Senior Claims Analyst

Role Title: Senior Claims Analyst - 1 Post

Business Unit(s): Rwanda

Business /Function: Senior Claims Analyst

Location: Rwanda-Kigali

Reports To: Health Manager

MDP Level: Manager of others

Role Size M

JOB SUMMARY

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.

Please visit our careers page through:  https://oldmutual.wd3.myworkdayjobs.com/en-US/Old_Mutual_Careers/details/Senior-Claims-Analyst_JR-71118?q=kigali

Interested candidates are requested to submit their applications by 5.00 p.m. 15th September 2025.

Applicants must possess or be in the process of applying for a POLICE CLEARANCE CERTIFICATE as at the time of making an application.

ONLY short-listed candidates will be contacted.