Senior Claims Specialist (Short-Term)

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Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.

Job Description

Old Mutual Botswana is a member of the Old Mutual Group. We offer a wide range of short-term and long-term insurance services in Botswana with branches in Gaborone and Francistown. Our products provide insurance services to personal, commercial and corporate clients.

We are rooted in our purpose of Championing Mutually Positive Futures Every Day and believe that a great customer experience is anchored in a great employee experience.

We are seeking an experienced and results driven Senior Claims Specialist to manage claims while providing technical leadership within the claims function.

The candidate will be responsible for ensuring that general insurance claims are handled expeditiously and in a professional manner thereby meeting the customer expectations.

Key Result Areas

Insurance Claims Administration and Evaluation

Manage end to end insurance claims in accordance with established claims procedures, regulatory requirements, and customer service standards. Investigate claim circumstances and assess the nature and extent of losses, appointing and coordinating independent loss adjusters, investigators, or subject‑matter experts where required.

Evaluate all available evidence to determine liability and quantum, negotiate fair and timely claim settlements within delegated authority, and authorise claims accordingly. Escalate complex matters, disputes, or claims exceeding authority limits to the line manager with clear recommendations.

Fraud and Financial Crime Investigation

Support fraud and financial crime investigations by collecting, analysing, and maintaining relevant information and physical evidence to support criminal or legal proceedings. Escalate findings and recommend appropriate next steps to the lead investigator.

Contribute to the development, review, and implementation of financial policies, guidelines, and protocols to ensure compliance with regulatory requirements and sound financial governance.

Regulatory and Compliance Management

Handle standard claims and incidents in line with applicable regulatory and compliance frameworks, systems, and procedures, resolving immediate compliance issues and escalating matters where necessary.

Leadership and Direction

Provide clear direction by translating action plans into practical priorities for the team, ensuring alignment with the organisation’s strategy, mission, vision, and business objectives, while motivating high performance and accountability.

Performance Management

Manage personal performance against agreed objectives and use performance management systems to drive continuous improvement. Where applicable, allocate work, monitor delivery, address performance gaps, ensure quality and timeliness, and contribute to formal performance reviews and appraisals.

Requirements: Skills, Qualifications and Experience required

• Diploma or Degree in Insurance/Risk Management/Business Administration/Finance.

• Certificate of Proficiency (COP) in Short-Term Insurance.

•  Professional certification (e.g. Chartered Insurance Institute – CII) is an added advantage.

• 3–5 years of experience in Insurance claims, with at least 3 years of leading and guiding a team.

• Strong knowledge of insurance policies, regulatory compliance, and claims evaluation procedures.

Skills

Action Planning, Claims Administration, Claims Management, Claims Settlement, Data Compilation, Data Controls, Executing Plans, Financial Auditing, Insurance Claims Investigations, Oral Communications, Performance Management (PM), Presenting Solutions, Regulatory Compliance, Regulatory Requirements

Competencies

Business Insight

Collaborates

Decision Quality

Drives Results

Ensures Accountability

Financial Acumen

Instills Trust

Manages Complexity

Education

Bachelors Degree (B), Certificate Of Proficiency: Short-Term Insurance

Closing Date

01 May 2026 , 23:59

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