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  • Posted: Nov 6, 2017
    Deadline: Not specified
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    Old Mutual is an international investment, savings, insurance and banking group. For over 170 years we have been serving the growing insurance and investment needs of our customers, helping them achieve their lifetime financial goals.
    Read more about this company

     

    Claims Assessor

    Job description

    Role Description

    This role uses specialist technical knowledge to assess risk for the business and/or specific products.
    This role is for a dynamic individual with willingness to learn and be part of a specialised claims assessing team.

    Key Result Areas:

    • Personal Effectiveness
    • Accountable for service delivery through own efforts.
    • Individually accountable for managing own time, tasks and output quality for periods of 1 day to a maximum of 3 months.
    • Makes increased contributions by broadening individual skills.
    • Collaborates effectively with others to achieve personal results.
    • Accepts and lives the company values.
    • Risk Management
    • 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.

    Role Requirements

    • Matric with Biology, Mathematics or Accounting essential
    • Completed medical / medically aligned degree, e.g. Nursing; Occupational Therapy; Physiotherapy, or a three (3) year related diploma is essential;.
    • Claims assessing experience would be an added advantage.
    • Specialised medical knowledge through learning or experience essential.
    • Experience in the Financial Service Industry would be advantageous.
    • Greenlight product knowledge will be advantageous.
    • PC proficiency in Ms Office i.e. Word, Excel etc.
    • Well developed interpersonal skills.
    • Strong verbal and written communication skills particularly the ability to have difficult conversations.
    • Attention to detail.
    • Well developed problem solving skills.
    • Good presentation skills
    • Must be a team player.
    • Must be willing to work shifts and overtime where necessary.
    • Competencies
    • Decision Making
    • Gaining Commitment
    • Ownership
    • Thinking Skills
    • Tenacity
    • Continuous Renewal

    Method of Application

    Interested and qualified? Go to Old Mutual South Africa on vacancies.oldmutual.co.za to apply

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