Specialist: Claims Consultant
3 weeks ago
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 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 responsibility. Critical Objectives And Responsibilities Strategic thinking Customer centricity Collaboration Leading with Influence Innovation Personal Mastery Executing 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 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 Diaries 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. 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 Specialty Lines claims handling 5 years 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 Financial Acumen Instills Trust Manages Complexity Optimizes Work Processes Education NQF Level 7 - Degree, Advance Diploma or Postgraduate Certificate or equivalent Closing Date 16 November 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 Seniority level Mid-Senior level Employment type Full-time Job function Finance and Sales #J-18808-Ljbffr
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Claim Specialist
2 weeks ago
Mare Island, United States State Farm Full timeOverviewBeing good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good! Grow Your Skills, Grow Your Potential ResponsibilitiesJoin our team as a Property Field Inspection Claim...
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Underpayments Specialist
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Staten Island, United States SmarterDx Full timeUnderpayments SpecialistSmarterDx, a Smarter Technologies company, builds clinical AI that is transforming how hospitals translate care into payment. Founded by physicians in 2020, our platform connects clinical context with revenue intelligence, helping health systems recover millions in missed revenue, improve quality scores, and appeal every...
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Hilton Head, South Carolina, United States Perkins Full time $55,524 - $96,029Perkins helps children with disabilities find their place in the world. An international NGO, we are committed to delivering best-in-class education to children, providing immersive training and support to professionals and families, advocating for inclusion, and accelerating innovation for people with disabilities. At Perkins, we think courageously, act...
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Claims Manager, Insurance
1 week ago
Long Island City, NY, United States New York City School Construction Authority Full timeBuild your career while building NYC schools! Job Description Summary The NYC School Construction SCA (SCA) maintains an Owner Controlled Insurance Program (OCIP) for all contractors and sub-contractors and an Operational Insurance Program for the SCA and its employees. The SCA Claims Manager, Insurance & Risk Management reports directly to the Senior...
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Hilton Head Island, SC, United States Palm Health Resources Full timeHOSPITALIST LIVE, WORK, PLAY WHERE THE WORLD VACATIONS! We're seeks a motivated Hospitalist to join our diverse in-house hospitalist team located around the corner from beautiful Hilton Head, SC! The team currently includes several full-time physicians as well as NPPs, plus part-time/PRN physicians and NPPs. We are in search for a physician who is interested...
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Hilton Head Island, SC, United States Palm Health Resources Full timeHOSPITALIST LIVE, WORK, PLAY WHERE THE WORLD VACATIONS! We're seeks a motivated Hospitalist to join our diverse in-house hospitalist team located around the corner from beautiful Hilton Head, SC! The team currently includes several full-time physicians as well as NPPs, plus part-time/PRN physicians and NPPs. We are in search for a physician who is interested...
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Hilton Head Island, SC, United States Palm Health Resources Full timeHOSPITALIST LIVE, WORK, PLAY WHERE THE WORLD VACATIONS! We're seeks a motivated Hospitalist to join our diverse in-house hospitalist team located around the corner from beautiful Hilton Head, SC! The team currently includes several full-time physicians as well as NPPs, plus part-time/PRN physicians and NPPs. We are in search for a physician who is interested...
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Hilton Head Island, SC, United States Palm Health Resources Full timeHOSPITALIST LIVE, WORK, PLAY WHERE THE WORLD VACATIONS! We're seeks a motivated Hospitalist to join our diverse in-house hospitalist team located around the corner from beautiful Hilton Head, SC! The team currently includes several full-time physicians as well as NPPs, plus part-time/PRN physicians and NPPs. We are in search for a physician who is interested...
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Hilton Head Island, SC, United States Palm Health Resources Full timeHOSPITALIST LIVE, WORK, PLAY WHERE THE WORLD VACATIONS! We're seeks a motivated Hospitalist to join our diverse in-house hospitalist team located around the corner from beautiful Hilton Head, SC! The team currently includes several full-time physicians as well as NPPs, plus part-time/PRN physicians and NPPs. We are in search for a physician who is interested...
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Hilton Head Island, SC, United States Palm Health Resources Full timeHOSPITALIST LIVE, WORK, PLAY WHERE THE WORLD VACATIONS! We're seeks a motivated Hospitalist to join our diverse in-house hospitalist team located around the corner from beautiful Hilton Head, SC! The team currently includes several full-time physicians as well as NPPs, plus part-time/PRN physicians and NPPs. We are in search for a physician who is interested...
