Assessor: Non-Medical Claims

Capitec


Date: 9 hours ago
City: Johannesburg, Gauteng
Contract type: Full time
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We're on the lookout for energetic, self-motivated individuals who share our passion for service in the banking industry. To be part of the journey, follow the steps below:

  • To see what life at Capitec is all about and complete a short assessment, please click here!
  • Once you have completed the above finalize your application by clicking apply below

Purpose Statement

To improve claims operational excellence, increase customer satisfaction, minimize losses for Capitec Insurance through accurate and holistic assessment of all types of insurance non-medical claims (life, funeral and death), in accordance with terms and conditions of the respective policy/ies, legislative frameworks and goals, objectives, processes and standards sets by Capitec.

Experience

  • 3-5yrs years experience in assessing in assessing life insurance death claims, preferably within the context of fully underwritten products

Qualifications (Minimum)

  • Grade 12 National Certificate / Vocational

Qualifications (Ideal Or Preferred)

  • A relevant qualification in Healthcare or Science

Knowledge

Minimum

  • Understanding of the long-term insurance industry and Life Cover claims handling processes, including the disability landscape
  • Understanding of fully underwritten Life insurance policies, including underwriting criteria, exclusions, and conditions
  • In depth understanding of medical terminology, diagnoses, treatments, and causes of death in the context of life insurance claims.
  • Comprehensive knowledge and understanding of relevant legal framework relating to non medical insurance claims
  • Understanding of the Insurance fraud landscape
  • Investigative tactics, tools and methodologies

Ideal

  • Deep knowledge of non medical , disability processes for religious and cultural disability services

Skills

  • Administration Skills
  • Attention to Detail
  • Decision making skills
  • Numerical Reasoning skills
  • Planning, organising and coordination skills

Conditions of Employment

  • Clear criminal and credit record

Capitec is committed to diversity and, where feasible, all appointments will support the achievement of our employment equity goals.

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