since 2011 Corporate Staffing has helped over 13,000 job seekers across Kenya secure new jobs with our clients. Read our job seekers’ success stories here.