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  • Posted: Jan 11, 2023
    Deadline: Not specified
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    Imagine a world where people live healthier, more enhanced and protected lives… A world in which each organisation is a powerful influencer and responsible corporate citizen, committed to being a force for social good. As a leading innovator in healthcare, wellness, insurance, investments, financial and life planning, Discovery works ceaselessly to...
    Read more about this company

     

    Claims Assessor

    Key Purpose

    The role contributes to the organisational goals by assessing, validating and finalising of all Life Cover, Serious Illness Cover, Income Protection Cover, Disability Cover claims according to the policy terms and condition whilst still adhering to service level agreements and maintaining high service standards.

    Areas of responsibility may include but not limited to:

    • The successful applicant will be responsible for but not limited to the following job functions:
    • Assess and decide on validity of claims submitted.
    • Medical and financial assessing of Protection claims.
    • Assessing the contract validity of a claim.
    • Identifying possible fraud, non-disclosure, misrepresentation and pre-existing conditions.
    • Liaising with internal and external stakeholders to reach claim decision.
    • Provide input into product development and system enhancements
    • Complaint resolution
    • Coaching of administrators

    Personal Attributes and Skills:

    • Strong Relationships Skills.
    • Deciding and initiating action
    • Working with People
    • Able to work unsupervised and to take initiative
    • Adhering to Principles and Values
    • Presenting and Communicating Information
    • Conflict handling
    • Analysing
    • Learning and Researching
    • Delivering Results and Meeting Customer Expectations
    • Following Instructions and Procedures
    • Adapting and Responding to Change
    • Coping with extreme pressure and setbacks
    • Achieving Personal Work Goals

    Education and Experience:

    Education

    • Matric / Grade 12 is essential.
    • COP (Certificate of Proficiency) in life insurance would be advantageous.
    • Medical degree would be advantageous.
    • An intermediate knowledge of the Life Insurance Industry.

    Knowledge:

     

    • Microsoft Office skills, i.e. Outlook, Excel and Word are mandatory.
    • Previous life claims assessment would be advantageous.
    • An intermediate to advanced understanding of Medical conditions and diagnosis
    • An intermediate level of Communication Skills (verbal & written)
    • An intermediate level of conflict handling

    EMPLOYMENT EQUITY   
                                 
    The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

    Method of Application

    Interested and qualified? Go to Discovery Limited on careers.discovery.co.za to apply

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