Non-Motor Claims Assessor (East London)

Overview

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.

• 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.

Understand and 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.

Delivering the 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, ensure customer satisfaction.
• Establish productive operational relationships with key stakeholders in the various channels and administrative teams.

Cost control and governance adherence:

• Proactively ensure use of time, resources, money, materials, or equipment is in line with policies and procedures.
• 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.
• Insurance Claims Evaluation: Interview and/or visit claimants to evaluate liability and the value of insured losses.
• 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.
• Fraud/Financial Crime Management: Analyze data to identify and track and report key trends in activities or transactions that indicate high risk of fraud.
• Operations Management: Provide operational support services and sometimes act as first-line supervisor of a transactional operations area.
• Solutions Analysis: Interpret data and identify possible answers.
• Document Preparation: Organize and prepare complex documents using a variety of applications for technology devices.
• Resolving Customer Issues: Respond to more advanced issue escalations promptly and appropriately.
• Regulatory and Compliance Management: Carry out a wide range of compliance monitoring activities.
• Operational Compliance: Develop knowledge and understanding of the organization's policies and procedures.
• Personal Capability Building: Develop own capabilities by participating in assessment and development planning activities.

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.