Old Mutual was established in Cape Town in 1845 as South Africa's first mutual life assurance society. Our purpose is to help our customers thrive by enabling them to achieve their lifetime financial goals, while investing their funds in ways that will create a positive future for them, their families, their communities and broader society.
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,
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