Claims Assessor : Life / Death / Disability / Severe Illness 6 Month Contract
Job Description
Position: Claims Assessor - Individual Life Benefits
Location: Sandton
Industry: Long-Term Insurance | Banking Client
Are you a detail-oriented professional with a passion for precision, service excellence, and impactful decision-making? Our client, a leading name in the banking and insurance space, is looking for a Claims Assessor to join their high-performing team. If you thrive in a fast-paced environment and have a knack for interpreting complex medical and legal information, this is your moment to shine.
What You'll Be Doing:
Assess productivity targets - average of 7 benefits per day per individual
Deliver exceptional service through formal, standards-driven communication
Independently assess claims within authority limits to ensure accuracy and minimize error rates
Uphold service level agreements to maintain operational excellence
Achieve Quality Assurance scores above 85% for claims decisions and communication
Present complex claims (disputes, declines, voids) to cross-functional committees including medical, legal, underwriting, actuarial, and compliance
What You Bring:
Experience:
- 3-5 years in Claims Assessment (Death, Disability, Severe Illness) - Essential
- 2-3 years in Underwriting - Advantageous
Education & Registration:
- Matric - Essential
- Diploma/Bachelor's in Nursing, Occupational Therapy, or Physiotherapy - Essential
- 3-5 years of relevant claims experience, long term insurance
- Analytical thinking
- Communication
- Decision-making
- Attention to detail
Skills Required
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Job Detail
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Job IdJD1603229
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationJohannesburg, Gauteng, South Africa
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EducationNot mentioned