Life Claims Assessor

Johannesburg, Gauteng, South Africa

Job Description

Primary Purpose of the Role:
To ensure claims are assessed accurately and communicated effectively, in line with business rules and service level agreements.
Key Responsibilities:

  • Assess an average of 7 benefits per day.
  • Communicate formally and professionally.
  • Independently assess claims within authority limits.
  • Maintain service level discipline.
  • Achieve Quality Assurance score above 85%.
  • Present complex claims to internal committees for verification.
Requirements:
Work Experience:
  • 3-5 years in Life Claims Assessment (Death, Disability, Severe Illness).
  • 2-3 years in Underwriting.
Education:
  • Required: Matric + Diploma/bachelor's in health-related field (Nursing, OT, Physio) or equivalent experience.
  • Preferred: Risk management and medical terminology knowledge.

Skills Required

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Job Detail

  • Job Id
    JD1619352
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Johannesburg, Gauteng, South Africa
  • Education
    Not mentioned