Claims Assessor: Short Term

SUMMARY:
-

POSITION INFO:

A vacancy has become available for a Claims Assessor: Short Term in the Umhlanga area, Responsible for validating, evaluating, making the correct assessment decision and calculating the correct payment for Short Term Claims assessed. 

Claims Processing

• Confirm that the claim intimation is correct and valid.
• Check the status of the policy & receipt of premium (current and up to date), to facilitate claim processing.
• Responsible for ensuring that all the required supporting documentation is obtained to comprehensively assess the claim.
• If necessary, requesting the Claims Administrator to source outstanding documents.
• Responsible for evaluating and assessing the claim as per the policy wording/requirements documented in the policy wording.

Administrative Duties

• Support all involved stakeholders with regards to claim queries.
• Ensure that all interactions and developments are well documented on CADi.
• Ensure optimal use of MOS to manage workload.
• Responsible for generating payment requisitions to facilitate claim payments.
• Assume overall responsibility for the content of the decision notification sent out to all relevant parties.
• Ad hoc related administration related to short-term claims.

Customer Service

• Responsible for providing excellent service to policy holders and business partners in respect of Claims.
• Responsible for providing supportive input to Customer Experience with regards to customer complaints.
• Liaise with policy holders regarding the status of their claim and keep them informed if necessary.
• Responsible for maintaining the service level standards agreed with our business partners as per our SLAs.
• Responsible for ensuring that the principles of TCF are embodied in our assessment process/decision.

 

• FAIS accreditation is an advantage
• A recognised financial qualification (i.e. a degree or diploma) is required.
• An excellent understanding of financial concepts is required.
• Approximately 3 to 5 years related work experience, depending on the qualification attained and the nature of the work experience.

 

NB! This job is now closed. You can apply for other jobs by uploading your CV.

---