We use cookies to provide the essential functionality of the website and its advanced features, to analyse traffic and to improve our services to you, and to provide personalised content to you.
By clicking ‘Accept All’ you agree to these. You can change your selection at any time under the ‘Cookie Settings’ link on the page.
You can read more about our cookies in our Cookie Policy
Cookie Settings
We use cookies to provide the essential functionality of the website and its advanced features, to analyse traffic and to improve our services to you, and to provide personalised content to you.
By clicking ‘Accept’ you agree to these. You can read more about our cookies in our Cookie Policy
These cookies are essential to the functionality of thebigjobsite.com
When you log in to the Internet Site the Company will set a cookie containing a randomly generated unique reference number. This anonymous number allows the Company to identify you. The Company will never store your personal information directly as a cookie. A persistent cookie will be set, persistent cookies are not deleted when you close your browser, and will allow the Internet Site to recognise you on your next visit.
Name
Expiration
Description
ATTBCookie*
2 years
These cookies are used to remember a user’s choice about cookies on thebigjobsite.com. Where users have previously indicated a preference, that user’s preference will be stored in these cookies.
last-search
search
redirect-stage
original-keyword
1 day
Session
1 hour
1 hour
These cookies are used by thebigjobsite.com to pass search data between our own pages.
datadome
1 year
DataDome is a cybersecurity solution to detect bot activity
jjap
1 days
Used to track if you have seen the Job Alerts prompt. Job Alerts is a service you can subscribe to to receive information about new jobs.
Advanced features of the site use Cookies to provide information you requested and to reduce you having to key in repeated fields.
Name
Expiration
Description
attb-loc
3 months
Stores your location information so that we can pre-populate search fields to find jobs near you.
Analytic cookies allow the Company to see how the Internet Site is being used. This information forms the basis of future development work, and so enables the Company to continually improve its Internet Site to best suit its users.
Name
Expiration
Description
__gads
_ga
_ga_JH3TWMTYRK
_gat_gtag_UA_1462011_9
_gcl_au
_gid
_uetsid
_uetvid
13 months
2 years
2 years
1 minute
90 days
24 hours
1 day
16 days
Google Analytics: For purposes of analytics, your UserID may be tracked and sent to Google Analytics after you register for one of our services such as Job Alerts. After you register, your registered session may be stitched together with your original, unauthenticated session. This allows longer-term tracking to help us monitor the effectiveness of our marketing campaigns. No personally identifiable information, or data that permanently identifies your device, is sent along with your tracking IDs.
Create Email Alert
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
Email address is already registered
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Would you like to [visit your alert settings] now?
Success! You're now signed up for Job Alerts
Get ready to discover your next great opportunity.
Our client based in the Umhlanga area is seeking an experienced Claims Assessor (Life). The ideal candidate should have exceptional communication skills, work ethic and dedication to the workplace.
Requirements:
Detailed knowledge relating to the specialist/technical nature of life claims assessment
Good understanding of medical conditions and the
Our client based in the Umhlanga area is seeking an experienced Claims Assessor (Life). The ideal candidate should have exceptional communication skills, work ethic and dedication to the workplace.
Requirements:
Detailed knowledge relating to the specialist/technical nature of life claims assessment
Good understanding of medical conditions and the
We are looking for a qualified Assessor to join our life claims team. Please see the requirements below:
Detailed knowledge relating to the specialist/technical nature of life claims assessment.
Good understanding of medical conditions and the ability to understand medical terminology and medical reports.
At least 2 - 4 years’ work experience as a
These jobs were popular with other job seekers Our client based in the Umhlanga area is seeking an experienced Claims Assessor (Life). The ideal candidate should have exceptional communication skills, work ethic and dedication to the workplace. Requirements: Detailed knowledge relating to the specialist/technical nature of life claims assessment Go
These jobs were popular with other job seekers Reference: PTA002871-CB-2 We are looking for a Medical Claims Administrator for a big, amazing and an innovative company in the health tech space. Duties & Responsibilities The Purpose of the team that you will become part of, is to launch a service based solution which is driven by back of cutting ed
Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what
These jobs were popular with other job seekers Are you seeking a role within a leading (BPO) customer service solutions provider? Our Client is seeking a Claims Assessor who will be based in Durban. The purpose of the role is to be responsible for validating, evaluating, making the correct assessment decision and calculating the correct settlement
These jobs were popular with other job seekers Are you seeking a role within a leading (BPO) customer service solutions provider? Our Client is seeking a Claims Assessor who will be based in Durban. The purpose of the role is to be responsible for validating, evaluating, making the correct assessment decision and calculating the correct settlement
Job Source: Mpc Recruitment
Claims assessor: life (kzn)
Durban, KwaZulu-Natal
R 300000 ZA Per annum
ENVIRONMENT: A highly meticulous & solutions-driven Claims Assessor: Life is sought by a dynamic provider of cutting-edge and economical business solutions, headquartered in Kwa Zulu-Natal. Your core role will be to validate, evaluate, make the correct assessment decision, and calculate the correct settlement for CPP (Life) Claims assessed. You will check the status of the policy and receipt of premium (current and up to date), to facilitate claim processing, work through negative deferred days and possible prescription while providing excellent service to policy holders and business partners in respect of Claims. Applicants will need Grade 12/Matric, a relevant NQF 4, preferably a Further Education and Training Certificate (FETC) in Short Term Insurance, Long Term Insurance or Retail Insurance & FAIS Regulatory Exam for Representatives (RE5). You must have 2-4 years’ work experience as a Life Assessor is required with detailed knowledge relating to the specialist/technical nature of life claims assessment & a solid understanding of medical conditions and the ability to understand medical terminology and medical reports. DUTIES: Claims Processing - Confirm that the claim intimation is correct and valid. Check the status of the policy and receipt of premium (current and up to date), to facilitate claim processing. Responsible for ensuring that all the required supporting documentation is obtained to comprehensively assess the claim. If necessary, requesting the Claims Administrator to source outstanding documents. Responsible for evaluating and assessing the claim as per the policy wording/requirements documented in the policy wording. Responsible for updating in-house systems with relevant information and developments throughout the assessment process. Responsible for making the “correct” decision in respect of the claim. Responsible to facilitate the process of claim settlement. Responsible for ensuring the accuracy and completeness of system data relating to the claim to facilitate the accuracy of system generated claim settlement amounts. Responsible for achieving daily performance targets. Responsible for calculating the correct claim amount payable. Administrative Duties - Support all involved stakeholders with regard to claim queries. Ensure that all interactions and developments are well documented on in-house systems. Ensure optimal use of MOS to manage workload. Responsible for generating payment requisitions to facilitate claim payments. Assume overall responsibility for the content of the decision notification sent out to all relevant parties. Work on the queries on the Assessor 1 queue. Attend to ad hoc business partner queries. Attend to complaints received from the Complaints Department and walk-in clients. Work through negative deferred days and possible prescription. Work outbound call on vehicle claims in excess of 100 days old (will be allocated by Manager). Attend to email correspondence received from clients, business partners and internal. Ad hoc related administration related to claims. Customer Service - Ensure that the principles of TCF are embodied in the assessment process/decision. Provide excellent service to policy holders and business partners in respect of Claims. Responsible for providing supportive input to Customer Experience with regard to customer complaints. Liaise with policy holders regarding the status of their claim and keep them informed if necessary. Responsible for maintaining the service level standards agreed with business partners as per the SLAs. REQUIREMENTS: Qualifications – Matric / Grade 12. Minimum qualification: Relevant NQF 4. A medical qualification would be an advantage. Preferred qualification: Further Education and Training Certificate (FETC) in Short Term Insurance, Long Term Insurance or Retail Insurance. FAIS Regulatory Exam for Representatives (RE5). Experience/Skills – At least 2 - 4 years’ work experience as a Life Assessor is required. Previous work experience in long term insurance services, financial services or an insurance company would be most valuable. Relevant technical knowledge to understand the technical requirements of life assessment is required. A good understanding of general financial concepts is required. Good understanding of the claims assessment process. Detailed knowledge relating to the specialist/technical nature of life claims assessment. Good understanding of medical conditions and the ability to understand medical terminology and medical reports. Logical and analytical and able to make accurate, complete deductions from multiple sources of information received in respect of the claim. Knowledge of the relevant policies and the ability to understand and interpret relevant policy wordings. Able to make correct and timely decisions as informed by policy wordings. MS Office Skills including Excel. Ability to apply judgement and tact when providing explanations. Able to manage policy holder expectations. Ability to interpret medical reports. ATTRIBUTES: Good communication skills, both written and verbal. High levels of attention to detail to ensure accuracy and completeness. Ability to work independently and demonstrate initiative. Team orientation. Committed to team goals, targets and objectives. Good organisational and time management skills. Able to plan and prioritise in order to meet deadlines. Results focused. Quality orientation. Customer Service orientation. Integrity. Empathetic, patient and tolerant. Diplomatic and mindful of impact. Cross cultural awareness. Assertive and confident.