Claims Assessor

6 days ago


Johannesburg, South Africa FirstRand Full time

Job Description

Hello Future Claims Assessor

Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen.

As part of our team in FR Life Assurance, you will be surrounded by unique talents, diverse minds, and an adaptable environment that lives up to the promise of staying curious. Now’s the time to imagine your potential in a team where experts come together and ignite effective change.

Are you someone who can:

- Accurate assessment, investigation and management of long-term insurance claims including Health (hospital) Cash claims and critical illness claims.
- Ensuring that the claims assessment and that the standard of decision is consistent with the company values and philosophy.
- Ensuring all risks are mitigated and escalated, this includes the identification of fraudulent activity, policy abuse and pre-existing conditions.
- Providing effective, efficient and professional service to all our customers, advisors and branches, both telephonically and through written correspondence.
- Taking ownership of queries and ensuring they are resolved timeously and effectively.
- Ensuring adherence to organisational best practice and legislative requirements.
- Teamwork to meet service and quality standards.
- Deliver exceptional service that exceeds customers’ expectations through proactive, innovative and appropriate solutions.
- At least 2 years’ medical claims assessment experience
- Worked with hospitalisation or similar claims
- Worked in a Long-term insurance environment
- Experience in dealing with Ombudsman / escalated queries

Qualifications and Experience
- Minimum: Matric
- Nursing background will be advantageous

You will have access to:

- Opportunities to network and collaborate
- A challenging working environment that is progressive and agile
- Opportunities to innovate where iniative is taken and owned end to end

We can be a match if you are:

- Adaptable and curious
- Analyse complex data sets
- Thrive in a collaborative environment

Post

FNB

LI-NP2

Job Details

Application Closing Date

27/09/24


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