Career Opportunities at Old Mutual South Africa

Job Description

• Suitably qualified candidates are invited to apply for the above position in a vibrant Claims Assessing Team in Pinelands, Cape Town. If you are a dynamic individual, with high energy and positive attitude, read more about this exciting opportunity.
• This Claims Assessing Development Program position prepares participants for a career in claims assessing, through a robust in-house training program. The claims assessing trainees will learn about our assessing philosophy, business unit products, specialist technical knowledge to evaluate and manage the validity of contracts and determine and manage the liability of claims.
• The Claims Assessing Development Program will span over a period of twelve (12) months. During the 12 month period, candidates will be assessed by way of examinations, audits, assignments and practical application of knowledge. As knowledge base increases, participants will gradually be given more responsibility within the department. Trainee Assessors on the Development Program will begin by selecting and accepting risk and/or liability on behalf of the organization and evaluates proposals and medical evidence against business rules and practices.
• At the end of the twelve month period comprehensive audits will be conducted to establish overall quality of work and decision making capability. Success will be measured by a predetermined minimum pass rate.

KEY RESULT AREAS

Risk Management

• Be responsible for own claims assessment decisions, under the supervision of a mentor.
• Uses specialist technical knowledge to evaluate and manage the validity of contracts and determine and manage the liability of claims.
• Determines, selects and accepts risk and/or liability on behalf of the organisation.
• Evaluates proposals and  medical evidence against business rules and practices.
• Exercises discretion in decision making within standardised practice.
• Effectively handle all intermediary enquires and give advice regarding specific requirements and impairments.
• Accurately capture Claims assessment information into the product administration system.
• Gather and review information on risk exposures, and economic trends that may impact claim decisions

Client Service

• Provide written communication to clients, distribution channels and internal stakeholders.
• Keep abreast of developments and trends in areas of expertise.
• Uphold and maintain the image of Claims Assessing and Old Mutual by always maintaining the highest standard in client care.

Personal Effectiveness

• Develop critical assessing skills, through classroom, independent, and on-the-job training, determination of appropriate insurance coverage and conditions.
• Accountable for service delivery through own efforts.
• Individually accountable for managing own time, tasks and output quality
• Collaborates effectively with others to achieve personal results.
• Accepts and lives the company values.

ROLE REQUIREMENTS

• Matric with Biology or Mathematics or Accounting
• Bilingual, English and one other official language- essential.  
• Completed medical / medically aligned degree, e.g. Nursing; Occupational Therap
• Physiotherapy, or a three (3) year related diploma would be an advantage
• Specialised medical knowledge through learning or experience will be advantageous
• PC proficiency
• Good problem-solving and decision-making skills.
• Strong planning, organising and time-management skills.
• Ability to work under pressure whilst still maintaining a professional image.
• Good interpersonal skills.
• Innovative and energetic, strong team player.
• Well developed, written & verbal communication skills
• Must be willing to work overtime where necessary

Closing Date

22 February 2023