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Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.
Job Description
Purpose of the Job
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.
Critical objectives and responsibilities
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.
Accountability & Urgency
Business Acumen
Teamwork
Claims Processing
Quality Driven
Customer Centricity
Decision-Making and Problem Solving
Team Player
Relationship Management and Networking
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 needsPanel Interview: This will be with 2 members of the senior leadership of the data team and 1 member of the HC leadership teamTechnical & Psychometric Assessments: These will depend on the role and will sometimes happen concurrently with MIE & Internal VerificationFinal FeedbackAll 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
Handles a variety of coverage with a defined loss potential. Reviews and proceses claims of low to moderate face value or liability against policies and coverage information. Decision-making is structured and objective. Initiates necessary investigations. Exercises judgment to assign adjusters or to refer information to attorneys or subject-matter experts for additional data. Settles and negotiates claims within authorised authority.ResponsibilitiesInsurance Claims AdministrationReview and analyze assigned insurance claims in line with the organization's standard claims procedures and customer service standards. Engage loss adjusters and/or subject-matter experts where appropriate, authorize claims within delegated authority, and refer complex or unresolved issues to senior colleagues.
Insurance Claims EvaluationInterview and/or visit claimants to evaluate the extent of liability and the value of insured losses in line with policy coverage. Adjust losses and negotiate settlement within delegated authority limits, referring complex or disputed claims to senior colleagues for resolution.
Fraud/Financial Crime InvestigationCarry out assigned information and evidence-gathering activities to support the investigation of cases of suspected fraud or financial crime and the instigation of criminal investigations and/or legal actions.
Fraud/Financial Crime ManagementUse established prevention models, systems, and protocols to monitor client or customer activities or transactions, informing more senior colleagues about suspicious activities.
Operations ManagementProvide operational support by performing a range of routine activities using existing systems and protocols.
Solutions AnalysisFind the most effective ways to respond to routine functional inquiries. Involves following procedures and precedents.
Document PreparationPrepare moderately complex documents using a variety of applications for technology devices, such as standard office software. Also responsible for gathering and summarizing data for reports.
Resolving Customer IssuesRespond to basic issue escalations promptly and appropriately; provide managerial approvals as required.
Regulatory and Compliance ManagementCarry out a wide range of compliance monitoring activities and give basic advice on compliance and regulatory requirements.
Operational ComplianceDevelop knowledge and understanding of the organization's policies and procedures and of relevant regulatory codes and codes of conduct to ensure own work adheres to those standards. Obtain authorization from a supervisor or manager for any exceptions from mandatory procedure.
Personal Capability BuildingDevelop own capabilities by participating in assessment and development planning activities as well as formal and informal training and coaching. Develop and maintain an understanding of relevant technology, external regulation, and industry best practices through ongoing education, attending conferences, and reading specialist media.
Skills
Action Planning, Claims Management, Claims Settlement, Data Compilation, Data Controls, Executing Plans, Financial Auditing, Insurance Claims Investigations, Insurance Product Management, Insurance Sales, Oral Communications, Presenting SolutionsCompetencies
Action OrientedCollaboratesDrives ResultsEnsures AccountabilityFinancial AcumenInstills TrustManages ComplexityOptimizes Work ProcessesEducation
NQF Level 3 & NQF Level 2 - Below school leavingClosing Date
31 January 2025 , 23:59The 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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