Life Claims Assessor

Recruiter:

Isilumko Staffing (JHB)

Job Ref:

648472518

Date posted:

Wednesday, September 17, 2025

Location:

Johannesburg, South Africa

SUMMARY:
-

POSITION INFO:

Primary Purpose of the Role:

To ensure claims are assessed accurately and communicated effectively, in line with business rules and service level agreements.

Key Responsibilities:

Assess an average of 7 benefits per day.
Communicate formally and professionally.
Independently assess claims within authority limits.
Maintain service level discipline.
Achieve Quality Assurance score above 85%.
Present complex claims to internal committees for verification.

Requirements:

Work Experience:

3–5 years in Life Claims Assessment (Death, Disability, Severe Illness).
2–3 years in Underwriting.

Education:

Required: Matric + Diploma/bachelor’s in health-related field (Nursing, OT, Physio) or equivalent experience.
Preferred: Risk management and medical terminology knowledge.

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