Claims Assessor: Non Motor - Cape Town, South Africa - Old Mutual

    Old Mutual
    Old Mutual Cape Town, South Africa

    2 weeks ago

    Old Mutual background
    Full time
    Description

    Description

    Old Mutual Insure is looking for a forward-thinking , driven Claim Assessors in Cape Town and George .

    The role will effectively investigate, adjust and report on assigned claims, thus ensuring containment of all Non Motor claims spend on providing excellent service in setting a culture of best practice within mandated responsibility

    You would:

    Process and Understand of Non-Motor claims terms & claim types.

  • ​Should be aware of escalation metrics and approved channels.
  • Analyzing a problem and formulating its solving approach
  • Identifying signs and details indicating fraud
  • Understanding of the non-motor claims policies, activities, and procedures in claims environment.

    • Understand and Follow the Claims Process

  • Providing prompt & correct assessment.
  • Explore alternatives available for claims assessing and settlement processes, moderation, building rates and service providers.
  • Mapping client needs to company specified.
  • Create collaborative relationships with internal and external process improvements designed to enhance the customer experience and value.
  • Support implementing of new systems and processes

    • Delivering the 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, ensure customer satisfaction
  • Establish productive operational relationships with key stakeholders in the various channels and administrative teams.

    • Cost control and governance adherence

  • Proactively ensure use of time, of 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 Drivers Licence

    • Skills

    Analytical Decision Making, Property Valuations, Report Writing

    Education

    Higher Certificate in Short Term Insurance (Required), Matriculation Certificate (Matric) (Required)

    Closing Date

    30 April 2024