Old Mutual: Trainee Claims Assessor -12 months Contract (South Africa).
Closing date: 19 December 2023
Location: Cape Town
Old Mutual: Trainee Claims Assessor -12 months Contract
KEY RESULT AREAS
Risk Management
- Be responsible for own claims assessment decisions, under the supervision of a mentor.
- Uses specialist technical knowledge to evaluate and manage the validity of contracts and determine and manage the liability of claims.
- Determines, selects and accepts risk and/or liability on behalf of the organisation.
- Evaluates proposals and medical evidence against business rules and practices.
- Exercises discretion in decision making within standardised practice.
- Effectively handle all intermediary enquires and give advice regarding specific requirements and impairments.
- Accurately capture Claims assessment information into the product administration system.
- Gather and review information on risk exposures, and economic trends that may impact claim decisions
Client Service
- Provide written communication to clients, distribution channels and internal stakeholders.
- Keep abreast of developments and trends in areas of expertise.
- Uphold and maintain the image of Claims Assessing and Old Mutual by always maintaining the highest standard in client care.
Personal Effectiveness
- Develop critical assessing skills, through classroom, independent, and on-the-job training, determination of appropriate insurance coverage and conditions.
- Accountable for service delivery through own efforts.
- Individually accountable for managing own time, tasks and output quality
- Collaborates effectively with others to achieve personal results.
- Accepts and lives the company values.
SEE ALSO:
ROLE REQUIREMENTS
- Matric with Biology or Mathematics or Accounting
- Bilingual, English and one other official language- essential.
- Completed medical / medically aligned degree, e.g. Nursing; Occupational Therap
- Physiotherapy, or a three (3) year related diploma would be an advantage
- Specialised medical knowledge through learning or experience will be advantageous
- PC proficiency
- Good problem-solving and decision-making skills.
- Strong planning, organising and time-management skills.
- Ability to work under pressure whilst still maintaining a professional image.
- Good interpersonal skills.
- Innovative and energetic, strong team player.
- Well developed, written & verbal communication skills
- Must be willing to work overtime where necessary
HOW TO APPLY:
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.