Business Processing & Compliance Officer

Role Overview

This position sits at the centre of the company’s back-office operations, ensuring that insurance policies, claims, and client data flow smoothly from receipt to resolution. Day to day, you will coordinate processing tasks across new and renewed policies, reconcile scheme and retail accounts, and support the wider team through system testing and quality checks. Your attention to detail directly protects the business from financial loss and keeps customer service standards consistently high.

Key Responsibilities

• Manage the full lifecycle of new and renewal policies, ensuring every case is completed according to service level agreements and within established guidelines.
• Prepare and upload benefit and member data files for corporate schemes and retail policies, verifying that the correct cover is enabled for each client.
• Process claims received from service providers, investigate invoicing and reconciliation issues raised by finance, and resubmit stuck or rejected claims promptly.
• Handle reimbursements and endorsements within agreed turnaround times, keeping accurate records of all adjustments and payer communications.
• Carry out system testing, validate process changes, and support colleagues through training whenever new workflows or updates are introduced.
• Perform quality assurance checks on captured claims to reduce reconciliation problems and flag any instances of potential fraud or inaccuracy.
• Reconcile scheme data for renewals and new business, create master policies for retail clients, and advise finance on premium receipt and allocation for booked retail policies.
• Prepare and issue medical cards within set timelines, maintaining clear logs of cards requested and delivered, and contribute to daily and monthly departmental reporting.

Requirements & Qualifications

• Bachelor’s degree in a business-related field or an equivalent recognised qualification.
• At least 4–6 years of hands-on experience in a similar operations or processing role within the insurance sector.
• Active progress towards a professional insurance qualification such as ACII, FLMI, or IIK.
• Strong computer literacy, particularly in Microsoft Office and electronic document management systems (EDMS).
• Working knowledge of insurance regulatory requirements and a clear understanding of insurance products, especially medical or retail cover.
• Good communication and customer service skills, with the ability to manage internal and external stakeholder expectations.
• Result-oriented mindset with strong problem-solving skills and consistent adherence to established policies, procedures, and compliance standards.
• Self-motivated and able to take initiative, ensuring daily tasks and additional assignments are completed on time while supporting a team-focused, customer-centric culture.