24 Nov 2021

Full-Time Specialist Claims Negotiator by Old Mutual

Old Mutual – Posted by JobdirectaSouthAfrica Staff Gauteng, Johannesburg

Job Description

Job Description

To provide a quality Non Motor Liability claims service, ensure containment of claims spend and provide excellent service in setting a culture of best practice within mandated responsibility.

End-to-end negotiation and settlement of Commercial Non Motor claims

  • Process commercial non motor liability claims in adherence with SLA.
  • Arrange assessment in adherence with SLA.
  • Review merit of claim.
  • Complete Risk assessment 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.
  • 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.
  • Improve / maintain Commercial Non Motor liability Claims service effectively.
  • Reduce/ maintain turnaround time of Commercial Non Motor liability 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.

 

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.

 

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Cost  and risk reduction

  • 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.

Communicating with Impact

  • Readily maintains open and consistent communication with others

Conflict resolution

  • The ability to anticipate and takes action to avoid/reduce potential conflict

Decision making and problem solving

  • The ability to apply Rules In Decision-Making

Business Administration Skills

  • Knowledge and application of business administrative activities.

Claim Verification Procedure

  • In depth knowledge and application of claims processing activities in line with the applicable product

Service Delivery

  • Implementation of the daily administrative processes for excellence in service delivery

Data Capturing

  • Capturing and verifying data of financial and non financial nature.

Negotiation skills

  • Apply negotiation/liability skills during  negotiation phase

Qualifications

Matric

Appropriate Insurance Qualification

egal background preferable

years liability claims handling / Alternatively 4 years Commercial non motor experience

Closing Date: Not specified

HOW TO APPLY

Click Here to Submit your CV and Application on Company Website

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Job Categories: ICT/Computing Jobs in South Africa. Job Types: Full-Time. Job Tags: Old Mutual Limited job vacancies in SA. Salaries: Competitive. Prominent words: service and service delivery.

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