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A leading company in the financial services industry seeks an administrative professional for assessor support and claims scheduling in Johannesburg. This role requires strong organizational skills, the ability to manage multiple tasks, and experience in the insurance sector. The ideal candidate will ensure the smooth processing of claims while adhering to quality standards and improving service delivery.
Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.
Job Description
Purpose of the Job
Assessor Support and Scheduling of claims
Critical objectives and responsibilities
Assessor Support and related functions
Scheduling of claims
Claims Scheduling Improvement Initiatives
Service delivery to ensure customer satisfaction
Cost control and governance adherence
Quality people practices
Experience knowledge & skills required
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. Decisionmaking is structured and objective. Initiates necessary investigations. Exercises judgment to assign adjusters or to refer information to attorneys or subjectmatter experts for additional data. Settles and negotiates claims within authorised authority.
Responsibilities
Insurance Claims Administration
Review and analyze assigned insurance claims in line with the organizations standard claims procedures and customer service standards. Engage loss adjusters and / or subjectmatter experts where appropriate authorize claims within delegated authority and refer complex or unresolved issues to senior colleagues.
Insurance Claims Evaluation
Interview 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.
Carry out assigned information and evidencegathering activities to support the investigation of cases of suspected fraud or financial crime and the instigation of criminal investigations and / or legal actions.
Use established prevention models systems and protocols to monitor client or customer activities or transactions informing more senior colleagues about suspicious activities.
Operations Management
Provide operational support by performing a range of routine activities using existing systems and protocols.
Solutions Analysis
Find the most effective ways to respond to routine functional inquiries. Involves following procedures and precedents.
Document Preparation
Prepare 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 Issues
Respond to basic issue escalations promptly and appropriately; provide managerial approvals as required.
Regulatory and Compliance Management
Carry out a wide range of compliance monitoring activities and give basic advice on compliance and regulatory requirements.
Operational Compliance
Develop knowledge and understanding of the organizations 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 Building
Develop 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 Solutions
Action Oriented
Drives Results
Ensures Accountability
Manages Complexity
Education
NQF Level 3 & NQF Level 2 Below school leaving
Closing Date
29 April 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.
The Old Mutual Story!
Required Experience :
Contract
Key Skills
Intelligence,Information Technology Sales,Accounts,Auto Parts,Data Analysis
Employment Type : Full-Time
Experience : years
Vacancy : 1