Senior Claims Specialist

1 week ago


Cape Town, Western Cape, South Africa Old Mutual Full time

We are seeking a highly skilled Senior Claims Assessor to join our team at Old Mutual in Cape Town. This role is an excellent opportunity for experienced professionals with specialist technical medical knowledge to assess risk and manage claims on behalf of the organisation.

Role Overview

The successful candidate will be responsible for evaluating and managing the validity of contracts, determining and managing liability, and assessing risk for business and/or specific products. Key responsibilities include:

  • Evaluating proposals and medical/financial evidence against business rules and practices.
  • Determining, selecting, and accepting risk and/or liability on behalf of the organisation.
  • Managing a portfolio of clients which encompasses presentations, reporting, and assistance with the claims process.
  • Ongoing process optimisation & improvements within teams with a focus on implementing best practice in the longer term.

The ideal candidate will have a Grade 12/Matric with Biology and Mathematics, completed a medical/medically aligned degree, and a minimum of 2 years clinical experience. Experience in the Financial Service Industry is highly advantageous. The successful candidate will also possess strong verbal and written communication skills, attention to detail, and good presentation skills.

What We Offer

We offer a competitive salary package of R750,000 per annum, plus benefits including a generous pension scheme, health insurance, and opportunities for professional development. If you are a motivated and experienced professional looking for a new challenge, we encourage you to apply for this exciting opportunity.



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