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About the Organisation
Call Center Nurse – Medical job at Old Mutual Uganda | Apply Now
Old Mutual is a leading financial services company with a mission to help individuals and businesses achieve their financial goals and secure their futures through innovative and sustainable financial solutions. With over 175 years of experience, the company is renowned for its strong reputation, trusted by millions of customers worldwide, and recognized for its excellence in insurance, investments, and retirement services. Old Mutual's work culture emphasizes collaboration, diversity, and continuous development, offering employees a dynamic environment with opportunities for growth, learning, and career advancement.
The company provides flexible work arrangements and a range of job opportunities across various sectors, promoting a supportive and inclusive workplace. Founded in South Africa in 1845, Old Mutual has evolved into a global financial powerhouse, with a presence in over 30 countries across Africa, Asia, and the Americas. The company operates a customer-centric business model that focuses on leveraging innovation, technology, and data to create personalized financial solutions. Old Mutual’s size and reach enable it to cater to a broad spectrum of clients, from individuals to businesses, across multiple sectors. Its core values—integrity, accountability, respect, and professionalism—guide all its operations and interactions.
Through its corporate social responsibility initiatives, Old Mutual invests in community development, education, health, and environmental sustainability. For more information, visit the official website at www.oldmutual.com.
Are you looking for Nursing jobs in Uganda 2025 today? then you might be interested in Call Center Nurse – Medical job at Old Mutual Uganda
Full Time
Deadline:
5 Aug 2025
Job Title
Call Center Nurse – Medical job at Old Mutual Uganda
Old Mutual Uganda
Job Description
Job Title: Call Center Nurse – Medical
Company: Old Mutual Uganda
Location: Uganda
Application Deadline: 05 August 2025, 23:59
Role Overview
Old Mutual Uganda is seeking a qualified and dedicated Call Center Nurse – Medical to support the management of medical benefits by overseeing the pre-authorization process and responding to client inquiries. The ideal candidate will be responsible for delivering efficient and timely solutions to clients, preventing fraudulent activity, and ensuring compliance with internal guidelines and regulatory requirements.
Duties, Roles and Responsibilities
Qualifications, Education and Competencies
See all details of the qualifications, competencies and education for this role under the "How to Apply" section below.
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Deadline: 05 August 2025, 23:59
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How to Apply
Supervise and process pre-authorizations for both scheduled and emergency medical admissions within 6 hours of request, following clinical and technical guidelines.
Respond promptly and professionally to customer queries via phone and provide effective solutions.
Verify and audit medical claims and invoices prior to settlement to minimize fraud and abuse.
Manage and respond to service requests from healthcare providers, intermediaries, and clients.
Provide accurate information about Old Mutual’s provider network and benefits available per scheme policy.
Resolve issues related to SMART medical cards at the point of service.
Authorize all optical service requests within 6 hours and generate corresponding daily reports.
Process reimbursement requests from healthcare providers in a timely manner and maintain proper records.
Liaise with other medical schemes to assess medical risks and support the evaluation process.
Draft and issue discharge committal letters in response to provider requests.
Ensure strict adherence to regulatory and internal compliance requirements including AML (Anti-Money Laundering), Sanctions, and KYC (Know Your Customer) standards.
Monitor and escalate any potential compliance, AML, or sanctions-related concerns to the Risk & Compliance Office.
Perform any other duties as assigned by management.
SERVICES
COMMERCIAL
SERVICES
INDUSTRIAL
SERVICES
RESIDENTIAL
Education:
Bachelor’s Degree or Diploma in Nursing (Mandatory)
Skills & Technical Competencies:
Strong understanding of pre-authorization processes and healthcare claims management
Customer-focused with excellent communication and interpersonal skills
Sound knowledge of healthcare provider networks and benefit structures
Familiarity with AML/KYC compliance processes
High attention to detail and ability to detect inconsistencies or fraudulent activity
Strong reporting and documentation skills
Proficiency in MS Office and healthcare systems (e.g., SMART applications)
Ability to manage multiple tasks efficiently under pressure
Behavioral Competencies:
Customer-focused and action-oriented
Strong collaborator with effective communication skills
Courage to make informed decisions and address challenges
Innovative mindset with a commitment to continuous improvement
Ability to manage complexity and prioritize effectively
Why Join Old Mutual Uganda?
Be part of a trusted organization that values innovation, customer service, and professional integrity. Work with a collaborative team that is passionate about improving healthcare access and delivering value to clients.
