Senior Claims Assessor

 

Recruiter:

Watershed Consulting

Job Ref:

MI-SCA

Date posted:

Tuesday, June 8, 2021

Location:

CapeTown, South Africa

Salary:

Market related


SUMMARY:
Senior claims assessor needed in the financial services sector

POSITION INFO:

Responsibilities

  • Audit claims in line with the insurance policy definitions and exclusions.
  • Assess all claims information and forward all incomplete documentation to the relevant stakeholder for resolution.
  • Resolve escalated claim queries and ensure queries are processed in a timely manner.
  • Monitor and manage the adherence to the service level agreements for authorisations
  • Coach and guide claim team in claims management processes and procedures
  • Ensure that the necessary risk management controls are in place

Requirements

  • Grade 12 with Maths / Accountancy
  • 5 years relevant Claims experience
  • Knowledge and understanding of Life Insurance products and services, Insurance Legislation, Pension Funds Act, TCF and In House systems


 

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