Capitec Bellville, Western Cape, South Africa
Funeral Assessor II
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Purpose Statement : To improve claims operational excellence, increase customer satisfaction, minimize losses for Capitec Insurance through accurate and holistic assessment of all types of insurance non-medical claims (life, funeral and death), in accordance with terms and conditions of the respective policy / ies, legislative frameworks and goals, objectives, processes and standards set by Capitec.
Location : Century City
Experience :
Minimum of 3 years practical experience in funeral and / or life insurance claims assessment, preferably within the context of fully underwritten products.Experience in stakeholder management and client engagement.Qualifications (Minimum) :
Grade 12 National Certificate / Vocational.Qualifications (Ideal or Preferred) :
A relevant qualification in Healthcare or Science.Knowledge (Minimum) :
Understanding of the long-term insurance industry and claims handling processes.Knowledge of Funeral and Life Insurance Products.Knowledge of relevant legal framework relating to funeral and life insurance claims.Knowledge (Ideal) :
Knowledge or practical experience on assessment of Credit Life Insurance products, especially retrenchment and death claims.Occupational certificate or course on long-term life Insurance Claims Assessor.What You Will Be Required To Do (Responsibilities) :
Support funeral claims process set-up.Funeral claims assessmentQuality assurance – review and verify claims for accuracy and completeness. Approve decisions and payments within turnaround time. Maintain high quality and meet productivity targets.
Fraud risk assessment – flag and elevate suspicious claims per Capitec’s fraud framework.Assessment of misrepresentation / non-disclosure in life insurance.Identify trends and areas of concern and escalates accordingly.Resolve complex claims queries and complaints within service level agreements.Stakeholder engagement.Skills :
Administration Skills.Attention to Detail.Decision making skills.Numerical Reasoning skills.Planning, organising and coordination skills.Conditions of Employment :
Clear criminal and credit record.Capitec is committed to diversity and, where feasible, all appointments will support the achievement of our employment equity goals.
Seniority level : Mid-Senior level
Employment type : Full-time
Job function : Sales and Management
Industries : Banking
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