Assessor: Complaints & Continuous Improvement

Lets Write Africas Story Together!

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

Job Description

Responsibilities

Insurance Claims Administration

Review and analyze assigned insurance claims in line with the organizations 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 this involves using existing systems and protocols.

Solutions Analysis

Interpret data and identify possible answers this 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 organizations 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.

The Recruitment Process:

• TA Interview: This will be a discussion with a member of the Talent Acquisition Team to give you an understanding of our business our culture & values and more context on the role. It will also allow us the opportunity to get to know you more and ensure OMI can meet your career aspirations.

• Panel Interview: This will be with 2 members of the Senior Leadership of the Hiring Team and 1 member of the HC Leadership Team.

• Technical & Psychometric Assessments: These will depend on the role and will sometimes happen concurrently with Vetting through an external service provider & Internal Verification.

• Final Feedback.

All About OMI:

note that unfortunately we cannot accept any applications after the closing date

Skills