Claims assessor-2

<p style="text-align:left"><span class="emphasis-2"><b>Let&#39;s Write Africa&#39;s Story Together!</b></span></p><p style="text-align:left"><span class="emphasis-2">Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this. </span></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Job Description</b></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p>Purpose of the Job Responsible for researched, records and examines coverage information to make highly complex short term claim settlement determinations. <br><br> <p style="text-align:inherit"></p><p style="text-align:inherit"></p><br /><ul><li><span><b>Responsible for making highly complex short term claim settlement determinations.</b></span></li><li><span style="color:#4a4a4a"><span>Reviewing/auditing Claim Files and reserves within time standards.</span></span></li><li><span style="color:#4a4a4a"><span>Correct understanding and application of Policy Terms and Conditions</span></span></li><li><span style="color:#4a4a4a"><span>Daily reviewing/auditing of the claims processed and legal claims.</span></span></li><li><span style="color:#4a4a4a"><span>Daily providing policyholders and Brokers with excellent service.</span></span></li><li><span style="color:#4a4a4a"><span>Regularly keeping policyholders and Brokers informed on the status of their claims.</span></span></li><li><span style="color:#4a4a4a"><span>Regularly liaise with internal support divisions, i.e. Salvages Department.</span></span></li><li><span style="color:#4a4a4a"><span>Visiting external stakeholders.</span></span></li><li><span><b>Continuous improvement to ensure effective service</b></span></li><li><span style="color:#4a4a4a"><span>Actively participate in problem solving activities to define problems, assess current state root causes, design and test solutions, implement solutions, and sustain and continuously improve to permanently eliminate problems.</span></span></li><li><span style="color:#4a4a4a"><span>Actively participates in continuous improvement by fully engaging in daily huddles, generating suggestions, following appropriate procedures and continuous process improvement work principles, participating in problem solving activities, and utilizing continuous improvement tools to support the work of the team.</span></span></li><li><span style="color:#4a4a4a"><span>Ensure statutory and legislative knowledge is always current in order to resolve customer complaints, to advise the business on corrective solutions to mitigate risks and to improve the customer experience whilst complying with governance requirements.</span></span></li><li><span style="color:#4a4a4a"><span>Ensure adherence to organisational policies, practices and procedures.</span></span></li><li><span style="color:#4a4a4a"><span>Identify solutions to enhance cost effectiveness and increase operational efficiency</span></span></li><li><span><b>Service delivery to ensure customer satisfaction</b></span></li><li><span style="color:#4a4a4a"><span>Maintain service, quality and desired outputs within a specific functional process through ensuring compliance to tactical policies, procedures and standards.</span></span></li><li><span style="color:#4a4a4a"><span>Establish productive operational relationships with key stakeholders in the various channels and administrative teams.</span></span></li><li><span style="color:#4a4a4a"><span>Develop work routines in line with operational plans / schedules in order to manage achievement of service delivery goals.</span></span></li><li><span style="color:#4a4a4a"><span>Share knowledge on, and participate in the creation of new standards, control systems and procedures to maintain service delivery.</span></span></li><li><span><b>Cost control and governance adherence</b></span></li><li><span style="color:#4a4a4a"><span>Proactively ensure use of time, of resources, money, materials or equipment is in line with policies and procedures.</span></span></li><li><span style="color:#4a4a4a"><span>Comply with corporate governance policies, procedures and standards.</span></span></li><li><span style="color:#4a4a4a"><span>Operate within agreed mandates.</span></span></li><li><span><b>Quality people practices</b></span></li><li><span style="color:#4a4a4a"><span>Align own behaviour with the organisation culture and values.</span></span></li><li><span style="color:#4a4a4a"><span>Share and transfer product, process and systems knowledge to colleagues.</span></span></li><li><span style="color:#4a4a4a"><span>Ensure achievement of own performance objectives.</span></span></li><li><span style="color:#4a4a4a"><span>Actively share information with other team members regarding successes, issues, trends and ideas.</span></span></li><li><span style="color:#4a4a4a"><span>Actively participate in own professional development and career path.</span></span></li><li><span style="color:#4a4a4a"><span>Actively promote a culture of learning and high performance culture amongst team members.</span></span></li><li><span style="color:#4a4a4a"><span>Applicants must be in possession of a post-Matric commercial qualification (NQF Level 6-7 or equivalent) or studying towards one.</span></span></li><li><span style="color:#4a4a4a"><span>2 years’ relevant Trade Credit or Claims experience.</span></span></li><li><span style="color:#4a4a4a"><span>Must have accounts receivable and credit control experience.</span></span></li><li><span style="color:#4a4a4a"><span>Debtor’s department experience will be beneficial</span></span></li></ul><p> <br /><br /></p><h2></h2><br /><p> </p>na<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Skills</b></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p>Action Planning, Claims Management, Claims Settlement, Data Compilation, Data Controls, Executing Plans, Financial Auditing, Insurance Claims Investigations, Insurance Product Management, Insurance Sales, Oral Communications, Presenting Solutions<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Competencies</b></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p>Action Oriented<h3></h3><h3></h3>Collaborates<h3></h3><h3></h3>Drives Results<h3></h3><h3></h3>Ensures Accountability<h3></h3><h3></h3>Financial Acumen<h3></h3><h3></h3>Instills Trust<h3></h3><h3></h3>Manages Complexity<h3></h3><h3></h3>Optimizes Work Processes<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Education</b></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p>NQF Level 3 &amp; NQF Level 2 - Below school leaving<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Closing Date</b></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p>14 October 2026 , 23:59<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p><i><b>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.</b></i></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><i><span class="emphasis-2"><b>The Old Mutual Story!</b></span></i></p>