Fixed Term Contract : Claims Assessor at Sanlam Group

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 beensubmitted. (assess the documentation in terms of signed claim form, id of deceased, proof of bankdetails, 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 theclaim 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