Old Mutual

Disability Claim Assessor


PayCompetitive
LocationCape Town/Western Cape
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: JR-67134

      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

      Reviews risk submissions from clients, agents, and referrals, and underwrites insurance requests within guidelines of the underwriting manual and authority limits. Applies underwriting and risk-selection techniques to determine acceptability of new and renewal insurance risks.

      Role Overview

      The role involves assessing and managing disability claims in line with product and contractual guidelines, ensuring holistic evaluations based on medical, occupational, and other relevant information. The successful candidate will oversee a portfolio of clients, providing training, education, and insights on claims trends, while maintaining strong relationships through proactive support. Additionally, responsibilities include optimizing processes, collaborating with corporate teams, managing organizational risks, ensuring regulatory and operational compliance, and fostering personal capability development through continuous learning and industry engagement.

      Key Result Areas

      Assess disability claims according to product and contractual guidelines

      Performing an holistic assessment of disability claims, based on medical, occupational and other information received, and applying contractual terms and conditions to determine the validity of each claim.

      Management of claims in payment

      Optimal and timeous management of income protection portfolio of claims in payment, which encompasses reviews, return to work planning, case management and termination of benefits.

      Manage a portfolio of clients

      Manage a portfolio of clients by providing training, education, and presentations on claims trends. Deliver regular reports and insights while handling client enquiries efficiently. Build strong relationships through proactive support and effective communication.

      Process optimization

      Ongoing process optimisation & improvements within the team with a focus on implementing best practice and keeping up with industry changes and trends

      Communication & Collaboration

      Collaborates effectively with others to achieve team goals. Regular engagement with Corporate teams, providing feedback to relevant teams on claims trends. Verbal and written client communication is a daily requirement.

      Organizational Risk Management

      Keep track of risk parameters, identifying any deviations and reporting them to more senior colleagues. Involves working within established risk management systems.

      Regulatory and Compliance Management

      Investigate standard incidents using current regulatory and compliance processes, systems, and procedures, and take action to solve immediate compliance issues. Advise more senior colleagues on more complex problems.

      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.

      Personal Capability Building

      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.

      Role Requirements: Skills, Qualifications and Experience

      • Grade 12/Matric
      • Completed medical / allied health Degree, e.g. Nursing, Occupational Therapy, Physiotherapy
      • Minimum 2 years clinical experience
      • Experience in the Financial Service Industry is advantageous
      • Disability Claims assessment experience in a Group Assurance or Risk environment and GAP product knowledge is highly advantageous
      • Well developed interpersonal skills
      • Strong verbal and written communication skills
      • Excellent attention to detail
      • Good presentation skills
      • Ability to work under pressure to meet deadlines
      • Computer literate and proficient in MS Office programmes e.g. Word, powerpoint & Excel
      • Have sound analytical and problem solving abilities
      • Work effectively with internal and external colleagues and clients to accomplish organisational and team goals
      • Enjoy working in a progressive environment

      Skills

      Competencies

      Action Oriented

      Business Insight

      Collaborates

      Communicates Effectively

      Decision Quality

      Ensures Accountability

      Financial Acumen

      Instills Trust

      Education

      Closing Date

      12 June 2025 , 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!

  • About the company

      Old Mutual Limited is a pan-African investment, savings, insurance, and banking group.

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