Claims Assessor

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 claims according to the policy terms and conditions whilst adhering to the service level agreements and maintaining high service standards.

Job Responsibilities:

  • Identifying possible fraud, misrepresentation and pre-existing conditions.
  • Complaint resolution
  • Medical and financial assessment of Protection claims.
  • Assessing the contractual validity of a claim.
  • Provide input into product development and system enhancements
  • Liaising with internal and external stakeholders to reach claim decision.

Job Requirements:

  • Intermediate knowledge of the Life Insurance Industry.
  • Matric/Grade 12 is essential
  • Microsoft Office skills, i.e. Outlook, Excel and Word are mandatory.
  • Experience within the UK Life Claims environment would be advantageous.
  • A minimum 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.
  • 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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