Senior Claims Assessor

Senior Claims Assessor required on Contract (12 months) in Midrand to be responsible in evaluating and processing Death, Critical illness, Disability and Incapacity claims with the primary responsibility to assess the validity of claims and ensure that they meet the stipulated criteria for pay-out.

Responsibilities:

• Perform all death claims related activities which include - claim processing, responding to claims related queries and complaints.
• Application of fund rules, policies, legislation, administration procedures and the service level agreement when processing.
• Meet production standards in terms of quantity and quality.
• Liaise with employers and service providers.
• Attend to the fund central mailbox and respond to queries within SLA.
• Any other duties as determined by business needs and participate in all organizational events as required

Required:

• Matric Certificate
• Computer literacy (Advanced word and Excel)
• RE 5- Representative, certificate related to claims assessment or long-term insurance
• 2-4 years Group Schemes administration /claims experience expert level understanding of benefits offered in the risk benefits portfolio