Claims Assessor: Non Motor (Pinelands)
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Job Description
Old Mutual Insure is looking for a claims assessor in Boland. The role will effectively investigate, adjust and report on assigned claims, ensuring containment of all Non Motor claims spend while providing excellent service and setting a culture of best practice within mandated responsibility.
You would:
Process and Understand Non-Motor Claims Terms & Claim Types:
Be aware of escalation metrics and approved channels.
Analyze problems and formulate solving approaches.
Identify signs and details indicating fraud.
Understand non-motor claims policies, activities, and procedures in the claims environment.
Understand and Follow the Claims Process:
Provide prompt and correct assessments.
Explore alternatives for claims assessing and settlement processes, moderation, building rates, and service providers.
Map client needs to company specifications.
Create collaborative relationships with internal and external stakeholders to enhance customer experience and value.
Support the implementation of new systems and processes.
Delivering Service to Both Internal and External Stakeholders:
Actively follow service practices to determine the status of customer service and relations.
Proactively identify customer solutions (process, product, systems) to address changing service requirements and ensure customer satisfaction.
Establish productive operational relationships with key stakeholders in various channels and administrative teams.
Cost Control and Governance Adherence:
Proactively ensure the use of time, resources, money, materials, or equipment is in line with policies and procedures.
Comply with corporate governance policies, procedures, and standards.
Operate within agreed mandates.
Experience, Knowledge & Skills Required:
National Senior Certificate (NSC).
Higher Certificate in Short-Term Insurance (NQF 5).
3-5 years Non-Motor Claims Assessment experience.
Certified and Accredited Fraud Examiner (ACFE).
Valid South African Driver's Licence.
The Recruitment Process:
TA Interview: Discussion with a member of the TA Team to understand our business, culture & values, and the role.
Panel Interview: With 2 members of senior leadership and 1 member of HC leadership team.
Technical & Psychometric Assessments: These will depend on the role.
Final Feedback.
All About OMI:
Old Mutual Insure
LinkedIn Post
Skills: Analytical Decision Making, Property Valuations, Report Writing
Education: Higher Certificate in Short Term Insurance (Required), Matriculation Certificate (Matric) (Required)
Closing Date: 23 August 2024
The appointment will be made from the designated group in line with the Employment Equity Plan of Old Mutual South Africa.
Old Mutual Limited is pro-vaccination and encourages its workforce to be fully vaccinated against Covid-19.
All prospective employees are required to disclose their vaccination status as part of the recruitment process.
Please refer to the Old Mutual's Covid-19 vaccination policy for further details.
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