Johannesburg: Life Claims Assessor

Primary Purpose of the Role: To ensure claims are assessed accurately and communicated effectively, in line with business rules and service level agreements. Key Responsibilities: Assess an average of 7 benefits per day. Communicate formally and professionally. Independently assess claims within authority limits. Maintain service level discipline. Achieve Quality Assurance score above 85%. Present complex claims to internal committees for verification. Requirements: Work Experience: 3–5 years in Life Claims Assessment (Death, Disability, Severe Illness). 2–3 years in Underwriting. Education: Required: Matric Diploma/bachelor’s in health-related field (Nursing, OT, Physio) or equivalent experience. Preferred: Risk management and medical terminology knowledge.