Living Benefits Claims Consultant

2 weeks ago

Bellville, Western Cape, South Africa Sanlam Full time
Who are we?

The Sanlam Retail Affluent business (SRA) is dedicated to empower South Africans in the middle
- and upper-income segments to be financially confident, secure and prosperous. With deep client understanding and a focus on excellence in technology, client and intermediary experiences, SRA delivers financial solutions including comprehensive financial planning, life
- and disability insurance, credit solutions, savings and investments, retirement and fiduciary services that can be accessed through various platforms. What will you do?

Assessment and independent decision making of complex living benefits e.g. severe illness, disability and sickness benefit claims.

Ensure that the client's claim request is met within the boundaries of the policy contract, which includes the interpretation of contractual definitions.

Liaise with relevant stakeholders (e.g. Underwriters, Legal Department, Product Development, Medical Doctors, Re-insurers) to resolve complex assessments.
Propose improvements to the assessment process.

Written and verbal communication with clients, intermediaries, underwriters and doctors during the assessment process and on outcome of the claim.

Taking full ownership for the communication of the outcome of the claim to the client and intermediary that enables them to understand the decision and prevent complaints.

Complaints handling.
Contact person to VIP intermediaries for technical enquiries and their client's claims.
What will make you successful in this role?

Qualifications:

Matric with Maths
Occupational Therapist qualification or any other medical equivalent qualification

Minimum Experience:

Experience as an Occupational Therapist or clinical role in the medical field
5-7 years' experience in the assessment of Living Benefit Claims or Risk claims is recommended.
Experience in complaints handling
Knowledge of Risk Products and Benefits is recommended

Competencies:

Manages complexity
Good communication skills in English and Afrikaans (written and verbal)
Working independently Core Competencies Cultivates innovation - Contributing independently Customer focus - Contributing independently Drives results - Contributing independently Collaborates - Contributing independently Being resilient - Contributing independently Personal Attributes Business insight - Contributing independently Manages complexity - Contributing independently Plans and aligns - Contributing independently Manages conflict - Contributing independently Build a successful career with us
We're all about building strong, lasting relationships with our employees.

We know that you have hopes for your future - your career, your personal development and of achieving great things.

We pride ourselves in helping our employees to realise their worth.

Through its four business clusters - Sanlam Life and Savings, Sanlam Investment Group, Sanlam Emerging Markets, Santam, as well as MiWay and the Group Office - the group provides many opportunities for growth and development.

Turnaround time

Closing date: 26 June 2023 Our commitment to transformation
The Sanlam Group is committed to achieving transformation and embraces diversity.

This commitment is what drives us to achieve a diverse, inclusive and equitable workplace as we believe that these are key components to ensuring a thriving and sustainable business in South Africa.

The Group's Employment Equity plan and targets will be considered as part of the selection process.

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