Cape Town, South Africa
6 days ago
Senior Claims Assessor

Let's Write Africa's Story Together!

Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.

Job Description

Role Overview

Use your specialist technical medical knowledge to assess risk for business and/or specific products.
Uses specialist technical knowledge to evaluate and manage the validity of contracts and determine and manage the liability of claims (Assessor).
Determines, selects and accepts risk and/or liability on behalf of the organisation.
Evaluates proposals and medical / financial evidence against business rules and practices.
Manage a portfolio of clients which encompasses presentations, reporting and assistance with the claims process.
Ongoing process optimisation & improvements within teams with a focus on implementing best practice in the longer term
Acts as mentor and coach for new staff
Collaborates effectively with others to achieve team goals
Regular engagement with Corporate teams, providing feedback to product team on claims trends
Accepts and lives the company values


Role Requirements

Grade 12/Matric with Biology, Mathematics
Completed medical / medically aligned Degree, e.g. Nursing, Occupational Therapy, Physiotherapy
Minimum 2 years Clinical experience
Experience in the Financial Service Industry is highly advantageous
Specialised medical knowledge through learning or experience - essential
Disability Claims assessment experience in a Group Assurance or Risk environment and GAP product knowledge - advantageous 
Well developed interpersonal skills
Strong verbal and written communication skills
Attention to detail
Good presentation skills
Computer literate and proficient in MS Office programmes e.g. Word & Excel
Have sound analytical and problem solving abilities with a focus on attention to detail
Work effectively with internal and external colleagues and clients to accomplish organisational and team goals
Enjoy working in a progressive environment

Skills

Education

Closing Date

29 June 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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