Britam – Business Processing and Compliance Officer

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Key responsibilities:

  • Process all policies new and renewal as per SLA and within the set guidelines.
  • Preparation of data upload files- Benefit set up and Member upload files and ensure set up of correct benefits for each corporate schemes and Retail policies.
  • Process all claims from service providers, sort out invoices with reconciliations issues shared by finance (stuck invoices within the process, resubmissions).
  • Process all reimbursements as per SLA.
  • Process all endorsements as per SLA.
  • System testing, validation and continuous innovation on processes and training of colleagues as required from time to time.
  • Performing Quality assurance on captured claims ensuring reduced reconciliation challenges and that business does not suffer any loss from fraudulent claims.
  • Ensure customer data quality and compliance is maintained across all operations as required.
  • Schemes reconciliation and maintenance of client data – Data reconciliation for Renewals and New Business policies.
  • Master policy creation and conversation for new retail policies.
  • Processing of retail policies and advising finance on receipt and allocation of premiums for retail policies booked.
  • Preparation and request of medical cards within set TAT and maintaining clear records on requested and issued cards to clients.
  • Preparation and presentation of departmental and business reports – Daily and Monthly reports.
  • Maintain regular internal (to staff) and external (to customers) communication on Customer Service matters implementing customer experience strategy for the company.
  • Delegated Authority:  As per the approved Delegated Authority Matrix.

Key Performance Measures:
As described in your Personal Score Card

Knowledge, experience and qualifications required:

  • Bachelor’s degree in a business-related field.
  • At least 4-6 years’ experience in a similar position.
  • Progress in Professional qualification in Insurance (ACII, FLMI or IIK).
  • Computer Literate; emphasis on Microsoft Office and EDMS.

Technical/ Functional competencies:

  • Knowledge of insurance regulatory requirements.
  • Knowledge of insurance products.
  • Good communication and customer service skills.
  • Should possess functional knowledge, be result oriented and have problem solving skills. 
  • Consistency in adherence to the application of established policies, processes, procedures and tools in achieving compliance requirements, optimal efficiency, and resource utilization.
  • Interpersonal skills to effectively communicate with and manage expectations (internal) and other stakeholders who impact performance.
  • Self-empowerment to enable development of open communication, teamwork and trust that are needed to support performance and customer-service oriented culture.
  • Ability to take initiative/responsibility to ensure that daily duties, routines and related additional tasks are completed timely.

Leadership category responsibility framework (Core Competencies):
A Business Processing and Compliance Officer Individual in Britam needs to:

  • Ensure the company’s objectives are met by being a vision carrier and by implementing strategy and operational outputs.
  • Effectively identify and define key performance areas, deadlines and goals for the team in order to optimise operational effectiveness.
  • Effectively disseminate knowledge within the correct context, towards subordinates as well as management.
  • Appropriately model the company values while setting the pace and energy for delivering results.
  • Benchmark operational activities internally as well as externally in order to be a leader in the industry.
  • Effectively manage and communicate change within the department in order to increase staff and process effectiveness.
  • Ensure that department priorities are adhered to and effectively communicated.
  • Effectively set and monitor priorities and objectives for more junior staff.
  • Provide access to accurate and consistent information and services across all channels.
  • Adequately manage operational risk. Increase and aid in well-informed decisions through the delivery of expertise.
  • Ensure a seamless and Improved service delivery for clients.
  • Engage in continuous brand building to become the trusted partners to clients.





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