Group Risk Claims Assessor – Life Insurance

SUMMARY:
Group Risk Claims Assessor - Qualified OT Qualified OT - Group Risk Claims Assessor - Group Risk

POSITION INFO:

A fast growing Life Insurance company is looking for a Group Risk Claims Assessor. Are YOU it? The company is a dynamic and vibrant player in South Africa’s financial services industry. Our client is passionate about life insurance and the good it can do. In the digital era, people are collaborating, co-creating and sharing like never before. Consumers want to take charge and customise every part of their world to meet their needs. They are applying these same principles to create financial services products that better meet their clients’ needs. Their needs-matched life insurance is a first in the industry – it’s made just for you at the start, and changes as your life changes.

What you’ll be doing if you get the job:

You’ll be based in the Claims team where you will work closely with the Processing Manager with the range of required functions and business unit to assess claims. You’ll work in a high-performance, dynamic, creative and very high-pressure environment, with exposure to a range of different teams in a fast[1]growing, entrepreneurial business. You’ll work closely with members of the Group Risk teams, external stakeholders and may also be involved or interact with other internal teams to resolve a process or activity.

Who’ll you report to:

• You’ll be based at our head office in Sandton, Johannesburg.
• You’ll report to the Head of Claims responsible for Claims.

Your qualifications:

• Grade 12 or equivalent (Essential)
• Relevant tertiary qualification; a medical degree beneficial (Occupational therapist, physiotherapist or nursing)

Your Outputs (include but is not limited to):

• Analyse and make decisions on claims
• Investigate and determine level of risk for potential claims
• Evaluate medical reports
• Assess temp/permanent capacity claims
• Assess claims for additional medical requirements
• Synopsis Claims
• Presentation and discussion of claims at internal committee meeting

Your experience:

• Minimum 2-3 years’ experience as a Group Risk assessor preferable or Occupational Therapy Disability claims exp
• Experience in group and life individual life claims essential
• Sound Business and Operational knowledge of Insurance industry
• Good knowledge of the business administration platforms
• Familiar with Compliance Processes and Procedures in the Insurance Industry
• Familiar with the business products and their rules and workings
• Understanding structures of products

Your skills and character traits:

• MS Office and PC literate
• Team Player
• Customer Champion
• Relationship management
• You are able to take ownership and accountability
• You are able to multi-task
• You have negotiation skills
• Excellent verbal and written communication skills
• You are able to operate effectively under pressure
• You have an analytical mind and above average problem-solving techniques
• You have good time management skills
• You are proactive and innovative  

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