Claims Assessor Specialist

Website Discovery Limited

Job Description:

The role contributes to the organisational goals by assessing, validating and finalising of all Life Cover, Serious Illness Cover, Income Protection Cover, Disability Cover claimsaccording to the policy terms and condition whilst still adhering to service level agreements and maintaining high service standards.

Job Responsibilities:

  • Assess and decide on validity of claims submitted.
  • Assessing the contract validity of a claim.
  • Identifying possible fraud, non-disclosure, misrepresentation and pre-existing conditions.
  • Liaising with internal and external stakeholders to reach claim decision.
  • Medical and financial assessing of Protection claims.
  • Provide input into product development and system enhancements

Job Requirements:

  • A minimum of 5 years prior experience within a claims environment in the life insurance industry is essential.
  • COP (Certificate of Proficiency) in life insurance would be advantageous.
  • Microsoft Office skills, i.e. Outlook, Excel and Word are mandatory.
  • Extensive knowledge of the Life Insurance Industry.
  • Matric/Grade 12 is essential
  • Experience within the UK Life Claims environment would be advantageous.
  • Medical degree or diploma would be advantageous.

Job Details:

Company: Discovery Limited

Vacancy Type: Full Time

Job Location: Gauteng, South Africa

Application Deadline: N/A

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