Funeral Assessor II

17 hours ago

Cape Town, Western Cape, South Africa Capitec Full time R250 000 - R400 000 per year

Job description:

Purpose Statement

To improve claims operational excellence, increase customer satisfaction, minimize losses for Capitec Insurance through accurate and holistic assessment of all types of insurance non-medical claims (life, funeral and death), in accordance with terms and conditions of the respective policy/ies, legislative frameworks and goals, objectives, processes and standards sets by Capitec.

Location: Century City

Experience

  • Minimum of 3 years practical experience in funeral and/or life insurance claims assessment, preferably within the context of fully underwritten products
  • Experience in stakeholder management and client engagement

Qualifications (Minimum)

  • Grade 12 National Certificate / Vocational

Qualifications (Ideal or Preferred)

  • A relevant qualification in Healthcare or Science

Knowledge

Minimum:

  • Understanding of the long-term insurance industry and claims handling processes
  • Knowledge of Funeral and Life Insurance Products
  • Knowledge of relevant legal framework relating to funeral and life insurance claims

Ideal:

  • Knowledge or practical experience on assessment of Credit Life Insurance products, especially retrenchment and death claims.
  • Occupational certitficate or course on long-term life Insurance Claims Assessor

What you will be required to do

As an Funeral Assessor II at Capitec Bank, your primary responsibilities will include:

  • Support funeral claims process set-up
  • Funeral claims assessment
  • Quality assurance – review and verify claims for accuracy and completeness. Approve decisions and payments within turnaround time. Maintain high quality  and meet productivity targets
  • Fraud risk assessment - flag and escalate suspicious claims per Capitec's fraud framework.
  • Assessment of misrepresentation/non-disclosure in life insurance
  • Identify trends and areas of concern and escalate accordingly
  • Resolve complex claims queries and complaints within service level agreements
  • Stakeholder engagement

Skills

  • Administration Skills
  • Attention to Detail
  • Decision making skills
  • Numerical Reasoning skills
  • Planning, organising and coordination skills

Conditions of Employment

  • Clear criminal and credit record

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