Technical Evaluator: Non Motor Claims Location: Johannesburg
Time Type: Full time
Posted On: 2 Days Ago
Job Requisition ID: JR-58568
Let's Write Africa's Story Together! Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.
Job Description Old Mutual Insure is looking for a Technical Evaluator in the Non Motor sector. The role will be responsible for conducting operational claims reviews, work in progress, close file reviews, and client service assistance on the non-motor portfolio nationally. Responsibilities include identifying lost economic opportunities, investigating quality complaints, and handling ad-hoc requests. This role will also provide input and recommendations on training initiatives.
This role will ensure that technical evaluations are conducted as planned and that operations comply with any regulatory requirements imposed by the market or industry organizations. The role will guarantee that customers receive quality service experiences when interacting with all levels in the claims value chain. Additionally, it will make suppliers more accountable for delivering client service and high-quality workmanship.
You Would Ensure compliance with agreements/contracts, company policy, and claims handling policy.Limit unnecessary financial losses to the company (LEO).Inspect repairs for quality and adherence to what was authorized.Conduct CFR's.Handle ad-hoc requests from other areas (i.e., Forensics, Governance, Risk & Compliance).Ensure compliance with all regulatory environments.Evaluate claims completed by suppliers/service providers to minimize financial loss regarding quality and compliance to the policy code.Maintain good client service to retain clients.Accurately report facts obtained during evaluations and inspections.Rectify WIP deviations.Evaluate compliance of work instructions (i.e., in accordance with assessors' authorization) and contractual agreements with service providers.Evaluate compliance with company policy and claims procedures by assessors and claims staff.Provide recommendations on corrective measures where necessary.Report deviations to the National Assessing Manager for audit feedback to Regional Claims Managers.Conduct technical evaluations of our various service providers, specifically building contractors.Manage the quality of repair work, addressing complaints generated by poor repair work.Manage quantum disputes, where necessary.Experience, Knowledge & Skills Required 3 years of non-motor assessing and quality assurance experience.Short-term insurance knowledge/NQF Level 7 qualification in general insurance.Certified and accredited fraud examiner (ACFE).Strong investigative/analytical skills.The Recruitment Process: TA Interview: A discussion with a member of the TA Team to give you an understanding of our business, culture & values, and more context on the role. This will also allow us to get to know you better and ensure OMI can meet your needs.Panel Interview: This will be with 2 members of the senior leadership of the data team and 1 member of the HC leadership team.Technical & Psychometric Assessments: These will depend on the role and may occur concurrently with MIE & Internal Verification.Final Feedback.All About OMI: Visit our website for more information: Old Mutual Insure Follow us on LinkedIn: Old Mutual Insure LinkedIn Closing Date: 26 September 2024
The appointment will be made from the designated group in line with the Employment Equity Plan of Old Mutual South Africa and the specific business unit in question. 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 Old Mutual's Covid-19 vaccination policy for further details. Kindly note that Old Mutual reserves the right to reinstate the requirement to vaccinate at any point if it deems it imperative to do so.
#J-18808-Ljbffr
