Claims Assessor

5 months ago


Centurion, South Africa Momentum Life Full time

**Introduction**Role Purpose**
- To provide a support service to the claims department by liaising with clients and stakeholders as well as providing solutions.**Requirements**:

- 2-3 years exposure to the Life Insurance industry
- 2-3 years claims experience (preferred)
- Call centre knowledge
- Knowledge of medical terminology (preferred)
- Matric

**Duties & Responsibilities**
- Provide administrative support for a variety of Claims practices (Internal Process)
- Contribute to the overall team achievement of set team targets through excellence.
- Answer and provide first time resolution and quality driven responses to all correspondences.
- Adhere to the standard operating procedures when communicating with clients through recording and updating of calls, update query with actions taken and escalate to the relevant assessor on the claims system.
- Engage with clients in a client centric manner(Client Services)
- Keep client informed (verbally and/or in writing) if any unresolved queries is outstanding.
- Delivering effective and consistent service and support to external clients within specified service level agreements.
- Engaging and retaining of clients within their current portfolios
- aligned to the Treating Customers Fairly principles.
- Make recommendations to improve client service and fair treatment of clients within area of responsibility.
- Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
- Self-management and teamwork(People)
- Develop and maintain productive and collaborative working relationships with colleagues, peers and stakeholders.
- Continuously develop own expertise in terms of professional, industry and legislation knowledge.
- Contribute to continuous innovation through the development, sharing and implementation of new ideas.
- Take ownership for driving your career development.
- Contribute to financial controls and planning(Finance)
- Identify solutions to enhance cost effectiveness and increase operational efficiency.
- Responsibly managing financial and other company resources under your control.
- Provide input into the risk identification processes and communicate recommendations in the appropriate forum.

**Competencies**
- Business Acumen: Understands how the business operates, what the key issues and risks are that drives business outcomes through the administrative function.Client/Stakeholder Commitment: Anticipates, meets and exceeds client's needs by creating long lasting relationships that support the client value proposition, supports their financial wellness and ensures client centricity.

Drive for Results: Drive a sense of urgency, focus, accountability, agility and execution to deliver business results.

Leads Change and Innovation: Actively participates in change, does what is right for the business and drives continuous improvement through innovation.

Collaboration: Prioritises the business interests of MMI and invests in the success of the group by aligning effort across divisions.

Impact and Influence: Supports and gains commitment to the purpose of MMI.

Self-Awareness and Insight: Manages self and relationships with others effectively and provides perspective in difficult situations.

Diversity and Inclusiveness: Is sensitive to individual and cultural similarities and differences and demonstrates humility and an openness to engage people from diverse backgrounds and cultures to the mutual benefit of all parties concerned.


  • Claims Assessor

    1 month ago


    Centurion, Gauteng, South Africa MMI Holdings Ltd Full time

    Job Title: Claims AssessorMetropolitan is a leading financial services brand in South Africa, with a legacy of serving communities for over 116 years. As a Claims Assessor, you will play a critical role in ensuring that clients receive fair and timely settlements for their claims.Key Responsibilities:Assess and review living benefit claims in accordance with...

  • Claims Assessor

    4 weeks ago


    Centurion, Gauteng, South Africa MMI Holdings Ltd Full time

    Job Title: Claims AssessorMetropolitan is a leading financial services brand in South Africa, with a legacy of serving communities for over 116 years. We provide affordable financial solutions that create financial growth and security for our clients.Job SummaryWe are seeking a skilled Claims Assessor to join our team. The successful candidate will be...


  • Centurion, South Africa Momentum Life Full time

    **Introduction**Role Purpose**Requirements**: - Relevant Insurance/Financial services Industry knowledge and experience, applicable regulatory requirements, and legislations. - Extensive knowledge of Section 37C of the Pension Funds Act. (essential). - 5 years proven track record in a leadership role/people management (essential). - MS Office Suite (Word,...


  • Centurion, South Africa Momentum Corporate Full time

    **Introduction** **Role Purpose** Ensure the smooth running of the disability management administration function by efficient coordination of related tasks. To provide an effective and efficient service to clients and intermediaries by receiving, evaluating and responding to queries timeously. Accurately capture incoming correspondence and claims onto the...

  • Claims Assessor

    2 months ago


    Centurion, Gauteng, South Africa MMI Holdings Ltd Full time

    {"Role Purpose": "Assess, review and manage living benefit claims, in accordance with relevant legislation and company policy, adhering to service level agreements and meeting client and business expectations.", "Requirements": ["Grade 12 or equivalent qualification.", "Minimum of 1-2 years experience in processing claims.", "Experience in the assessing of...


  • Centurion, South Africa OUTsurance Full time

    Company Description OUTsurance is a customer-centric financial services company with a global foot print. We are vibrant, successful and values orientated with an awesome dynamic culture encapsulated by the ethos that clients and staff “always get something OUT.” Our success can be attributed, amongst other things, to the outstanding people that work...

  • Claims Assessor

    6 months ago


    Centurion, South Africa MMI Holdings Ltd Full time

    Closing Date2023/03/20Reference NumberMMH230301-6Job TitleClaims AssessorPosition TypePermanentRole FamilyClient ServicesClusterHealth SolutionsRemote OpportunitySome of the timeLocation - CountrySouth AfricaLocation - ProvinceGautengLocation - Town / CityCenturionIntroduction Metropolitan is one of the oldest financial services brands in South Africa. With...

  • Claims Assessor

    5 months ago


    Centurion, South Africa Momentum Life Full time

    **Introduction**Role Purpose** - To be part of a team that provides market leading claims assessment capability for living benefits (critical illness, income and disability benefits). This will include specialising in income disability, lump sum disability,critical illness and case management for living benefits, the completion of quality industry...


  • Centurion, South Africa OUTsurance Full time

    **Company Description** OUTsurance is a customer-centric financial services company with a global foot print. We are vibrant, successful and values orientated with an awesome dynamic culture encapsulated by the ethos that clients and staff “always get something OUT.” Our success can be attributed, amongst other things, to the outstanding people that work...

  • Claims Assessor X2

    5 months ago


    Centurion, South Africa Health Solutions 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 X2

    5 months ago


    Centurion, South Africa Health Solutions Full time

    **Introduction** Momentum Health Solutions, anentity of MomentumMetropolitan Holdings deliverssustainable, integrated healthsolutions that meet the needs ofclients in the different segmentsand maximise lifetime clientvalue. We build and maintain aculture of innovation, and createvalue through unique insights ofhow to achieve specificoutcomes by using a...


  • Centurion, South Africa OUTsurance Full time

    **Company Description** OUTsurance is a world-class, fast growing short-term & life insurer based in Centurion. You always get something OUT, in that we are vibrant, successful and values orientated with an awesome dynamic culture that aligns its business with its core values of Awesome service, Passionate, Honest, Human, Dynamic and Recognition. Bench...

  • Death Claims Assessor

    5 months ago


    Centurion, South Africa Momentum Life Full time

    **Introduction**Role Purpose** - To provide specialist and accurate death benefit claim decisions, through assessing client’s information as well as medical information aligned to the product and policy agreement.**Requirements**: - Matric - Relevant business-related qualification. - Relevant Insurance/Financial services Industry, applicable regulatory...

  • Claims Assessor

    2 weeks ago


    Centurion, Gauteng, South Africa MMI Holdings Ltd Full time

    Role PurposeAssess, review, and manage living benefit claims in accordance with relevant legislation and company policy, meeting client and business expectations.Key ResponsibilitiesClaims Assessment: Assess, review, and manage disability, dread disease, and income disability claims, as well as other claims requiring a medical assessment component, in line...

  • Claims Consultant

    6 months ago


    Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** - Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations.- **Role Purpose** - Our consultants...

  • Claims Consultant

    5 months ago


    Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. **Role Purpose** Our consultants...


  • Centurion, South Africa Health Solutions 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 Consultant Temp

    5 months ago


    Centurion, South Africa PSG Insure Full time

    **Job description** The Claims Consultant is responsible for coordinating and overseeing, managing and negotiating the settlement of the claim. The consultant is accountable for finalising the claim end-to-end and must have knowledge of Commercial and Personal lines products and be able to process motor as well as non-motor claims **Responsibilities**: -...


  • Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction**Role Purpose**Requirements**: - Previous commercial claims experience is essential - Previous call centre experience in a claims environment - Matric **Duties & Responsibilities** - Capture/register claims on the PREMIA system - Handle administration and follow ups concerning claims - Liaise with clients, service providers and assessors -...

  • Claims Consultant

    5 months ago


    Centurion, South Africa PSG Insure Full time

    **Job description** The Claims Consultant is responsible for coordinating and overseeing, managing and negotiating the settlement of the claim. The consultant is accountable for finalising the claim end-to-end and must have knowledge of Commercial and Personal lines products and be able to process motor as well as non-motor claims **Responsibilities**: -...