Group Risk Claims Assessor

SUMMARY:
Group Risk Claims Assessor

POSITION INFO:

Group Risk Claims Assessor

Sandton

R18 000 – R23 000 pm

Work closely with the Processing Manager with the range of required functions and business unit to assess claims. Work closely with members of the Group Risk teams, external stakeholders and may also be involved or interact with other internal teams to resolve a process or activity.

• Grade 12 or equivalent (Essential)

• Relevant tertiary qualification; a medical degree beneficial (Occupational therapist, physiotherapist or nursing)

• Analyse and make decisions on claims

• Investigate and determine level of risk for potential claims

• Evaluate medical reports

• Assess temp/permanent capacity claims

• Assess claims for additional medical requirements

• Synopsis Claims

• Presentation and discussion of claims at internal committee meeting

• Minimum 2-3 years’ experience as a Group Risk assessor

• Experience in group and life individual life claims essential

• Sound Business and Operational knowledge of Insurance industry

• 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

• Understanding structures of products

• MS Office and PC literate

• Relationship management

• Excellent verbal and written communication skills 

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