Claims Assessor

Midrand, Johannesburg, South Africa

Job Description


Role purpose

To provide essential services in the insurance industry, specifically related to processing claims associated with Group Schemes, Funeral Claims (Individual and Group) and Life Insurance Claims (Individual and Group).
To validate and investigation, including settlement and repudiate within SLA. This role plays a crucial part in providing empathetic and compassionate support to policyholders and beneficiaries during their time of need. Answer their questions, guide them through the claims process, and offer assistance as required.

Your responsibilities will include

Perform all death claims related activities which include - claim processing, responding to claims related queries and complaints.
Application of fund rules, policies, legislation, administration procedures and the service level agreement when processing
Meet production standards in terms of quantity and quality.
Liaise with employers and service providers.
Attend to the fund central mailbox and respond to queries within SLA.
Any other duties as determined by business needs and participate in all organizational events as required.
Drafting of resolution letters.
Good administrative skills.
Good communication skills, verbal and written.
Ability to work under pressure, be target driven and meet deadlines.
Ability to investigate and report fraudulent claims.

The ideal candidate for this role will have

Technical / Professional Qualifications:

Matric Certificate Computer literacy (Advanced word and Excel)

Core competencies, knowledge, and experience:

2-4 years Group Schemes administration /claims experience Expert level understanding of benefits offered in the risk benefits portfolio eg. Death, disability, PHI , Critical Illness , Funeral ( any 2 or more products) Must have strong organisational awareness in order to anticipate the impact of actions on other groups

Closing date for Applications:05 October 2023

The base location for this role is,Vodacom Campus,Midrand.

The Company s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.
Vodacom is committed to an organisational culture that recognises, appreciates and values diversity & inclusion.

Our Vodafone is committed to attracting, developing and retaining the very best people by offering a motivating and inclusive workplace in which talent is truly recognised and rewarded. We are committed to promoting Inclusion for All with the belief that diversity plays an important role in the success of our business. We actively encourage everyone to consider becoming a part of our journey.

Vodafone

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Job Detail

  • Job Id
    JD1265389
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Midrand, Johannesburg, South Africa
  • Education
    Not mentioned