Are you ready to take on a role that involves assessing claims with precision and care? We're recruiting for a client seeking a detail-oriented Claims Assessor to join their team. If you have experience in managing long-term insurance claims and are committed to delivering top-notch service, this could be your next career move.

What you'll be doing:

• Accurately assess, investigate, and manage various claims, including funeral, disability, death, dread disease, retrenchment, and hospital cash claims.
• Ensure claims decisions are aligned with company values and consistently meet high standards.
• Identify and mitigate risks, including detecting fraudulent activity, policy abuse, and pre-existing conditions.
• Provide professional, efficient service to customers, advisors, and branches through phone and written communication.
• Take ownership of queries, ensuring timely and effective resolution.
• Collaborate with your team to meet service quality standards and exceed customer expectations.
• Uphold organisational best practices and ensure compliance with legislative requirements.

What you need to succeed:

• Minimum of 2 years' experience in medical claims assessment, preferably in long-term insurance.
• Exposure to hospitalisation claims or similar.
• Experience in handling escalated queries or working with the Ombudsman.
• Relevant degree or equivalent 

EE Disclaimer:

All positions will be filled in accordance with the company's Employment Equity plan. We encourage people with disabilities to apply.

Application Unsuccessful Disclaimer:

If you do not receive feedback within two weeks of your application, please consider it unsuccessful. Keep an eye on our website and other career sites for future opportunities.