Claims Assessor Ii

2 days ago


Johannesburg, South Africa FirstRand Full time

About us, purpose, experience and qualifications

**about us**:

- make a promise
- be deeply invested
- value our differences
- build trust, not territory
- have courage
- always do the right thing

**purpose**:

- Accurate assessment, investigation and validation of complex long-term insurance claims/ claims with a high value in accordance with the goals, objectives, processes and standards of the organization in order to meet customer. These claims may include funeral, death, disability, dread disease and retrenchment claims.**experience and qualifications**:

- Minimum Qualification : Grade 12.
- Preferred Qualification : Relevant qualification.
- Experience : At least 5 years’ experience in risk claims which must include experience in funeral, death, disability, dread disease and retrenchment claims on simple and complex life insurance products.
- Experience in identification of managing claims fraud.
- Long-term insurance industry and product knowledge.
- Person must not be an unrehabilitated insolvent.**additional requirements**:
**responsibilities**:

- Accurate assessment, investigation and validation of complex long-term insurance claims/ claims with high value in accordance with the goals, objectives, processes and standards of the organization in order to meet customer. These claims may include funeral, death, disability, dread disease and retrenchment claims.
- Analyse, provide assistance and guidance to team leaders and assessors with the technical aspects of claims.
- Assist with system and process development.
- Ensuring all risks are mitigated and escalated, this includes the identification of fraudulent activity and non-disclosure.
- Providing effective, efficient and professional service to all our customers and branches, both telephonically and through written correspondence.
- Taking ownership of queries and ensuring they are resolved timeously and effectively.
- Ensuring adherence to organisational best practice and legislative requirements.
- Teamwork to meet service and quality standards.
- Deliver exceptional service that exceeds customers’ expectations through proactive, innovative and appropriate solutions.


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