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Job Description

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Old mutual Insure is looking for the Negotiator in the Elite space. To provide a quality personal claims service, ensure containment of claims spend and provide excellent service in setting a culture of best practice within mandated responsibility

You Would

End-to-end negotiation and settlement of personal claims

Process personal claims - Cost-control – Efficiency -Productivity

Customer Service

Register personal claims in adherence with SLA.

Arrange assessment in adherence with SLA.

Review merit of claim.

Complete Risk assessment/checklist 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.

Perform Write-Off Procedures, where required.

Authorise repair by Service Provider, if applicable.

Authorise replacement, if applicable.

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.

Reduce/ maintain Personal Claims service effectively.

Reduce/ maintain turnaround time of Personal 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, as well as when claims are worked on.

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.

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.

Job Requirements : Skills, Experience and Qualification

Matric

3 years relevant short term insurance claims experience

Appropriate insurance qualification

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 of the 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

Competencies

Action Oriented

Collaborates

Drives Results

Ensures Accountability

Financial Acumen

Instills Trust

Manages Complexity

Optimizes Work Processes

Education

Closing Date

19 January 2025 , 23:59

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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