Claims assessor-2

Credit Guarantee Insurance Corporation of Africa Ltd; Johannesburg; In loco; ZAR 320.000 - 420.000; Tempo pieno

Descrizione del lavoro

Old Mutual South Africa invites an experienced claims professional to join our short-term claims team in Johannesburg. You will research, review and determine complex settlement outcomes, while ensuring policy terms are applied accurately and deadlines are met.

In this role you will audit files, liaise with brokers and policyholders, participate in continuous improvement, and maintain governance standards while delivering exceptional service and cost-efficient outcomes.

Competenze

• Post-Matric commercial qualification (NQF Level 6-7 or equivalent) or studying towards one.
• 2 years’ relevant Trade Credit or Claims experience.
• Accounts receivable and credit control experience; debtor’s department experience beneficial.

Mansioni

• Researches, reviews and examines coverage information for complex short-term claim settlements.
• Reviewing/auditing Claim Files and reserves within time standards.
• Provide policyholders and Brokers with excellent service and inform on claim status.
• Liaise with internal support divisions and external stakeholders.
• Participate in problem solving and continuous improvement activities.
• Ensure compliance with governance requirements and policies.

Conoscenze

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

Formazione

NQF Level 6-7 or equivalent

Descrizione del lavoro

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

Purpose of the Job

• Responsible for researched, records and examines coverage information to make highly complex short term claim settlement determinations.
• Responsible for making highly complex short term claim settlement determinations.
• Reviewing/auditing Claim Files and reserves within time standards.
• Correct understanding and application of Policy Terms and Conditions.
• Daily reviewing/auditing of the claims processed and legal claims.
• Daily providing policyholders and Brokers with excellent service.
• Regularly keeping policyholders and Brokers informed on the status of their claims.
• Regularly liaise with internal support divisions, i.e. Salvages Department.
• Visiting external stakeholders.
• Continuous improvement to ensure effective service.
• Actively participate in problem solving activities to define problems, assess current state root causes, design and test solutions, implement solutions, and sustain and continuously improve to permanently eliminate problems.
• Actively participates in continuous improvement by fully engaging in daily huddles, generating suggestions, following appropriate procedures and continuous process improvement work principles, participating in problem solving activities, and utilizing continuous improvement tools to support the work of the team.
• Ensure statutory and legislative knowledge is always current in order to resolve customer complaints, to advise the business on corrective solutions to mitigate risks and to improve the customer experience whilst complying with governance requirements.
• Ensure adherence to organisational policies, practices and procedures.
• Identify solutions to enhance cost effectiveness and increase operational efficiency.
• Service delivery to ensure customer satisfaction.
• Maintain service, quality and desired outputs within a specific functional process through ensuring compliance to tactical policies, procedures and standards.
• Establish productive operational relationships with key stakeholders in the various channels and administrative teams.
• Develop work routines in line with operational plans / schedules in order to manage achievement of service delivery goals.
• Share knowledge on, and participate in the creation of new standards, control systems and procedures to maintain service delivery.
• Cost control and governance adherence.
• Proactively ensure use of time, of resources, money, materials or equipment is in line with policies and procedures.
• Comply with corporate governance policies, procedures and standards.
• Operate within agreed mandates.
• Quality people practices.
• Align own behaviour with the organisation culture and values.
• Share and transfer product, process and systems knowledge to colleagues.
• Ensure achievement of own performance objectives.
• Actively share information with other team members regarding successes, issues, trends and ideas.
• Actively participate in own professional development and career path.
• Actively promote a culture of learning and high performance culture amongst team members.

Applicants must be in possession of a post-Matric commercial qualification (NQF Level 6-7 or equivalent) or studying towards one. 2 years’ relevant Trade Credit or Claims experience. Must have accounts receivable and credit control experience. Debtor’s department experience will be beneficial na

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 Competencies Action Oriented Collaborates Drives Results Ensures Accountability Financial Acumen Instills Trust Manages Complexity Optimizes Work Processes Education NQF Level 3 & NQF Level 2 - Below school leaving

Closing Date 14 October 2026 , 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!

Old Mutual is a premium African financial services organisation that offers a broad spectrum of financial solutions to retail and corporate customers across key market segments in 14 countries. The lines of business include Life and Savings, Property and Casualty, Asset Management and Banking and Lending. We are rooted in our purpose of Championing Mutually Positive Futures Every Day and believe that a great customer experience is anchored in a great employee experience.