Job Description: Specialist – 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 Responsibilities 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. Qualifications Education:Matric Appropriate insurance qualification background Experience: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 Level: NQF Level5 – Higher, Advancement or Occupational Certificate or equivalent. Appointment & Application 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. Closing Date:04 June 2026at23:59. #J-18808-Ljbffr