## Specialist: Claims NegotiatorApplylocations: OMInsure Head Officetime type: Full timeposted on: Posted Todayjob requisition id: JR-79739**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**naSpecialist: Claims Negotiator Control Disclosure To provide a quality Specialist claims service, ensure containment of claims spend and provide excellent service in setting a culture of best practice within mandated responsibilities.* End-to-end claim processing including negotiation and settlement of Specialty Lines of Business claims.* Process Specialty lines claims in adherence with SLA.* Arrange assessment in adherence with SLA.* Review merit of the claim.* Complete Risk assessment and additional support request analysis.* Clarify and amend information where required* Appoint the support service required.* Review Support Function Report.* Calculate and Analyse technical computations.* Capture all relevant claims, updates and decisions on system.* Manage Diarised actions aligned to SOP* Prepare Rejection Letter, where required.* Prepare Payment with communication details.* Await additional information on multiple payments, if required.* Continuously improve claims service, manage claims spend and contain the increase in average cost of claims.* Improve / maintain Specialty Lines Claims service effectively.* Reduce/ maintain turnaround time of Specialty Lines Claims.* Ensure effective implementation and compliance of claims/ operational systems or procedures.* Ensure diary is maintained. Control Disclosure* Ensure estimates are raised accurately and timeously in accordance with best practice as and when new claims and new documents are actioned.* Adhere to Specialty Claims Standard Operations Procedures* Maintain Turn Around Times Experience Knowledge Skills Required:* Matric* Appropriate insurance qualification background* Knowledge and interpretation of Specialty Lines policies* 3 years of Specialty Lines claims handling* 5 years of Commercial Non motor experience specifically Corporate Property, Engineering and Marine**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**04 June 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.***#J-18808-Ljbffr