Negotiator: Agri Motor and Non Motor at Old Mutual South Africa

Job Description

• To provide a Specialist Claims service in terms of Agri Claims that ensures containment of claims spend and provides excellent service in setting a culture of best practice within mandated responsibility.
• Continuously improve claims service, innovatively develop methods on managing claims spend and containing the increase in average cost of claims.
• Deal with and resolve National Claims and Ombudsman complaints in an efficient and effective manner.
• Manage and track claims service, quality control and delivery effectively.
• Act as a claims technical advisor by educating various stakeholders about Agri Claims processes and procedures.
• Effectively communicate and give feedback to stakeholders when and as required.
• Prepare periodic reports and presentations on project progress, issues and progress against timeline reports/updates.
• End to end processing of Agri Motor and Non Motor claims in the ICE workflow system and TIA
• Validation of the policy coverage & Sum Insured
• The ability to verify, scrutinize and process claims received in the insurance field of work.
• Advanced knowledge and application of claims processing.
• Verify all required documents and information available based on claim description
• Accountable to drive repairs and replacements, ensuring faster and improved service delivery via rigor on follow-up
• Follow up with Assessors, repair teams on status of claim
• Efficient and effective claim settlement.
• Cost containment of claims settlement.
• Awareness of claims processes and procedures.
• Optimize customer service and relations to ensure customer satisfaction
• Update client with current status of client via, calls, MF-Online or SMSs
• Follow up with supplier for invoice
• Desk Assessment of claims in Symbility
• Managing claims estimates regularly
• Operating within the set Claims SLA’s
• Delivering a world class service to customers, and intermediaries and all business partners
• Appointment of assessors and other service providers and managing their TAT and service on claims
• Implementing and supporting initiatives for customer service, claims handling and average cost per claim management
• Implementation of the operational Agri Claims framework, processes, systems and policies across allocated divisions to ensure optimal service delivery.

Skills

• Claims Processing, Insurance Claims