Technical Claims Assessor

6 days ago

Durban, South Africa nedbank Full time

Cluster: Personal and Private Banking | Nedbank Insurance | Operations - Long Term Insurance Claims Please Note: Preference will be given to applicants from Underrepresented Groups Job Purpose To accurately assess, investigate, and process long-term insurance claims, including death, disability, and critical illness claims, and ensure prompt and fair payment of benefits in accordance with the policy terms and conditions. Job Responsibilities Stakeholder Engagement: Develop effective relationships with stakeholders (internal - client solutions team/client experience and external clients hospitals, doctors, labs, and reassurers). Drive and support effective teamwork within the department. Effective client communication throughout the claims journey. Ensure information is provided correctly to stakeholders by maintaining and sharing knowledge. Process Management: Meet client needs by ensuring claims are processed according to service level agreement and insurance policy terms and conditions Professional Development: Engage in appropriate training interventions to promote own professional development. Adhere to organizational best practice and legislative requirements. Keep abreast of legislation and other medical industry changes that impact on the role by reading the relevant newsletters, websites, and attending sessions. Improve personal capability and stay abreast of developments in the field of expertise by identifying training courses and career progression for self through input and feedback from managers. Ensure personal growth and enable effectiveness in performance of roles and responsibilities by ensuring all learning activities are completed, experience practiced, and certifications obtained and/or maintained within specified time frames. People Specification Essential Qualifications - NQF Level Matric / Grade 12 / National Senior Certificate Professional Qualifications/Honour’s Degree Preferred Qualification Physiotherapy/ Occupational Therapy/ Nursing/ Junior Doctor/ Medical related degree Preferred Certifications Beneficial: Higher Certificate in Long Term Insurance Minimum Experience Level 3 - 6 years as a Technical Claims Assessor 2 - 3 years Long Term Insurance Must have medical underwriting experience. (non-negotiable) Technical / Professional Knowledge Administrative procedures and systems Insurance Policy Technical Knowledge Business principles Governance, Risk and Controls Relevant regulatory knowledge Relevant software and systems knowledge Business writing skills Medical and Financial Knowledge General Communication Skills Customer Orientation Monitoring Information Decision Making Initiating Action Work Standards Planning and Organizing Communication --------------------------------------------------------------------------------------- Please contact the Nedbank Recruiting Team at If you can't find the job you're looking for, activate job alerts to be one of the first to know when new positions open up. Nedbank Ltd Reg No 1951/ /06.Authorised financial services and registered credit provider (NCRCP16). For assistance please contact the Nedbank Recruiting Team at #J-18808-Ljbffr

  • Technical Claims Assessor

    1 week ago

    Durban, South Africa Nedbank Full time

    **Job Classification** - Job Requisition: 140914 - TA Specialist: Refilwe Falatsi - Closing Date: 18 July 2025 - Location: Durban - Cluster: Personal and Private Banking | Nedbank Insurance | Operations - Long Term Insurance Claims - Please Note: Preference will be given to applicants from Underrepresented Groups **Job Purpose** - To accurately assess,...

  • Claims Assessor: Life

    6 days ago

    Durban, South Africa Pronel Personnel Full time

    Claims Assessor (Life) - Job Description Our client based in the Umhlanga area is seeking an experienced Claims Assessor (Life). The ideal candidate should have exceptional communication skills, work ethic, and dedication to the workplace. Requirements: Detailed knowledge relating to the specialist/technical nature of life claims assessment Good...

  • Claims Assessor: Life

    3 days ago

    Durban, South Africa Pronel Personnel Full time

    **Requirements**: - Detailed knowledge relating to the specialist/technical nature of life claims assessment - Good understanding of medical conditions and the ability to understand medical terminology and medical reports - At least 2 - 4 years’ work experience as a Life Assessor is required - Previous work experience in long term insurance services,...

  • Claims Assessor

    1 day ago

    Durban, South Africa Momentum Metropolitan Holdings Full time

    -Introduction Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by...

  • Claims Assessor Durban, South Africa

    6 days ago

    Durban North, South Africa Pronel Personnel Full time

    Claims Assessor (Life) Our client based in the Umhlanga area is seeking an experienced Claims Assessor (Life). The ideal candidate should have exceptional communication skills, work ethic, and dedication to the workplace. Requirements: Detailed knowledge relating to the specialist/technical nature of life claims assessment. Good understanding of medical...

  • On-the-road Buildings Assessor Kzn

    1 day ago

    Durban, South Africa Sanlam Full time

    **Who are we?** MiWay is a direct financial services company. We are passionate about service excellence, convenience and offering our clients superior value products. Our Vision is to be a world-class direct financial services business that offers a complete array of services under one convenient umbrella - all managed online. We are positive that with...

  • On-the-Road Buildings Assessor KZN

    13 hours ago

    Durban, South Africa Sanlam Full time

    On-the-Road Buildings Assessor KZN Date: 4 Dec 2025 Location: Durban, KwaZulu Natal, ZA Company: Sanlam Group Who are we? MiWay is a direct financial services company. We are passionate about service excellence, convenience and offering our clients superior value products. Our Vision is to be a world-class direct financial services business that offers a...

  • On The Road Assessor

    1 week ago

    Durban, South Africa OUTsurance Full time

    **Company Description** OUTsurance has been propelling the South African insurance industry forward for the last 26 years. As leaders in the field, we’re always looking for innovative ways to create digitally-advanced solutions, without losing sight of our human values. Our continued success can be attributed to OUTstanding employees who set the bar high...

  • Rigger Facilitator

    2 weeks ago

    Durban, South Africa Rigging Academy Of South Africa Full time

    Trade Test Centre in Durban, is currently looking for a qualified and experienced Rigging Facilitator/Assessor and or Moderator to join their team... Recuirements: 1. Must have Rigger Red Seal Certificate 2. Must have Facilitator Certificate 3. Must have Assessor Certificate 4. Must have Moderator Certificate 5. Must have +/- 5 Years experience in the...

  • Rigger Facilitator

    5 days ago

    Durban, South Africa Rigging Academy Of South Africa Full time

    Trade Test Centre in Durban, is currently looking for a qualified and experienced Rigging Facilitator/Assessor and or Moderator to join their team... Recuirements: 1. Must have Rigger Red Seal Certificate 2. Must have Facilitator Certificate 3. Must have Assessor Certificate 4. Must have Moderator Certificate 5. Must have +/- 5 Years experience in the...