Life Claims Adjudicator
3 weeks ago
At Rand Mutual Admin Services, we are seeking a highly skilled and experienced Life Claims Assessor to join our team.
Key Responsibilities:- Adjudicate and process claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance.
- Verify claims captured for correctness and compliance, and capture/accept additional information on claims as required.
- Manage claims in line with individual targets, reviewing claims in line with process, authority limits, and within agreed timelines.
- Communicate claims process to both the employer and employee as set out in the claims management processes.
- Adjudicate and process payments for claims, including adjudication and processing of TTD benefits and sundry invoices within authority limits.
- Manage medical reports for claims with Permanent Disability, and provide customers with accurate product and service information in an efficient manner.
- Matric
- FAIS Regulatory Examination (RE5)
- NQF Level 5 Higher Certificate in a FAIS Recognised Qualification
- A medical qualification would be advantageous
- Insurance Qualification (advantageous)
- 3 to 5 years claims related experience
- General knowledge of the LTI Act
- Intimate knowledge of the FAIS Act
- Intimate knowledge of the GCOC
- Intimate knowledge of the Insurance Act
- General knowledge of the ASISA Standards and Guides
- Good Administrative skills
- Advanced Excel Skills
We offer great opportunities for personal and professional development in a stable company that's 130 years strong. The role comes with a competitive salary package and various benefits. Flexible work arrangements (combination of remote and in the office) are also available.
You will be a part of a dedicated group of colleagues who value teamwork and collaboration. Our commitment to transformation is also evident in our employment equity plan, which may give preference to candidates from under-represented designated groups.
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