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Funeral Assessor II

Funeral Assessor II

CapitecBellville, Western Cape, South Africa
6 days ago
Job description

Capitec Bellville, Western Cape, South Africa

Funeral Assessor II

Join to apply for the Funeral Assessor II role at Capitec.

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  • Once you have completed the above, finalize your application by clicking apply below.

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 assessment
  • Quality 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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    Funeral Assessor Ii • Bellville, Western Cape, South Africa

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