Claims Manager at Old Mutual

Job Description

• Manage a team of Claims Assessors and Claims Specialists
• Use specialist technical knowledge to train and develop Claims Assessors

both new and ongoing

• Manage complaints, escalations and queries
• Be an active member of relevant committee meetings and industry engagements
• Manage a pre-determined portfolio (e.g. quality, communication, operations, service) supported by relevant teams
• Facilitate engagement sessions and workshops with Distribution channel stakeholders
• Problem solve, investigate, identify root cause and resolve management queries relating to Claims

Personal Effectiveness

• Accepts and lives the company values
• Accountable for service delivery through others
• Collaborates effectively with others to achieve results
• Individually accountable for managing own time, tasks and output quality
• Broadening individual skills on an ongoing basis

Relationship Building

• Maintains and develops relationships with relevant stakeholders

Risk Management

• Strong technical knowledge to evaluate, manage and suppport team
• Quality assurance of Claims assessors’ work
• Auditing
• Fully upskilled and experienced in assessing the Risk Product Range, validity and liability requirements and focused on risk mitigation

Role Requirements

• Matric with Biology, Mathematics or Accounting essential
• Medical or medically aligned degree, e.g. Nursing, Occupational Therapy, Physiotherapy or a three year related diploma would be a distinct advantage
• Minimum 10 years’ Claims assessing and technical Claims experience
• Minimum 5 years’ managing a team of Claims Assessors
• Specialised medical knowledge through learning or experience essential.
• Greenlight & OMP product knowledge essential
• In-depth knowledge of systems and system navigation [AWD, OMEGA, Bancs and Bizagi] is esential
• PC proficiency in MS Office i.e. Word, Excel etc.
• Well-developed interpersonal and negotiation skills
• Manage quality of assessments internally and via Reinsurance partners
• Strong verbal and written communication
• Attention to detail
• Well-developed problem solving skills
• Good presentation skills
• Must be a team player
• Must be willing to work shifts and overtime where necessary

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.

Skills

Education

Closing Date

• 10 October 2022