Claims Consultant Life - Johannesburg
Your qualifications:
- Grade 12 (Essential)
- Relevant tertiary qualification; a medical degree preferable
Your Outputs (include but is not limited to):
- Evaluate claims forms and supporting documentation in preparation of making an payment decision
- Gathering information and various types of reports from medical practitioners
- Compare the reports to the existing claims criteria to establish if claim is payable
- Decide on levels of provisions to be raised based on information received
- Writing claims assessment standards/policies
- Auditing/QA of work done by peers
- Deliver claims payment decision
- Determine requirements / documents required to evaluate claims
- Liaise with relevant re-insurers to determine validity of claims and get their approvals where required
- Explain and communicate final decisions to brokers and clients
- Create schedules for payments and obtain relevant approvals
Your experience:
- Minimum 2-3 years experience in Life Insurance Assessing
- Medical Background
- Experience in both group and life individual life claims (Essential)
- Sound Business and Operational knowledge of Insurance Industry administrative processes
- Good knowledge of the business administration platforms
- Familiar with Compliance Processes and Procedures in the Insurance Industry
- Familiar with the business products and their rules and workings
- Familiar with the business products and their rules and workings
Your skills and character traits:
- MS Office and PC literate
- Accurate Typing Skills
- Excellent verbal and written communication skills
- Quality driven
- Ability to pay attention to detail as accuracy is important
- Using effective interpersonal skills to resolve conflict situations
- Ability to work effectively with others and contribute to team task accomplishment
- Ability to multi-task and manage multiple priorities
- Have the ability to operate effectively under pressure
- Task and deadline orientated
- Analytical mind and above average problem solving techniques
- Strong sense of ownership
- Pro-active and innovative
EXCELLENT GROWTH OPPORTUNITIES Apply Now
- Grade 12 (Essential)
- Relevant tertiary qualification; a medical degree preferable
Your Outputs (include but is not limited to):
- Evaluate claims forms and supporting documentation in preparation of making an payment decision
- Gathering information and various types of reports from medical practitioners
- Compare the reports to the existing claims criteria to establish if claim is payable
- Decide on levels of provisions to be raised based on information received
- Writing claims assessment standards/policies
- Auditing/QA of work done by peers
- Deliver claims payment decision
- Determine requirements / documents required to evaluate claims
- Liaise with relevant re-insurers to determine validity of claims and get their approvals where required
- Explain and communicate final decisions to brokers and clients
- Create schedules for payments and obtain relevant approvals
Your experience:
- Minimum 2-3 years experience in Life Insurance Assessing
- Medical Background
- Experience in both group and life individual life claims (Essential)
- Sound Business and Operational knowledge of Insurance Industry administrative processes
- Good knowledge of the business administration platforms
- Familiar with Compliance Processes and Procedures in the Insurance Industry
- Familiar with the business products and their rules and workings
- Familiar with the business products and their rules and workings
Your skills and character traits:
- MS Office and PC literate
- Accurate Typing Skills
- Excellent verbal and written communication skills
- Quality driven
- Ability to pay attention to detail as accuracy is important
- Using effective interpersonal skills to resolve conflict situations
- Ability to work effectively with others and contribute to team task accomplishment
- Ability to multi-task and manage multiple priorities
- Have the ability to operate effectively under pressure
- Task and deadline orientated
- Analytical mind and above average problem solving techniques
- Strong sense of ownership
- Pro-active and innovative
EXCELLENT GROWTH OPPORTUNITIES Apply Now
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