Funeral Assessor II

4 days ago

Cape Town, South Africa Capitec Full time

Capitec, Cape Town, Western Cape, South Africa Funeral Assessor II To improve claims operational excellence, increase customer satisfaction, and minimize losses for Capitec Insurance through accurate and holistic assessment of all types of insurance non‑medical claims (life, funeral and death), in accordance with the terms and conditions of the respective policy/ies, legislative frameworks, and the goals, objectives, processes and standards set by Capitec. Location Century City Experience Minimum of 3 years practical experience in funeral and/or life insurance claims assessment, preferably within the context of fully underwritten products Experience in stakeholder management and client engagement Qualifications (Minimum) Grade 12 National Certificate / Vocational Qualifications (Ideal or Preferred) A relevant qualification in Healthcare or Science Knowledge Minimum: Understanding of the long‑term insurance industry and claims handling processes Knowledge of Funeral and Life Insurance Products Knowledge of relevant legal framework relating to funeral and life insurance claims Ideal: Knowledge or practical experience on assessment of Credit Life Insurance products, especially retrenchment and death claims. Occupational certificate or course on long‑term life insurance claims assessment What you will be required to do Support funeral claims process set‑up Funeral claims assessment Quality assurance – review and verify claims for accuracy and completeness. Approve decisions and payments within turnaround time. Maintain high quality and meet productivity targets Fraud risk assessment – flag and elevate suspicious claims per Capitec’s fraud framework Assessment of misrepresentation/non‑disclosure in life insurance Identify trends and areas of concern and raise escalation accordingly Resolve complex claims queries and complaints within service level agreements Stakeholder engagement Skills Administration skills Attention to detail Decision‑making skills Numerical reasoning skills Planning, organising and coordination skills Conditions of Employment Clear criminal and credit record Seniority level Mid‑Senior level Employment type Full‑time Job function Health Care Provider, Administrative, and Consulting Industries Insurance #J-18808-Ljbffr

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