Specialist Claims Consultant at Old Mutual

Job Description

Perform the end-to-end negotiation and settlement of claims and pre-litigation while ensuring operational efficiencies and quality service delivery: Financial Lines and Casualty/Liability Claims.

Perform the end-to-end negotiation and settlement of claims and pre-litigation.

• Registration of new claims on TIA.
• Manage and update internal manual reports required for monthly claims reporting to various stakeholders.
• Process claims within an approved mandate and sign off from the Senior Specialist: Claims to secure a successful liability ratio, productivity and superior customer experience.
• Appoint service providers, on approval to ensure optimum claims handling.
• Assist in the management of external service providers.
• Loading of banking details in relation to claim settlements on verified documentation.
• Attending to payments on TIA
• Identify potential fraudulent cases and liaise with the relevant in-house teams to combat fraud where necessary.
• Manage and own the customer experience for all customers, including third parties to meet SLA’s.
• Advise underwriting on all aspects relating to a policy for renewal purposes
• Assess claims to ensure all technical aspects for claims settlement are adhered to.
• Attend to the recoveries on the system where applicable

Service delivery to ensure customer satisfaction

• Maintain service, quality and desired outputs within a specific functional process through ensuring compliance to tactical policies, procedures and standards.
• Establish productive operational relationships with key stakeholders in the various channels and administrative teams.
• Develop work routines in line with operational plans / schedules to manage achievement of service delivery goals.
• Share knowledge on, and participate in the creation of new standards, control systems and procedures to maintain service delivery.

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.

Quality people practices

• Align own behaviour with the organisation culture and values.
• Share and transfer product, process and systems knowledge to colleagues.
• Ensure achievement of own performance objectives.
• Actively share information with other team members regarding successes, issues, trends and ideas.
• Actively participate in own professional development and career path.
• Actively promote a culture of learning and high-performance culture amongst team members.

Skills

Agreement Negotiations, Client Relations Skills, Client Retention, Client Service Orientated, Operational Expertise

Education

• Bachelor Of Laws (LLB): Law (Required), Matriculation Certificate (Matric): Business Administration/Management (Required)

Closing Date

• 18 October 2022