Johannesburg: Group Claims Assessor

February 19, 2026 Jobs in Central Johannesburg

Job Description

About the Role

As our Group Claims Assessor, you will be responsible for the end-to-end assessment of group claims, ensuring they are processed within strict turnaround times and to the highest standard of accuracy. You will balance two priorities: Efficiency and Compliance: Ensuring claims are validated against policy terms, exclusions, and regulatory frameworks, with a keen eye for fraud detection. Compassionate Service: Providing clear, empathetic communication and guidance to claimants and beneficiaries during a sensitive and emotional time.

Key Responsibilities

Review and validate all submitted group claims and documentation against policy terms, exclusions, and conditions.
Accurately calculate claim payouts and make approval/rejection recommendations in line with authority levels.
Ensure claims are assessed and processed within agreed SLAs and with near-zero error rates.
Provide empathetic, clear, and timely updates to claimants, ensuring sensitivity in all interactions.
Clearly explain required documentation, claims procedures, and outcomes to beneficiaries and group Human Resources teams.
Identify, flag, and escalate suspicious or fraudulent claims with full supporting evidence.
Ensure strict adherence to FSCA, TCF, POPIA, Guardrisk, Gen Re, and internal claims policies.
Maintain complete, auditable records of all claims assessments, decisions, and communications.
Liaise with Finance, Underwriting, Compliance, and external stakeholders (e.g., reinsurers) to ensure seamless claims resolution.

Requirements

Demonstrates high empathy and emotional intelligence, providing compassionate support to grieving clients while maintaining professional composure.
Maintains strong attention to detail, ensuring accuracy in claims assessment and documentation.
Communicates clearly and sensitively, both verbally and in writing, explaining processes and outcomes to clients.
Remains resilient under pressure, managing high volumes of claims without compromising quality.
Exhibits integrity and ethical decision-making in all claims-related activities.
Collaborates effectively with colleagues and external stakeholders to ensure smooth and timely claims resolution.

Qualifications

Matric (Grade 12) required. Diploma or degree in Insurance, Finance, or related field advantageous. Relevant insurance/claims certifications or FAIS compliance (advantageous). Clear credit and criminal record.

View Job Johannesburg: Board-level Finance Professionals

Salary & Benefits

Competitive salary opportunity to be part of a forward-thinking team and to grow within a fast-scaling business. Access to ongoing training and development programs to build claims expertise. Exposure to modern claims management systems and tools to support efficient and accurate assessments. Be part of a company committed to nurturing talent and offering career advancement opportunities. The chance to influence the future of life insurance in South Africa and contribute to high-impact projects.

Note: This rewritten job description follows the exact structure and formatting guidelines provided, while preserving all facts and requirements as stated in the original job description.

How to Apply

Click the green “Go Apply” button below to apply directly online with the employer.

About Accounting / Finance Jobs in Gauteng

In Gauteng, South Africa, the accounting and finance industry is a significant sector, offering various career opportunities for professionals with the right skills and qualifications. Typically, this field is driven by the growth of multinational corporations and local businesses in industries such as technology, financial services, and manufacturing. As a result, job seekers can expect to find a diverse range of roles available, from entry-level positions to senior leadership roles.

When it comes to salary expectations, accounting and finance professionals in Gauteng can generally expect to earn salaries that fall within broad ranges. Typically, salaries for entry-level roles start around R400 000 – R600 000 per annum, while more senior roles can command salaries ranging from R1 million to over R3 million per annum, depending on factors such as experience, company size, and industry sector. However, it’s essential to note that these are broad ranges, and actual salaries may vary widely.

Common skills required for accounting and finance roles in Gauteng include strong technical knowledge of financial management principles, analytical and problem-solving skills, attention to detail, effective communication skills, and proficiency in financial software and systems. Additionally, many employers also value candidates with experience in budgeting, forecasting, and financial analysis. In some cases, a degree or diploma in accounting, finance, or a related field may be required.

View Job Bronkhorstspruit: Millwright posted by Hire Resolve

Industries that commonly employ accounting and finance professionals in Gauteng include the financial services sector, technology industry, manufacturing sector, and public sector entities. These sectors require skilled professionals to manage their finances, prepare budgets, and provide strategic guidance on financial matters. Job seekers can expect to find opportunities across these sectors, from small businesses to large multinational corporations.

For those interested in pursuing a career in accounting or finance, there are many development opportunities available. Typically, professionals in this field can progress to senior roles, such as financial manager or director of finance, after gaining relevant experience and developing their skills. Additionally, many employers offer training programs and mentorship opportunities to support the career development of their employees.

This information provides general career guidance. Actual salaries and requirements vary by employer.

GO APPLY NOW

Safe & secure application process