Claims Assessor Specialist at FNB South Africa

Job Description

• To apply loss control processes within the organisation, including the follow up of special investigations and monitoring recovery

Hello Future Claims Assessor Specialist,  

• Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen.  
• As part of our talented team in FR Life Assurance, you will be surrounded by unique talents, diverse minds, and an adaptable environment that lives up to the promise of staying curious. Now’s the time to imagine your potential in a team where experts come together and ignite effective change 

Are you someone who can:

• Accurately assess, investigate and manage long-term insurance claims including Impairment, Disability, income replacement, death and critical illness claims.
• Ensure that the claims assessment and that the standard of decision is consistent with the company values and philosophy.
• Ensure all risks are mitigated and escalated, this includes the identification of fraudulent activity, policy abuse and pre-existing conditions.
• Provide effective, efficient and professional service to all our customers, advisors and branches, both telephonically and through written correspondence.
• Take ownership of queries and ensuring they are resolved timeously and effectively.
• Ensure adherence to organizational best practice and legislative requirements.
• Teamwork to meet service and quality standards.
• Deliver exceptional service that exceeds customers’ expectations through proactive, innovative and appropriate solutions.

You will be an ideal candidate if you:

• Have a suitable medical qualification (Occupational Therapy, Physiotherapy and or biokineticist)
• At least 3 years’ medical claims assessment experience
• Worked in a Long-term insurance environment.
• Experience in dealing with Ombudsman / escalated queries.
• Nursing background will be advantageous.

You will have access to:

• Opportunities to network and collaborate.
• A challenging working environment
• Opportunities to innovate.

We can be a match if you are:

• Adaptable and curious
• Have a proven successful track record.
• Thrive in a collaborative environment.