Claims Assessor

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

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Old Mutual’s purpose of “Championing Mutually Positive Futures Every Day” is to help our customers thrive by enabling them to achieve their lifetime financial goals. We believe that a great customer experience is rooted in a great employee experience, and we strive to enable our employees to Find Their Greatness through a Great Career, at a Great Global Company, with Great Leaders, a Great Culture, and Great Rewards and Recognition. If our purpose resonates with you, and you are a driven and ambitious top achiever with a strong determination to succeed then join Old Mutual. We will provide you with opportunities to unleash your Greatness.
Key focus of the role:
This role uses specialist technical knowledge to assess claims in the individual life benefit range for the business and/or specific products.
This role is for a dynamic individual with a willingness to learn and be part of a specialised claims assessing team.

Role Description & Key Result Areas:

• Personal Effectiveness
  • Accountable for managing own time effectively to meet service delivery needs.
  • Prioritise tasks and ensure high-quality output.
  • Makes increased contributions by broadening individual skills.
  • Collaborates effectively with others and can work independntly.
  • Accepts and lives the company values.
• Risk Management
  • 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 financial and medical evidence against business rules and practices.
  • Exercises discretion in decision-making within standardised practice.

Role Requirements

• Matric with Biology, Mathematics, or Accounting essential
• Completed medical / medically aligned degree, e.g. Nursing; Occupational Therapy; Physiotherapy, or a three (3) year related diploma would be a distinct advantage.
• Claims assessing experience would be an added advantage.
• Specialised medical knowledge through learning or experience is essential.
• Experience in the Financial Service Industry would be advantageous.
• PC proficiency in MS Office i.e. Word, Excel, etc.
• Well-developed interpersonal skills.
• Strong verbal and written communication skills particularly the ability to have difficult conversations.
• Attention to detail.
• Well-developed problem-solving skills.
• Excellent time management skills
• Good presentation skills.
• Must be a team player.
• Must be willing to work shifts and overtime where necessary.

Competencies:

• Decision Making 
• Ownership
• Thinking Skills
• Tenacity
• Continuous Renewal

Skills

Action Planning, Claims Management, Claims Settlement, Data Compilation, Data Controls, Executing Plans, Financial Auditing, Insurance Claims Investigations, Insurance Product Management, Insurance Sales, Oral Communications, Presenting Solutions

Competencies

Action OrientedCollaboratesDrives ResultsEnsures AccountabilityFinancial AcumenInstills TrustManages ComplexityOptimizes Work Processes

Education

Matriculation Certificate (Matric)

Closing Date

31 March 2026 , 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!