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Job Description
Purpose of the Role
As an Assessor: Motor, you would be Responsible for Provide a Digital Assessment Function, focusing on Motor claims, The purpose of this position is to determine the quantum and merit of segmented motor claims by performing investigations, verifying the description of the event with the loss, negotiating with (client, intermediary, service providers) and settlement of claims within a delegated threshold and according to contract conditions.
Principle Accountabilities
Job Minimum Requirements (Qualifications, Skills and Experience )
System Knowledge on the following:
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.
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.
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.
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.
Provide operational support services and sometimes act as first-line supervisor of a transactional operations area. Involves using existing systems and protocols.
Interpret data and identify possible answers. Involves navigating a wide variety of processes, procedures, and precedents.
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.
Respond to more advanced issue escalations promptly and appropriately; provide managerial approvals as required.
Carry out a wide range of compliance monitoring activities and give basic advice on compliance and regulatory requirements.
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.
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.
Skills
Action Planning, Claims Management, Claims Settlement, Data Compilation, Data Controls, Executing Plans, Financial Auditing, Insurance Claims Investigations, Oral Communications, Presenting SolutionsCompetencies
Business InsightCollaboratesDecision QualityDrives ResultsEnsures AccountabilityFinancial AcumenInstills TrustManages ComplexityEducation
NQF Level 5 - Higher, Advance or Occupational Certificate or equivalentClosing Date
13 November 2025 , 23:59The 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.
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