Fixed Term Contract Claims Assessor at Sanlam Group

Who are we?

Sanlam Developing Markets [SDM] (a wholly-owned subsidiary of Sanlam Life Limited) is one of the top financial services providers in the South African entry-level and emerging middle market. It aims to understand the unique requirements of clients and offers a wide range of simple and affordable financial solutions that cover needs such as funeral insurance, savings for education, life cover and personal accident plans. In terms of the Sanlam Group Governance Policy, SDM is managed by the SA Retail Mass cluster, which is part of the Sanlam Life and Savings cluster within the Sanlam Group. The cluster focusses on retail products, as well as group schemes.

What will you do?

• To assess each claim on the claim administration system and identify the type of claim
• Assess the validity of the identified claim by assuring all the supporting documentation has been submitted. (assess the documentation in terms of signed claim form, id of deceased, proof of bank details, death certificate, BI 1663)
• Valid claims are processes on the administration system and send for payment
• Claims that have outstanding documentation: client will be notified of outstanding requirement
• Invalid claims will be rejected/ Repudiated
• All claims processes must align to SLA and SOPS
• To maintain and error rating of less than 1 %
• Assure capturing of claims are done accurately
• Assure all criteria is met to pay claim
• Assure the quality of feedback (written and verbal) to clients
• To ensure that clients are provided with real time information on the status of the claim (feedback on the claim processing)
• Assure feedback on requirements for successful claims payment is done timeously

What will make you successful in this role?

Qualifications & Experience

• Matric
• 1-year relevant experience in a similar environment essential

Knowledge & Skills

• Proficiency on MS Word,& Excel (intermediate level) essential
• Computer literate
• Communications skills (written and verbal)

Personal Attributes

• Attention to detail
• Customer focused
• Investigative
• Interpersonal skills
• Analytical skills