Claims Assessor

2 weeks ago

Cape Town, South Africa Old Mutual Full time

Description

This role uses specialist technical knowledge to assess risk for the business and/or specific products. 
This role is for a dynamic individual with a willingness to learn and be part of a specialised claims assessing team.

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.
Evaluates financial and medical evidence against business rules and practices.
Exercises discretion in decision making within standardised practice.

Role Requirements

Matric with Biology, Mathematics, or Accounting essential.

Completed financial degree, eg. BCom/ Business aligned degree or medical / medically aligned degree, e.g. Nursing; Occupational Therapy; Physiotherapy, or a three (3) year related diploma is essential.

Claims assessing experience would be an added advantage.

Specialised medical knowledge through learning or experience is essential.

Experience in the Financial Service Industry would be advantageous.

PC proficiency in MS Office i.e. Word, Excel, etc.

Well-developed interpersonal skills.

Strong verbal and written communication skills particularly the ability to have difficult conversations.

Attention to detail.

Well-developed problem-solving skills.

Good presentation skills.

Must be a team player.

Must be willing to work shifts and overtime where necessary.

Skills

Education

Closing Date

08 May 2024

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