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Johannesburg: Life Claims Assessor posted by Isilumko Staffing

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Job Description

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:

  • 35 years in Life Claims Assessment (Death, Disability, Severe Illness).
  • 23 years in Underwriting.

Education:

  • Required: Matric + Diploma/bachelors in health-related field (Nursing, OT, Physio) or equivalent experience.
  • Preferred: Risk management and medical terminology knowledge.



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