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- End-to-end claim processing including negotiation and settlement of Speciality Lines of Business claims
- Process Speciality lines claims in adherence with SLA.
- Arrange assessment in adherence with SLA.
- Review merit of claim.
- Complete Risk assessment and additional support request analysis.
- Clarify and amend information where required
- Appoint the support service required.
- Review Support Function Report.
- Calculate and Analyse technical computations.
- Capture all relevant claims updates and decisions on system.
- Manage Diarised actions aligned to SOP
- Prepare , where required.
- Prepare Payment with communication details.
- Await additional information on multiple payments, if required.
- Continuously improve claims service, manage claims spend and contain the increase in average cost of claims.
- Improve / maintain Speciality Lines Claims service effectively.
- Reduce/ maintain turnaround time of Speciality Lines Claims.
- Ensure effective implementation and compliance of claims/ operational systems or procedures.
- Ensure diary is maintained.
- Ensure estimates are raised accurately and timeously in accordance with best practice as and when new claims and new documents are actioned.
- Adhere to Speciality Claims Standard Operations Procedures
- Maintain Turn Around Times
Specialist Negotiator - Johannesburg, South Africa - Old Mutual
Description
Description
To provide a quality Specialist claims service, ensure containment of claims spend and provide excellent service in setting a culture of best practice within mandated responsibility.Critical objectives and responsibilities
Skills
Education
Closing Date
29 April 2024