Administration Supervisor – First Mutual Health

Job Description

Applications are invited from suitably qualified and experienced persons to fill the above vacancy that has arisen within First Mutual Health Proprietary Limited – Botswana.

Job Summary
Type: full-time
Location: Gaborone
Category: Healthcare
Closing Date: 2026-08-28

Key Responsibilities
– Supervising and managing claims assessment activities, ensuring accurate and timely processing of claims.
– Developing, implementing, and reviewing claims procedures, workflows, and operational controls.
– Managing complex, high-value, foreign, staff, and ex gratia claims, including claim adjudication and benefit adjustments.
– Monitoring claims performance and implementing strategies to manage claims ratios and costs.
– Leading wellness strategy implementation and coordinating wellness programs and initiatives.
– Managing relationships with healthcare service providers, including accreditation, engagement, and dispute resolution.
– Maintaining claims and service provider data integrity within organizational systems.
– Supervising and developing team members within the Administration department.
– Preparing weekly, monthly, and annual management reports and contributing to departmental budgeting processes.
– Resolving client, member, and service provider queries while ensuring high standards of customer service.

Requirements
– A Diploma in Nursing or a Health-related Degree.
– A qualification in Forensics and/or Health Management will be an added advantage.
– A minimum of five (5) years’ experience within a medical aid or a related healthcare environment.
– Strong knowledge of medical claims assessment, healthcare funding, and provider management.
– Proven supervisory and people management experience.
– Excellent analytical, negotiation, problem-solving, and communication skills.
– High attention to detail and sound decision-making ability.

How to Apply
To apply, please visit: forms.cloud.microsoft.com