• Verify submitted claims against policy benefits, exclusions, and limits. • Review clinical documentation and consult with internal medical personnel where required. • Liaise with hospitals and clients for clarifications and additional documentation. • Identify and flag irregular, high-cost, or potentially fraudulent claims. • Maintain accurate and timely claims records in the system. • Timely collection of reinsurance recoveries • Prepare claims reports and support reconciliation processes with providers. • Support claims audits and continuous process improvement initiatives. Adherence to service levels as set out for our mutual clients • Assess the loss ratios and ensuring that only quality business is retained. • Maintain high standard level of customer service • Liaise with intermediaries and direct clients on issues relating to their claims • Perform any other duties as may be assigned from time to time • Working Relationships • Internal Relationships • Required to liaise and work closely with the other departments as may be necessary

• Britam customers • Insurance sector players • Business Partners • Bachelor’s degree in Business Related field • Professional qualification in Insurance (Certificate CII,). • Two to four years’ experience in medical insurance claims analysis. • Familiarity with clinical procedures • Strong attention to detail and analytical skills. • Good communication skills and customer service orientation. • Experience in customer, market and competitor understanding. • Knowledge of Insurance regulatory requirements. • Primary Location • Uganda-Kampala-Kampala