Claims Assessor and Investigator

MWL is dedicated to supporting, growing and empowering clients with affordable, simple, and suitable solutions, primarily through telephonic intermediary channels. We have approximately 120 tied sales agents, all dedicated to meeting the financial needs of our clients and prospective clients.

MiWayLife’s vision is to establish a world-class direct financial service business that seeks to:
offer its clients excellent service, superior value products, and fair treatment always;
be an employer of choice; and
be a good corporate citizen and play a meaningful role in the transformation of the Financial Services industry.

MiWayLife’s culture is values-based and is built around the pillars of Accountability, Attitude, Energy Freedom and Professionalism. We are a family of vibrant and energetic free-thinkers, constantly looking to innovate and disrupt. What will you do?

This is a specialist position that reports directly to Operations Manager : Claims. The role is accountable for the execution of a compliant and effective claims administration function (either Life or Funeral, or both in some cases). Additionally, this role is also tasked with undertaking investigations to verify the validity of claims.

**Key responsibilities include**:
Assess and execute Life claims
Assess and execute Funeral claims
Undertake claims investigations
Build external partner relationships
What will make you successful in this role?

Qualification & experience
Grade 12 or preferably business or commerce degree/diploma
Experience in financial distribution services, preferably re-assurance
3 years’ experience as a claims assessor and investigator
RE1 and Wealth Management accredited
Assessor certification
Nursing or medical background experience (optional)
Knowledge and skills

**IT**:
MS: Office (Excel, Word, PP, Outlook)
MIS
Thought Express

**Business**:
Financial services industry knowledge
MiWayLife business and operating model
Financial services product knowledge (MiWayLife)
Relevant regulatory legislation and compliance knowledge (POPI etc)
Policy contracts governances, clauses, cover
Claims and assessor principles, processes and governances
Underwriting processes and guiding principles (basic)
Medical/health assessment indicators and metrics
Legal investigative processes (including affidavits)
Criminal/SAPS procedures (processing cases)
Call centre and sales processes
Client complaints processes
Personal attributes
Tenacity and determination
Good communicator/confident/assertive
Analytical and detail minded
Curious and investigating orientation
Sound ethics
Client orientated
Financial acumen
Problem solver
Able to build relationships/partnerships
Planning and organising orientation
Quality orientation
Qualification and Experience Knowledge and Skills Personal Attributes Build a successful career with us

We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future - your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realize their worth. Core Competencies Turnaround time

Turnaround times

The time taken to complete this process depends on how far you progress and the availability of managers.
Our commitment to transformation

MiWayLife is committed to transformation and embracing diversity and our employment equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society as well as people with disabilities.