Senior Digital Motor Assessors-1

Old Mutual South Africa; Johannesburg; On-site; ZAR 300 000 - 450 000; Full time

Job summary

A leading insurance provider in South Africa is seeking an Assessor: Motor to provide digital assessment functions for motor claims. The ideal candidate will manage investigations, negotiate settlements, and handle various claim types. A minimum of 5 years in motor assessing and relevant certifications are required. This role is located in Johannesburg, offering a competitive salary and professional development opportunities.

Qualifications

• Minimum two years experience in automotive mechanic, automotive body repairer, or Vehicle Damage Quantification.
• 5+ years motor assessing experience.
• VDQ Certified with minimum practicing member.
• Qualified automotive mechanic or automotive body repairer (advantageous).

Responsibilities

• Review and analyze assigned insurance claims in line with standard claims procedures.
• Engage loss adjusters or subject-matter experts for complex issues.
• Interview and visit claimants to evaluate liability and insured losses.
• Contribute to investigation of suspected fraud or financial crime.

Skills

Action Planning

Claims Management

Claims Settlement

Data Compilation

Data Controls

Executing Plans

Financial Auditing

Insurance Claims Investigations

Oral Communications

Presenting Solutions

Education

NQF Level 5 - Higher, Advanced or Occupational Certificate

Tools

Audatex

Abuntex

Online systems

BPM

TIA

ICE

Job description

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 Role

As an Assessor: Motor, you would be responsible for providing a digital assessment function, focusing on motor claims.

The purpose of this position is to determine the quantum and merit of segmented motor claims by performing investigations, verifying the description of the event with the loss, negotiating with the client, intermediary, and service providers, and settling claims within a delegated threshold and according to contract conditions.

Principle Accountabilities

• Assess damage against a provided or requested quotation
• Decide whether to replace, repair part or use CAP parts when warranty has expired
• Negotiate telephonically with ABR using photographic evidence
• Generate claims report
• Communicate and negotiate with the client and / or intermediary
• Determine retail value of vehicle and extras (specified) for settlement
• Authorise for repair or cash settlement
• Make notes on systems, process claims and upload documents
• Responsible for additional requests and to sign off the final quantum (FRC)
• Handle complaints, queries and interaction with clients, intermediaries, service providers, internal stakeholders relationship managers, claims committee and underwriters, within the agreed time frame
• Accountable to handle for the following claim types:
  • Driveable non structural and major structural
  • Non drivable claims
  • Fast track
  • Radio equipment and locks
  • Accessories, tyres, rims
  • Cosmetics
  • Screening of merits
  • And other claims / responsibilities as specified by your team leader / manager

Job Minimum Requirements (Qualifications, Skills And Experience)

• Two years experience in automotive mechanic, automotive body repairer or automotive spray painting, or Vehicle Damage Quantification Qualification (VDQ) with two years' experience
• 5+ years motor assessing experienceQualified automotive mechanic or automotive body repairer (advantageous)
• Audatex / Abuntex
• VDQ Certified with minimum practising member
• System Knowledge
  • Online systems
  • BPM
  • TIA
  • ICE
  • Audatex / Abuntex

Handles a variety of coverage with a defined loss potential.

Reviews and processes claims of low to moderate face value or liability against policies and coverage information.

Decision-making is structured and objective.

Initiates necessary investigations.

Responsibilities

Insurance Claims Administration

Review 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 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.

Fraud / Financial Crime Investigation

Contribute to the investigation of cases of suspected fraud or financial crime by gathering, analyzing, and retaining information and physical evidence to support criminal investigation and / or legal action.

Recommend further actions to the lead investigator.

Fraud / Financial Crime Management

Analyze data to identify and track and report key trends in activities or transactions that indicate high risk of fraud, and report any specific instances of suspicious activity to more senior colleagues.

Operations Management

Provide operational support services and sometimes act as first-line supervisor of a transactional operations area.

Involves using existing systems and protocols.

Solutions Analysis

Interpret data and identify possible answers.

Involves navigating a wide variety of processes, procedures, and precedents.

Document Preparation

Organize and prepare complex documents using a variety of applications for technology devices, such as standard office software.

Also responsible for gathering and summarizing data for special reports.

Resolving Customer Issues

Respond to more advanced 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 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 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, Oral Communications, Presenting Solutions

Competencies

Business Insight, Collaborates, Decision Quality, Drives Results, Ensures Accountability, Financial Acumen, Instills Trust, Manages Complexity

Education

NQF Level 5 - Higher, Advanced or Occupational Certificate or equivalent

Closing Date 13 November, 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!