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Life Claims Assessor

Life Claims Assessor

Isilumko StaffingJohannesburg, Gauteng, South Africa
30+ days ago
Job description

Overview

Primary Purpose of the Role : To ensure claims are assessed accurately and communicated effectively, in line with business rules and service level agreements.

Responsibilities

  • Assess an average of 7 benefits per day.
  • Communicate formally and professionally.
  • Independently assess claims within authority limits.
  • Maintain service level discipline.
  • Achieve Quality Assurance score above 85%.
  • Present complex claims to internal committees for verification.

Requirements

Work Experience :

  • 3–5 years in Life Claims Assessment (Death, Disability, Severe Illness).
  • 2–3 years in Underwriting.
  • Education :

  • Required : Matric + Diploma / bachelor’s in health-related field (Nursing, OT, Physio) or equivalent experience.
  • Preferred : Risk management and medical terminology knowledge.
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    Life • Johannesburg, Gauteng, South Africa

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