Disability Claims Specialist at Sanlam Group

Under general direction and within company guidelines, you will research, collate, record and examine complex claims to make long term claim settlement determinations; and approve where applicable.

Main Responsibilities

• Manage the full administration process of group risk disability benefits payable to beneficiaries
• Calculate and process the payout of claims
• Liaise with internal and external clients
• Ensure proper record-keeping, summarised information and system updates
• Understand and interpret policy definitions and rules
• Compile disability claim reports for clients

Qualification And Experience

• Grade 12
• Basic understanding and knowledge of industry
• Minimum 3 years' experience with Group Risk products within an Employee Benefits environment
• Minimum 3 years' experience in claims processing and pay-out (i.e. claims administration, settlements, approvals and rejections)

Knowledge And Skills

• Claims administration
• Claims settlements
• Claims approvals and rejections
• Operate within claims guidelines and compliance

Personal Attributes

• Self-development - Contributing independently
• Decision quality - Contributing independently
• Plans and aligns - Contributing independently
• Manages conflict - Contributing independently

Core Competencies

• Cultivates innovation - Contributing independently
• Customer focus - Contributing independently
• Drives results - Contributing independently
• Collaborates - Contributing independently
• Being resilient - Contributing independently