Senior Claims Assessor
2 weeks ago
Description
& Key Result Areas:Coaching
Provide guidance and mentorship to junior claims assessorsPersonal Effectiveness
Accountable for managing own time effectively to meet service delivery needs Prioritise tasks and ensure high-quality output Makes increased contributions by broadening individual skills Collaborates effectively with others and can work independently Accepts and lives the company valuesRisk Management
Uses specialist technical knowledge to evaluate and manage the validity of contracts and; determine and manage the liability of claims. Determines, selects, and accepts risk and/or liability on behalf of the organisation. Evaluate financial and medical evidence against business rules and practices. Exercises discretion in decision-making within standardised practice.Role Requirements
Three years of Claims Assessing experience is essential. Matric with Biology, Mathematics, or Accounting is essential . Completed financially / medically aligned degree, e.g. Nursing, BCOM, BSC or a three (3) year related diploma is essential. Must have experience in the Financial Service Industry. PC proficiency in MS Office i.e. Word, Excel, etc. Attention to detail. Strong planning, organising, and time-management skills. Well-developed problem-solving and decision-making skills skills. Innovative and energetic. Strong team player. Well-developed written & verbal communication skills particularly the ability to have difficult conversations. Must be willing to work shifts and overtime where necessary.Skills
Education
Closing Date
08 May 2024-
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