- Senior
- Bureau à Johannesburg
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
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
- Assess damage against a provided or requested quotation
- Decide whether to replace, repair part or use CAP Parts when warranty has expired
- Negotiate telephonically with ABR using photographic evidence
- Generate claims report
- Communicate and negotiate with the client and/or intermediary
- Determine Retail value of vehicle and extra’s(specified) for settlement
- Authorise for repair or cash settlement
- Make notes on systems, process claims and upload documents
- Responsible for additional requests and to sign off the final quantum (FRC)
- Handle complaints, queries and interaction with clients, intermediaries, service providers, internal stakeholders relationship managers, claims committee and underwriters, within the agreed time frame
- Accountable to handle for the following claim types:
- Driveable non structural and major structural
- Non drivable claims
- Fast track
- Radio equipment and locks
- Accessories, tyres, rims
- Cosmetics
- Screening of merits
- And other claims/responsibilities as specified by your Team leader/Manager
Job Minimum Requirements (Qualifications, Skills and Experience )
- Two years experience, automotive mechanic, automotive body repairer or automotive spray painter experience or Vehicle Damage Quantification Qualification (VDQ) with two years’ experience
- 5+ years motor assessing experience.
- Qualified automotive mechanic or automotive body repairer (advantageous)
- Audatex/Abuntex
- VDQ Certified min Practicing member
System Knowledge on the following:
- Online systems
- BPM
- TIA
- ICE
- Audatex / Abuntex
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 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
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. Also responsible for gathering and summarizing 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. 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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