Non-Motor Claims Assessor (East London)

Overview: Let's Write Africa's Story Together! Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.

Job Purpose: The role will effectively investigate, adjust and report on assigned claims, thus ensuring containment of all Non-Motor claims spend on providing excellent service in setting a culture of best practice within mandated responsibility.

You would:

• Process and understand Non-Motor claims terms & claim types.
• Be aware of escalation metrics and approved channels.
• Analyze problems and formulate solving approaches.
• Identify signs and details indicating fraud.
• Understand the non-motor claims policies, activities, and procedures in claims environment.
• Follow the Claims Process.
• Provide prompt and correct assessment.
• Explore alternatives available for claims assessing and settlement processes, moderation, building rates and service providers.
• Map client needs to company specified.
• Create collaborative relationships with internal and external process improvements designed to enhance the customer experience and value.
• Support implementing of new systems and processes.
• Deliver service to both internal and external stakeholders.
• Actively follow service practices to determine the status of customer service and relations.
• Proactively identify customer solutions (process, product, systems) to address changing service requirements, ensuring customer satisfaction.
• Establish productive operational relationships with key stakeholders in the various channels and administrative teams.
• Ensure cost control and governance adherence.
• Comply with corporate governance policies, procedures, and standards.
• Operate within agreed mandates.

Experience, Knowledge & Skills Required:

• National Senior Certificate (NSC).
• Higher Certificate in Short-Term Insurance (NQF 5).
• 3-5 years Non-Motor Claims experience.
• Valid South African Drivers Licence.

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.
• Panel Interview: This will be with 2 members of the senior leadership of the 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.

Responsibilities:

• Insurance Claims Administration: Review and analyze assigned insurance claims in line with the organization's 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 liability and the value of insured losses. 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. Involves using existing systems and protocols.
• Solutions Analysis: Interpret data and identify possible answers. 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. Gather and summarize 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 organization's 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. Stay informed on relevant technology, regulation, and industry best practices.

Skills:

• Action Planning.
• Claims Management.
• Claims Settlement.
• Data Compilation.
• Data Controls.
• Executing Plans.
• Financial Auditing.
• Insurance Claims Investigations.
• Oral Communications.
• Presenting Solutions.

Competencies:

• Business Insight.
• Collaborates.
• Decision Quality.
• Drives Results.
• Ensures Accountability.
• Financial Acumen.
• Instills Trust.
• Manages Complexity.

Education:

• NQF Level 5 - Higher, Advance or Occupational Certificate or equivalent.

Closing Date: 05 February 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.