Senior Claims Assessor
5 months ago
Our client in the telecommunications industry is seeking a dedicated Senior Claims Assessor to join their team and make a real difference in people's lives. This individual will play a crucial role in evaluating and processing death, critical illness, disability and incapacity claims. They must assess the validity of claims and ensure that they meet the stipulated criteria for payout. Therefore, if you are the candidate we are looking for, with incredible attention to detail, excellent analytical skills, and the ability to make fair and informed decisions, it is a 12-month contract
- Matric Certificate, Computer literacy (Advanced word and Excel)
- RE 5- Representative
- Certificate related to claims assessment or long-term insurance
- 2-4 years Group Schemes administration /claims experience expert level understanding of benefits offered in the risk benefits portfolio e.g. Death, Disability, Incapacity, and ECT...
- Must have strong organizational awareness, Investigation skills, problem solving, decision making
- 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
- Complaints handling
- Fulfil reporting functions, contributing to a transparent and accountable claims assessment process
- Investigate and report fraudulent claims, actively participating in complaints handling
- Meet production standards for both quantity and quality, demonstrating excellent administrative skills
- Respond to queries and complaints promptly
- Upskilling of the junior assessors
- Assisting with Junior assessors overrides and approvals within your mandate
-
Senior Claims Assessor
3 months ago
Johannesburg, South Africa FirstRand Full timeJob Description Hello Future Senior Claims Assessor Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen. As part of our team in FirstRand Life Assurance, you will be surrounded by unique talents, diverse minds, and an adaptable...
-
Claims Assessor
3 months ago
Johannesburg, South Africa ATripleA Recruitment and Temps Full timeDuties:•Administering of claims and opening of files.•Day to day self-management of claims.•Appointing assessor and authorising same.•Directing claims input on systems.•Ensure appropriate controls are in place for valid claims settlement.•Managing repudiations, insuring fairness, and diplomatic communication.•Application of Policy terms and...
-
Claims Assessor
3 months ago
Johannesburg, South Africa ATripleA Recruitment and Temps Full timeDuties: •Administering of claims and opening of files. •Day to day self-management of claims. •Appointing assessor and authorising same. •Directing claims input on systems. •Ensure appropriate controls are in place for valid claims settlement. •Managing repudiations, insuring fairness, and diplomatic communication. •Application of Policy terms...
-
Senior Claims Examiner
2 months ago
Johannesburg, Gauteng, South Africa TalentCru Full timeSenior Claims Assessor Job DescriptionTalentCru is seeking a highly skilled Senior Claims Assessor to join our team. As a Senior Claims Assessor, you will play a critical role in evaluating and processing death, critical illness, disability, and incapacity claims.Key Responsibilities:Evaluate and process claims in accordance with fund rules, policies,...
-
Claims Assessor
3 weeks ago
Johannesburg, South Africa FirstRand Full timeJob Description Accurate assessment, investigation and validation of complex long-term insurance claims with a high value in accordance with the goals, objectives, processes and standards of the organisation in order to meet customer. These claims may include funeral, death, disability, dread disease and retrenchment claims Hello Future Motor Claims...
-
Claims Assessor
5 months ago
Johannesburg, South Africa Sanlam Full timeMWL is dedicated to supporting, growing and empowering clients with affordable, simple, and suitable solutions, primarily through telephonic intermediary channels. We have approximately 100 tied sales agents, all dedicated to meeting the financial needs of our clients and prospective clients. MiWayLife’s vision is to establish a world-class direct...
-
Claims Assessor
5 months ago
Johannesburg, South Africa Sanlam Full timeMWL is dedicated to supporting, growing and empowering clients with affordable, simple, and suitable solutions, primarily through telephonic intermediary channels. We have approximately 100 tied sales agents, all dedicated to meeting the financial needs of our clients and prospective clients. MiWayLife’s vision is to establish a world-class direct...
-
Claims Assessor
2 months ago
Johannesburg, South Africa FirstRand Full timeJob Description Hello Future Claims Assessor Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen. As part of our team in FR Life Assurance, you will be surrounded by unique talents, diverse minds, and an adaptable environment that lives...
-
Travel Claims Assessor
2 days ago
Johannesburg, South Africa Prism Placements Full timePrism Placements and this international insurance specialist are looking for a Travel Claims Assessor to provide a high quality and efficient claims assessment function to members / distributors worldwide. Experience & Requirements:Matric / Grade 12 Min 3-4yrs experience dealing with travel insurance claims for customers a MUST Excellent verbal and written...
-
Travel Claims Assessor
3 days ago
Johannesburg, South Africa Prism Placements Full timePrism Placements and this international insurance specialist are looking for a Travel Claims Assessor to provide a high quality and efficient claims assessment function to members / distributors worldwide. Experience & Requirements:Matric / Grade 12Min 3-4yrs experience dealing with travel insurance claims for customers a MUSTExcellent verbal and written...
-
Senior Claims Examiner
2 months ago
Johannesburg, Gauteng, South Africa TalentCru Full time{"h1": "Senior Claims Assessor Role at TalentCru", "p": "At TalentCru, we are seeking a highly skilled Senior Claims Assessor to join our team and contribute to the evaluation and processing of death, critical illness, disability, and incapacity claims. This individual will play a critical role in ensuring that claims meet the stipulated criteria for payout,...
-
Claims Assessor
6 months ago
Johannesburg, South Africa African Unity Life Ltd Full timeAn authorised financial service provider, operating within the long-term insurance industry in South Africa, requires the services of a **Claims Assessor.** This is a 12-month fixed term contract. **Tasks and responsibilities will include but not be limited to**: **Key Responsibilities**: - (The primary tasks, functions and deliverables of the role)_ -...
-
Senior Claims Specialist
3 weeks ago
Johannesburg CBD, South Africa Rand Mutual Admin Services Full timeJob Title: Senior Claims AssessorJob Summary:We are seeking a highly skilled Senior Claims Assessor to join our team at Rand Mutual Admin Services. As a Senior Claims Assessor, you will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance.Key...
-
Senior Claims Assessor
5 months ago
Johannesburg, South Africa FirstRand Full timeJob Description Dear Future, Senior Claims Assessor Your role requires accurate assessment, investigation and validation of complex long-term insurance claims with a high value in accordance with the goals, objectives, processes and standards of the organisation in order to meet customer. These claims may include funeral, death, disability, dread disease...
-
Insurance Claims Assessor
3 months ago
Johannesburg, South Africa 3sixty Life Full timeAre you passionate about making a difference in the insurance industry? Do you have the skills and experience to contribute to a leading company under curatorship? If so, 3Sixty Life is looking for you! We are currently hiring for several key positions and are excited to welcome talented professionals to our team. Claims Assessor **Requirements**: -...
-
Claims Assessor
3 weeks ago
Johannesburg, South Africa FirstRand Short Term Insurance Full timeDescription Accurate assessment, investigation and validation of complex long-term insurance claims with a high value in accordance with the goals, objectives, processes and standards of the organisation in order to meet customer. These claims may include funeral , death, disability, dread disease and retrenchment claims Hello Future Motor Claims...
-
Quality Assessors
5 months ago
Johannesburg, South Africa iOCO Full timeJOBNUMBER **iOCO03070** - CONTRACT TYPE **Contract** - STATE/PROVINCE **Gauteng** - CONTRACT TYPE: **OnSite** **The Role**: iOCO Infrastructure Services: Where Challengers and Innovators Thrive. We are looking to hire detail-orientated **Quality Assessors (Claims Assessors) x 7 **who will be responsible for upholding and enhancing the quality of service...
-
Claims Assessor Specialist
5 months ago
Johannesburg, South Africa FirstRand Full timeJob Description Dear Future, Claims Assessor Specialist Are you someone who can: - Accurate assessment, investigation and management of long-term insurance claims including disability (temporary or permanent disability) and critical illness claims. - Ensuring that the claims assessment and that the standard of decision is consistent with the company...
-
Claims Assessor-1
5 months ago
Johannesburg, South Africa FirstRand Full timeJob Description Hello Future Claims Assessor Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen. As part of our team in FNB Life, you will be surrounded by unique talents, diverse minds, and an adaptable environment that lives up to the...
-
Claims Assessor Specialist
5 months ago
Johannesburg, South Africa FirstRand Full timeJob Description Dear Future, Claims Assessor Specialist The role requires you to perform accurate assessment, investigation and management of long-term insurance claims in accordance with the goals, objectives, processes and standards of the organization to meet customer expectations. Are you someone who can do the following: - Accurate assessment,...