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Job Description

Old Mutual Insure is looking for a forward-thinking Claims Negotiator in the Non Motor fast track claims space

As a Fast Track Negotiator, you will play a pivotal role in the Claims function, ensuring the efficient negotiation and finalization of claims. The primary responsibility is to provide quality outcomes for the Claims function through effective negotiations while upholding the standards and procedures set by Old Mutual Insure.

You would

Execute on the full role of Fast Track Negotiator to ensure contribution to the achievement of the business strategy and ease of doing business.

Answer telephone and email queries from brokers, based on updated logs.

Analyze claims and confirm cover.

Draft rejection letters if claims are rejected.

Request and analyze policy files and related documentation.

Appoint assessors if required.

Capture/register claims.

Settle claims within mandate.

Prepare payments file on successful validation of the claim.

Finalize claims as per Old Mutual Insure standard operating procedures.

Keep brokers informed regarding the progress of claims from registration to finalization.

Accountability & Urgency

Responsible for own effectiveness and related results.

Operate efficiently in a highly pressurized and complex environment, treating claims and tasks with extreme urgency.

Business Acumen

Understand main business drivers to impact decision-making.

Maintain awareness of developments in the organizational structure and processes.

Demonstrate financial awareness, controlling costs, and thinking in terms of profit, loss, and added value.

Teamwork

Co-operates and works well with others in the pursuit of team goals; shares information; supports others.

Claims Processing

Understand and effectively apply the claims processes.

Drive intended results including service and costs.

Possess technical expertise.

Quality Driven

Maintain high standards of quality without diminishing effectiveness.

Support business objectives and deliver exceptional customer service and experience.

Customer Centricity

Prioritize customer service and customer experience in decision-making.

Base all decisions on providing excellent customer service.

Decision-Making and Problem Solving

Apply complex reasoning to analyse challenges and implement effective solutions.

Use skills and expertise in decision-making to achieve results.

Team Player

Work well with others, supporting peers and colleagues to foster team success.

Relationship Management and Networking

Build networks with parties enabling the achievement of team goals.

Establish trust and rapport with customers.

Present solutions that meet customer objectives.

Experience, knowledge & skills required

Matric certificate.

2-3 years of non-life insurance experience.

Preferred Qualifications/Competencies:

FAIS Credits

RE5 - Short Term

Insurance-related certifications

Tertiary Degree/Diploma

Good application of mathematics, logical sequencing & pattern recognition

The Recruitment process:

TA Interview: This will be a discussion with a member of the TA Team to give you an understanding of our business, our culture & values and more context on the role. It will also allow up the opportunity to get to know you a little better, and ensure OMI can meet your needs

Panel Interview: This will be with 2 members of the senior leadership data team and 1 member of the HC leadership team.

Technical & Psychometric Assessments: These will depend on the role and will sometimes happen concurrently with MIE & Internal Verification

Final Feedback

All About OMI:

https://www.oldmutual.co.za/about/old-mutual-insure/

https://www.linkedin.com/posts/old-mutual-insure_i-work-at-old-mutual-insure-of-course-activity-7161674472469524483-w0j6?utm_source=share&utm_medium=member_desktop

Skills

Accountability, Communication, Customer Service, Decision Making, Microsoft Excel, Microsoft Word, Results-Oriented, Teamwork

Education

Matriculation Certificate (Matric) (Required)

Closing Date

07 October 2024

The appointment will be made from the designated group in line with the Employment Equity Plan of Old Mutual South Africa and the specific business unit in question.

Old Mutual Limited is pro-vaccination and encourages its workforce to be fully vaccinated against Covid-19.

All prospective employees are required to disclose their vaccination status as part of the recruitment process.

Please refer to the Old Mutual’s Covid-19 vaccination policy for further detail. Kindly note that Old Mutual reserves the right to reinstate the requirement to vaccinate at any point if it is of the view that it is imperative to do so.

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