Claims Assessor Specialist

Hello Future Risk Claims Assessor,  

• Accurately assess, investigate and manage long-term insurance claims including Impairment, Disability, income replacement, death and critical illness claims.
• Ensure that the claims assessment and that the standard of decision is consistent with the company values and philosophy.
• Ensure all risks are mitigated and escalated; this includes the identification of fraudulent activity, policy abuse and pre-existing conditions.
• Provide effective, efficient and professional service to all our customers, advisors and branches, both telephonically and through written correspondence.
• Take ownership of queries and ensuring they are resolved timeously and effectively.
• Ensure adherence to organizational 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.

• Have a suitable medical qualification (Occupational Therapy, Physiotherapy and or biokineticist)
• At least 3 years’ medical claims assessment experience
• Worked in a Long-term insurance environment.
• Experience in dealing with Ombudsman / escalated queries.
• Nursing background will be advantageous.
• ASISA Life insurance claims assessor course as a requirement- would be advantagous

• Opportunities to network and collaborate.
• A challenging working environment
• Opportunities to innovate.

• Adaptable and curious
• Have a proven successful track record.
• Thrive in a collaborative environment.

Are you interested to take the step? We look forward to engaging with you.

All appointments will be made in line with FirstRand Group’s Employment Equity plan. The Bank supports the recruitment and advancement of individuals with disabilities. In order for us to fulfill this purpose, candidates can disclose their disability information on a voluntary basis. The Bank will keep this information confidential unless we are required by law to disclose this information to other parties.