Digital Assessor- Non Motor - Johannesburg at Old Mutual

Job Description

• Old Mutual insure is looking for a digital assessor in the non motor space. The role would be responsible to provide a non motor assessment function, focusing on non motor claims, The purpose of this position is to determine the quantum and merit of segmented non motor  claims by performing investigations, verifying the description of the event with the loss, negotiating with (client, intermediary, service providers) and settlement of claims within a delegated threshold and according to contract conditions.

You Would

• Execute on the full role of Digital Assessor to ensure contribution to the achievement of the business strategy and ease of doing business.
• Answer telephone and digital queries from brokers, based on updated logs.
• Analyse claims and confirm coverage in the non-motor sector.
• Draft correspondence, including rejection letters if necessary.
• Request and analyze digital policy files and related documentation.
• Appoint specialist resources as required for in-depth assessments (e.g., builder, engineer).
• Compare information collected to policy requirements and claim details.
• Decide and negotiate on replacement, cash settlements, or claims card issuance.
• Authorize repairs or cash settlements based on assessment outcomes.
• Handle and resolve client and broker complaints in a timely and fair manner.
• Manage relationships with clients, brokers, service providers, and internal stakeholders, including relationship managers.
• Ensure effective and continuous communication with all stakeholders.
• Conduct action quantum and merit investigations.
• Perform assessments to establish claim validity and claims adjustment functions to manage costs and ensure correct settlements.

Accountability & Urgency

• Responsible for own effectiveness and related results.
• Operate efficiently in a highly pressurized and complex environment, treating claims and tasks with extreme urgency.

Business Acumen

• Understand main business drivers to impact decision-making.
• Maintain awareness of developments in the organizational structure and processes.
• Demonstrate financial awareness, controlling costs, and thinking in terms of profit, loss, and added value.

Teamwork

• Co-operates and works well with others in the pursuit of team goals; shares information; supports others.

Claims Processing 

• Understand and effectively apply the claims processes.
• Drive intended results including service and costs.
• Possess technical expertise on vehicle damage.

Quality Driven

• Maintain high standards of quality without diminishing effectiveness.
• Support business objectives and deliver exceptional customer service and experience.

Customer Centricity

• Prioritize customer service and customer experience in decision-making.
• Base all decisions on providing excellent customer service.

Decision-Making and Problem Solving

• Apply complex reasoning to analyse challenges and implement effective solutions.
• Use skills and expertise in decision-making to achieve results.

Team Player

• Work well with others, supporting peers and colleagues to foster team success.

Relationship Management and Networking

• Build networks with parties enabling the achievement of team goals.
• Establish trust and rapport with customers.
• Present solutions that meet customer objectives.

Experience, knowledge & skills required

• Matric
• 3-5 years of non-life insurance experience.
• 2-3 years of relevant claims assessment experience in non-motor sectors.

Preferred Qualifications/Competencies:

• FAIS Credits
• RE5 - Short Term
• Experience in digital assessments of non-motor claims.
• Insurance and/or building related certifications/qualifications.
• Tertiary Degree/Diploma
• Advanced application of mathematics, logical sequencing & pattern recognition