Non-Motor Claims Assessment Specialist

2 months ago


Polokwane, Limpopo, South Africa Old Mutual Full time
Job Title: Non-Motor Claims Assessment Specialist

We are seeking a highly skilled and experienced Non-Motor Claims Assessment Specialist to fill this critical role. The successful candidate will be responsible for investigating, adjusting, and reporting on assigned claims, ensuring containment of all Non-Motor claims spend while providing excellent service and setting a culture of best practice.

Key Responsibilities:
  • Process and understand Non-Motor claims terms and claim types.
  • Be aware of escalation metrics and approved channels.
  • Analyze problems and formulate solving approaches.
  • Identify signs and details indicating fraud.
  • Understand Non-Motor claims policies, activities, and procedures.
Claims Process:
  • Provide prompt and correct assessments.
  • Explore alternatives for claims assessing and settlement processes.
  • Map client needs to company specifications.
  • Create collaborative relationships with internal and external stakeholders.
  • Support the implementation of new systems and processes.
Service Delivery:
  • Follow service practices to determine customer service and relations status.
  • Proactively identify customer solutions to address changing service requirements.
  • Establish productive operational relationships with key stakeholders.
Cost Control and Governance:
  • Ensure use of time, resources, money, materials, or equipment is in line with policies and procedures.
  • Comply with corporate governance policies, procedures, and standards.
  • Operate within agreed mandates.
Requirements:
  • National Senior Certificate (NSC).
  • Higher Certificate in Short-Term Insurance (NQF 5).
  • 3-5 years Non-Motor Claims Assessment experience.
  • Certified and Accredited Fraud Examiner (ACFE).
  • Valid South African Driver's License.
Skills:
  • Analytical Decision Making.
  • Property Valuations.
  • Report Writing.
Education:
  • Higher Certificate in Short-Term Insurance (Required).
  • Matriculation Certificate (Matric) (Required).


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