Our client based in Cape Town have an opportunity for a Credit Life Claims Assessor. The successful incumbent will be responsible for claims administrative responsibilities in respect of long-term insurance products
Main job function
Process and check individual life claims such as death, funeral, lump sum disability, cancer, critical illness, retrenchment, road accident injury and temporary disability claims
Doing regular follow-ups to obtain outstanding claim documentation
Requesting affidavits from clients confirming their unemployment status for continued payment of the retrenchment benefit
Maintain and update claims register
Interacting with medical aids, hospitals and medical practitioners regarding medical history required and relevant to assessing the claim.
Assessing claims and making final claim synopsis decision
Liaising with the reinsurance companies regarding the claim decision
Dealing with client queries either telephonically or via e-mail correspondence
Arranging for and approving claim payments and Reinsurance refunds
Drafting reports and compiling timelines for Management
Providing input for claim related template improvements
Other administration related functions
Compiling and collating the claim case data files required by the Auditors
Matric
Insurance related qualification
Good written, reporting and verbal communication skills
Good negotiation skills and effective in dealing with customers
Ability to apply administration principals and work with detail and a high level of accuracy
Intermediary MS Office, especially Excel, Word and Microsoft Outlook skills
Good time management
Excellent planning and organising Works well in a team and independently
Analysing
Learning and researching
Delivering results and meeting customer expectations
Coping with pressure and setbacks
Ability to work well under pressure
Commitment to meet daily targets and SLA’s
Self-motivated
Minimum of 2 years’ experience in Life Insurance Claims processing and assessing
Minimum of 1 years’ experience in assessing the validity of retrenchment benefit claims in particular
A Consultant will be in touch if you are shortlisted for the position. Please consider your application unsuccessful should you not have been contacted within 2 weeks. We will keep your CV on our database and contact you should you match the criteria of any other vacancies.