Claims Assessor Group Risk /Disability Claims Assessor - Occupational Therapist, Physiotherapist

SUMMARY:
Claims Assessor - Group Risk/Disability Claims Assessor -Occupational Therapist/Physiotherapist

POSITION INFO:

Our client, a dynamic Financial Services Provider seeks to employ a Claims Assessor to join their dynamic team

The incumbent will be responsible and accountable for asessing, reviewing, and managing Capital Disability, Dread Disease and Income Disability Claims and other claims which need a medical assessment component.  The person will need to ensure that the standards of decisions taken is equitable and made in accordance with the principles and philosophy of the Company.  The incumbent will need to ensure that service level agreements are adhered to and that claims are assessed and reviewed to the clients'' satisfaction.

KEY OUTPUTS

• Responsible and accountable for disability and dread disease claims
• Assess all disability and dread disease claims
• Liaise with the relevant role players for claims needing active management
• Maintain the competence within the Company to ensure that disability claims issued are dealt with efficiently,service level agreements with internal and external clients are met and quality control is adhered to according to the audit requirements.
• Meet regularly as requested with brokers and their clients to discuss relevant claims issues and resolve any outstanding queries
• Ensure that good knowledge of policies, terms and conditions and ther application is maintained.  Ensure claim standards are met relative to policy wording, market practice and the Company practice
• Assist with processes not within portfolio when required

• Excellent Knowledge of Microsoft Office
• Excellent Telephonic skllls
• Excellent interpersonal skills
• Good written and verbal communication

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