Posted on: 18 August 2024
ID 921654

Negotiator : Elite Non-Motor

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Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.

Job Description

Old mutual Insure is looking for the Negotiator in the Elite space. To provide a quality personal claims service, ensure containment of claims spend and provide excellent service in setting a culture of best practice within mandated responsibility

You Would

End-to-end negotiation and settlement of personal claims

Process personal claims - Cost-control Efficiency -Productivity

Customer Service
  • Register personal claims in adherence with SLA.
  • Arrange assessment in adherence with SLA.
  • Review merit of claim.
  • Complete Risk assessment/checklist and additional support request analysis.
  • Clarify and amend information where required
  • Appoint the support service required.
  • Review Support Function Report.
  • Calculate and Analyse technical computations.
  • Capture decision in system.
  • Diarise Awaiting Info Documentation.
  • Prepare Rejection Letter, where required.
  • Perform Write-Off Procedures, where required.
  • Authorise repair by Service Provider, if applicable.
  • Authorise 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 Personal Claims service effectively.
  • Reduce/ maintain turnaround time of Personal 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, as well as when claims are worked on.
Quality people practices
  • Collaborate and work closely together with others thereby leveraging constructive team dynamics and innovation
  • Be aware of capacity building initiatives (i.e. development programmes, training, mentorship, coaching etc.)
  • Align own behaviour with the organisation culture and values
  • Achieve own performance objectives
  • Actively participate in own professional development and career path.
  • Proactively ensure use of time, of resources, money, materials or equipment is in line with policies and procedures.
Quality service delivery
  • Provide customer services in line with quality and performance standards
  • Build positive customer relations and solve or escalate customer queries and complaints
  • Gather feedback on customer satisfaction and report to the relevant party
  • Proactively suggest improvements in customer service and relations where applicable.
Continuous improvement to ensure good quality
  • Adhere to specified standards, policies, practices and procedures.
  • Identify and recommend areas / ways to improve processes.
Job Requirements : Skills, Experience and Qualification
  • Matric
  • 3 years relevant short term insurance claims experience
  • Appropriate insurance qualification
The Recruitment process:
  • TA Interview: This will be a discussion with a member of the TA Team to give you an understanding of our business, our culture & values and more context on the role. It will also allow up the opportunity to get to know you a little better, and ensure OMI can meet your needs
  • Panel Interview: This will be with 2 members of the senior leadership of the data team and 1 member of the HC leadership team
  • Technical & Psychometric Assessments: These will depend on the role and will sometimes happen concurrently with MIE & Internal Verification
  • Final Feedback
All About OMI:

https://www.oldmutual.co.za/about/old-mutual-insure/

https://www.linkedin.com/posts/old-mutual-insure_i-work-at-old-mutual-insure-of-course-activity-7161674472469524483-w0j6?utm_source=share&utm_medium=member_desktop

Skills

Education

Closing Date

22 August 2024

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.

Old Mutual Limited is pro-vaccination and encourages its workforce to be fully vaccinated against Covid-19.

All prospective employees are required to disclose their vaccination status as part of the recruitment process.

Please refer to the Old Mutuals Covid-19 vaccination policy for further detail. Kindly note that Old Mutual reserves the right to reinstate the requirement to vaccinate at any point if it is of the view that it is imperative to do so.

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