Negotiator – (Non Motor) Old Mutual South Africa Vacancy

Provide quality claims negotiating outcomes for the Claims function through effective and efficient claims negotiations and finalisation of claims.

• Register commercial non motor claims in adherence with SLA.
• Arrange assessment in adherence with SLA.
• Review merit of claim.
• Complete Risk assessment and additional support request analysis.
• Clarify and amend information where required
• Appoint the support service required.
• Review Support Function Report.
• Calculate and Analyze technical computations.
• Capture decision in system.
• Diarize Awaiting Info Documentation.
• Prepare Rejection Letter, where required.
• Perform Write-Off Procedures, where required.
• Authorize repair by Service Provider, if applicable.
• Authorize replacement, if applicable.
• Prepare Payment with communication details.
• Await additional information on multiple payments, if required.
• Continuously improve claims service, manage claims spend and contain the increase in average cost of claims.
• Reduce/ maintain Commercial Non Motor Claims service effectively.
• Reduce/ maintain turnaround time of Commercial Non Motor Claims.
• Ensure effective implementation and compliance of claims/ operational systems or procedures.
• Ensure diary is maintained.
• Ensure estimates are raised accurately and timeously in accordance with best practice as and when new claims and new documents are actioned.
• Effectively deal with Co and Re-insurers
• Maintain service, quality and desired outputs within a specific functional process through ensuring compliance to tactical policies, procedures and standards.
• Resolve escalated customer queries and complaints and provide feedback to customers on matters resolved.
• 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.

Job Requirements

• Matric
• Appropriate Insurance qualification
• 2-3 Years relevant commercial non motor claims Experience

Skills

Education

N4 – N6 National certificate (N4-N6): Insurance (Specialisation In Short-Term Insurance) (Required)