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
Carry out assigned information and evidence-gathering activities to support the investigation of cases of suspected fraud or financial crime and the instigation of criminal investigations and/or legal actions.
Fraud/Financial Crime Management
Use established prevention models, systems, and protocols to monitor client or customer activities or transactions, informing more senior colleagues about suspicious activities.
Operations Management
Provide operational support by performing a range of routine activities using existing systems and protocols.
Solutions Analysis
Find the most effective ways to respond to routine functional inquiries. Involves following procedures and precedents.
Document Preparation
Prepare moderately complex documents using a variety of applications for technology devices, such as standard office software. Also responsible for gathering and summarizing data for reports.
Resolving Customer Issues
Respond to basic 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
Additional Information
Lets Write Africa's Story Together!
Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.
Job Description
Minimum Requirements:
- Namibian citizen.
- NQF Level 7 tertiary qualification from a recognised institution.
- Minimum of 2-3 years' experience in short-term insurance claims handling.
- Relevant short-term insurance qualification will be an added advantage e.g. COP.
- Previous short-term underwriting experience will be an added advantage.
- Detail and quality orientated.
- Computer literacy with strong numerical skills.
- Excellent customer service and problem-solving skills.
- High energy levels with the ability to work as part of a team.
- Ability to work under pressure.
- Ability to work independently and take initiative.
- Proficient in Afrikaans and English, both written and spoken.
- Excellent communication skills with a passion for customer service and relationship building.
Job Description:
- Interpret Commercial, Agriculture, Body Corporate, Tourism, Hospitality policy wordings to claims.
- Manage end to end negotiation and settlement of commercial claims. Registration, processing, assessors' appointment and settlement.
- Deliver on daily registration targets.
- Follow standardised processes and provide administrative support in line with normal business operations.
- Respond to immediate administrative requirements in accordance with procedures.
- Take accountability for service delivery through own efforts.
- Collaborate effectively with others to achieve positive results.
- Take individual accountability for managing own time.
- Adhere to standard operating procedures and ensure quality service delivery.
- Continuously improve performance by broadening individual skills.
- Perform quality checks on own work.
- Engage with others in line with organisational guidelines, policies, culture, and values.
- Comply with all financial requirements, ensuring cost control and adherence to governance standards.
Handles a variety of coverage with a defined loss potential. Reviews and proceses claims of low to moderate face value or liability against policies and coverage information. Decision-making is structured and objective. Initiates necessary investigations. Exercises judgment to assign adjusters or to refer information to attorneys or subject-matter experts for additional data. Settles and negotiates claims within authorised authority.
Oldmutual · Walvisbay