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  • Posted: Nov 24, 2021
    Deadline: Not specified
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  • Old Mutual Limited (OML) is a premium African financial services group that offers a broad spectrum of financial solutions to retail and corporate customers across key markets in 14 countries.


    Read more about this company

     

    Specialist Claims Negotiator

    Job Description

    To provide a quality Non Motor Liability claims service, ensure containment of claims spend and provide excellent service in setting a culture of best practice within mandated responsibility.

    End-to-end negotiation and settlement of Commercial Non Motor claims

    • Process commercial non motor liability claims in adherence with SLA.
    • Arrange assessment in adherence with SLA.
    • Review merit of claim.
    • Complete Risk assessment and additional support request analysis.
    • Clarify and amend information where required
    • Appoint the support service required.
    • Review Support Function Report.
    • Calculate and Analyse technical computations.
    • Capture decision in system.
    • Diarise Awaiting Info Documentation.
    • Prepare Rejection Letter, where required.
    • Prepare Payment with communication details.
    • Await additional information on multiple payments, if required.
    • Continuously improve claims service, manage claims spend and contain the increase in average cost of claims.
    • Improve / maintain Commercial Non Motor liability Claims service effectively.
    • Reduce/ maintain turnaround time of Commercial Non Motor liability Claims.
    • Ensure effective implementation and compliance of claims/ operational systems or procedures.
    • Ensure diary is maintained.
    • Ensure estimates are raised accurately and timeously in accordance with best practice as and when new claims and new documents are actioned.

     

    Quality people practices

    • Collaborate and work closely together with others thereby leveraging constructive team dynamics and innovation
    • Be aware of capacity building initiatives (i.e. development programmes, training, mentorship, coaching etc.)
    • Align own behaviour with the organisation culture and values
    • Achieve own performance objectives

    Actively participate in own professional development and career path.

     

    Cost  and risk reduction

    • Proactively ensure use of time, of resources, money, materials or equipment is in line with policies and procedures

     

    Quality service delivery

    • Provide customer services in line with quality and performance standards
    • Build positive customer relations and solve or escalate customer queries and complaints
    • Gather feedback on customer satisfaction and report to the relevant party

    Proactively suggest improvements in customer service and relations where applicable.

    Continuous improvement to ensure good quality

    • Adhere to specified standards, policies, practices and procedures.

    Identify and recommend areas / ways to improve processes.

    Communicating with Impact

    • Readily maintains open and consistent communication with others

    Conflict resolution

    • The ability to anticipate and takes action to avoid/reduce potential conflict

    Decision making and problem solving

    • The ability to apply Rules In Decision-Making

    Business Administration Skills

    • Knowledge and application of business administrative activities.

    Claim Verification Procedure

    • In depth knowledge and application of claims processing activities in line with the applicable product

    Service Delivery

    • Implementation of the daily administrative processes for excellence in service delivery

    Data Capturing

    • Capturing and verifying data of financial and non financial nature.

    Negotiation skills

    • Apply negotiation/liability skills during  negotiation phase

    Qualifications

    Matric

    Appropriate Insurance Qualification

    egal background preferable

     years liability claims handling / Alternatively 4 years Commercial non motor experience

    Method of Application

    Interested and qualified? Go to Old Mutual on oldmutual.wd3.myworkdayjobs.com to apply

    Note: Never pay for any training, certificate, assessment, or testing to the recruiter.

  • Send your application

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