Claims Assessor Specialist - Johannesburg
FirstRand
Job Description Dear Future, Claims Assessor Specialist The role requires you to apply loss control processes within the organisation, including the follow up of special investigations and monitoring recovery Are you someone who can: Accurate assessment, investigation and management of long-term insurance claims including disability (temporary or permanent disability) and critical illness claims. Ensuring that the claims assessment and that the standard of decision is consistent with the company values and philosophy. Ensuring all risks are mitigated and escalated, this includes the identification of fraudulent activity and pre-existing conditions or non-disclosure. Providing effective, efficient and professional service to all our customers, advisors and branches, both telephonically and through written correspondence. Taking ownership of queries and ensuring they are resolved timeously and effectively. Ensuring adherence to organisational best practice and legislative requirements. Teamwork to meet service and quality standards. Deliver exceptional service that exceeds customers’ expectations through proactive, innovative and appropriate solutions. You will be an ideal candidate if you: Minimum: Matric Credit life experience Assessing specifically disability claims At least 2 years’ medical claims assessment experience Worked with credit life policies Worked in a Long-term insurance environment Experience in dealing with Ombudsman / escalated queries You will have access to: Opportunities to network and collaborate A challenging working environment Opportunities to innovate We can be a match if you are: Adaptable and curious Have a proven successful track record. Thrive in a collaborative environment Are you interested to take the step? We look forward to engaging with you All appointments will be made in line with FirstRand Group’s Employment Equity plan. The Bank supports the recruitment and advancement of individuals with disabilities. In order for us to fulfill this purpose, candidates can disclose their disability information on a voluntary basis. The Bank will keep this information confidential unless we are required by law to disclose this information to other parties. Job Details Application Closing Date 08/03/24 All appointments will be made in line with FirstRand Group’s Employment Equity plan. The Bank supports the recruitment and advancement of individuals with disabilities. In order for us to fulfill this purpose, candidates can disclose their disability information on a voluntary basis. The Bank will keep this information confidential unless we are required by law to disclose this information to other parties.
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