Senior Claims Examiner

2 weeks ago


Johannesburg, Gauteng, South Africa TalentCru Full time

TalentCru 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.

  • Key Responsibilities:
  • Assess the validity of claims and ensure they meet the stipulated criteria for payout.
  • Evaluate and process death, critical illness, disability and incapacity claims.
  • Investigate and report fraudulent claims.
  • Complaints handling.
  • Meet production standards for both quantity and quality.
  • Liaise with employers and service providers.
  • Attend to the fund central mailbox and respond to queries within SLA.
  • Drafting of resolution letters.
  • Good administrative skills.
  • Good communication skills, verbal and written.
  • Ability to work under pressure, be target driven and meet deadlines.

About the Role:

This is a 12-month contract opportunity to work with a reputable company in the telecommunications industry. The ideal candidate will have a strong understanding of benefits offered in the risk benefits portfolio, including death, disability, incapacity and ECT.

Requirements:

  • 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.

What We Offer:

TalentCru offers a competitive salary and benefits package, as well as opportunities for professional growth and development.


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