Death Claims Assessor

7 days ago

Centurion, Gauteng, South Africa Momentum Group Limited Full time R300 000 - R600 000 per year
Introduction

Through our client-facing brands Metropolitan and Momentum, with Momentum Multiply (our wellness and lifestyle rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations.
We help people grow their savings, protect what matters to them and invest for the future. We help companies and organizations care for and reward their employees and members. Through our own network of advisers or via independent brokers and utilizing new platforms Momentum Metropolitan provides practical financial solutions for people, communities, and businesses.

Visit us at  



Role Purpose

To provide specialist and accurate death benefit claim decisions, through assessing client's information as well as medical information aligned to the product and policy agreement.



Duties & Responsibilities
  • Assist with development and execution of an industry renowned claims assessment methodology across the Death benefit portfolio through continuous development based on current best industry and company practices and technological enablers.
  • Ensure that assessment methodology and execution is in line with legislation and best practices within the financial management field in order to optimise the claims assessment service offering and delivery.
  • Familiar with the regulatory framework, insurance related court decisions and/or determinations by regulatory bodies, governing bodies etc. that could impact the way claims are processed or handled.
  • Complete quality industry assessments within the required service levels aligned to product and policy requirements.
  • Partner and collaborate with both internal and external stakeholders, not limited to product development, underwriting, medical officer, reinsurance partners to improve claims assessment and client experience.
  • Assist with continuous improvement efforts through the identification of opportunities, cost reduction, improvement on the quality of claims decisions and systems enhancement.
  • Embed and apply tools that allow for more efficient decision making, processing and risk management capabilities.
    Providing insight, knowledge, assistance and provide testing support where necessary as part of the development and maintenance of all claims systems to improve quality and efficiency.
  • Assist with the review of all claims policies, practices, forms and documentation to ensure that our risk management standards are met and aligned to relevant product changes and legislative updates.
  • Ensure delivery of timeous and consistent claims assessment feedback to clients by managing and maintaining workflow and service level standards.
  • Assist with the delivery of accurate and timeous reporting, analysis and insights where required, and implementation of findings into the execution of claims assessment to improve the client experience and risk management.
  • Incorporate internal assessment feedback into the enhancement of daily business processes and management operating systems.
  • Provide factual, logical, expertise and advice to clients and stakeholders.
  • Build and maintain relationships with clients, internal and external stakeholders.
  • Deliver on service level agreements with all stakeholders to ensure that client expectations are met and managed.
  • Make recommendations to improve client experience and fair treatment of clients within area of responsibility.
  • Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
  • Ensure compliance to regulatory Treating Customer Fairly outcomes.
  • Develop and maintain productive and collaborative working relationships with peers, team members and stakeholders.
  • Positively influence and participate in change initiatives.
  • Continuously develop own expertise in terms of professional, industry and legislation knowledge.
  • Contribute to continuous innovation through the development, sharing and implementation of new ideas.
  • Take ownership for driving career development.
  • Responsible to manage, identify and mitigate risk through the adherence of the claims process.
  • Identify to enhance cost effectiveness and increase operational efficiency.
  • Manage financial and other company resources under your control with due respect.
  • Provide input into the risk identification processes and communicate recommendations in the appropriate forum


Requirements
  • Matric / Grade 12
  • Relevant business-related qualification.
  • Relevant Insurance/Financial services Industry, applicable regulatory requirements and legislations knowledge and experience.
  • Minimum of 5 years' experience in life insurance claims (preferred).
  • Knowledge of medical terminology (preferred).


Competencies
  • Business Acumen
  • Client/ Stakeholder Commitment/management
  • Drive for Results
  • Leads Change and Innovation
  • Motivating and Inspiring Team
  • Communication skills
  • Collaboration
  • Impact and Influence
  • Self-Awareness and Insight
  • Diversity and Inclusiveness
  • Adopting Practical Approaches
  • Analytical
  • Planning
  • Judgement and Decision making
  • Time Management
  • Attention to Detail
  • Following Procedures
  • Managing Tasks and Setting goals
  • Upholding Standards
  • Strong Team player
  • Cross team collaboration

  • Service Specialist: Death Claims

    4 days ago

    Centurion, Gauteng, South Africa Momentum Full time R250 000 - R500 000 per year

    Through our client-facing brands and our other specialist brands, Momentum Group enables business and people from all walks of life to achieve their financial goals and life aspirations.We help people grow their savings, protect what matters to them and invest for the future. We help companies and organisations care for and reward their employees and...

  • Service Specialist: Death Claims MMH250826-8

    4 days ago

    Centurion, Gauteng, South Africa Momentum Full time R250 000 - R400 000 per year

    Role PurposeAs a Death Claim Service Specialist at Momentum Wealth Technical Support Service, you will play a crucial role in the receipt, review, and processing of Wealth death claims associated with both Voluntary and Compulsory products. Your work will directly impact the quality of service delivered to our clients and their beneficiaries during a...

  • Claims Assessor

    4 days ago

    Centurion, Gauteng, South Africa MOMENTUM LIFE Full time R250 000 - R450 000 per year

    IntroductionThrough our client-facing brands Metropolitan and Momentum, with Momentum Multiply (our wellness and lifestyle rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow...

  • Administrator: 37C Death Claims

    2 days ago

    Centurion, Gauteng, South Africa Momentum Corporate Full time R104 000 - R208 000 per year

    IntroductionThrough our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect...

  • Administrative Assistant Claims x10

    2 days ago

    Centurion, Gauteng, South Africa Interdot Solutions Full time R120 000 - R180 000 per year

    Purpose of the Job: To provide administrative support for the Officer, Senior Officer and Team Leader to ensure that the branch is run efficiently and effectively.Key Performance AreasTo follow up on queries from Stakeholders Telephone calls. Checking correspondence. Sending out letters. Draft undertaking letters where applicable.Completing payment...

  • Death Claims Assessor MMH251119-8

    1 week ago

    Centurion, South Africa Momentum Full time

    Role Purpose To provide specialist and accurate death benefit claim decisions, through assessing client’s information as well as medical information aligned to the product and policy agreement. Requirements Matric / Grade 12 Relevant business‑related qualification. Relevant Insurance/Financial services Industry, applicable regulatory requirements and...

  • Service Specialist

    6 days ago

    Centurion, South Africa Momentum Investments Full time

    **Introduction** **Role Purpose** The Service Specialist (Death Claims) will oversee the complete servicing of death claims (deceased estates) within the RISO business unit. This includes timely handling and support for claims received from various investment platform clients. Responsibilities encompass reviewing received death claims, soliciting missing...

  • Senior Death Benefit Claims Specialist

    1 week ago

    Centurion, South Africa Momentum Full time

    A leading financial services company in Centurion seeks a specialist for death benefit claims assessment. The role involves developing claims methodology, ensuring compliance with regulations, and enhancing client experience through effective assessment and reporting. Candidates should have a relevant business qualification and experience in life insurance...

  • Claims Assessor

    7 days ago

    Centurion, South Africa Momentum Health Full time

    **Introduction** - Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by...

  • Claims Assessor

    2 weeks ago

    Centurion, South Africa Momentum Metropolitan Holdings Full time

    Introduction Metropolitan is one of the oldest financial services brands in South Africa. With a 116 year legacy of serving the communities in which it operates, Metropolitan represents true empowerment in serving Africa’s people through affordable financial solutions that create financial growth and security. Metropolitan operates in South Africa, but...

  • Claims Assessor

    2 weeks ago

    Centurion, South Africa Private Health Administrators (Pty) Ltd Full time

    Position Purpose: To ensure that claim lines that require manual intervention are released efficiently and timeously, as per agreed TAT by applying assessing and Scheme rules. Experience: A minimum of 2-3 years’ experience in a Managed Healthcare will be advantageous. Qualifications: Tertiary qualification in related field. KEY PERFORMANCE AREAS Conduct...

  • Desktop Assessor Buildings

    1 week ago

    Centurion, South Africa OUTsurance Full time

    Company Description OUTsurance is a world-class, fast growing short-term & life insurer based in Centurion. You always get something OUT, in that we are vibrant, successful and values orientated with an awesome dynamic culture that aligns its business with its core values of Awesome service, Passionate, Honest, Human, Dynamic and Recognition. Bench...

  • Ip Claims Assessor

    3 days ago

    Centurion, South Africa Momentum Life Full time

    **Introduction** The Retail Life Insurance department is looking for a self-driven, dynamic health professional who wants to grow their career in Claims Assessment. Myriad is Momentum's market-leading life insurance product, providing life cover to clients in South Africa. Our Myriad product aim in partnering with our clients on their journey to success. We...

  • Claims Administrator

    2 weeks ago

    Centurion, South Africa PRR Recruitment Full time

    PERSONAL LINES CLAIMS ADMINISTRATOR – CENTURIONWhere precision meets people. If you're an administrative maestro with a passion for insurance, we've got the perfect role waiting for you.Step into a high-impact position where your attention to detail and time management skills will take centre stage. As a Personal Lines Claims Administrator, you’ll guide...

  • Personal Lines Claims Handler

    3 days ago

    Centurion, South Africa The Talent Hive Full time

    Capturing of all new claim where applicable. - One point of contact for the client/broker and adherence to first call resolution. - Deliver exceptional client service that exceeds customers’ expectations through proactive, innovative and appropriate claims handling. - Ensures that customer claim is handled efficiently. - Verifies FNOL data or documentation...