Credit Life Claims Assessor (Zestlife)

Role Purpose

• Claims administrative responsibilities in respect of Long Term Insurance Products.
• Ensuring that the principles and outcomes of TCF (Treating Customers Fairly) are practised and achieved in all duties performed and services provided to Zest life customers.

Requirements

• Matric and tertiary qualifications
• Minimum of 3 years’ experience in Life Insurance Claims processing and assessing of various claim benefits (Individual Life Claims and Medical essential)
• Relevant Life Insurance Industry certification such as Wealth Management, RE5, Claims Assessing would be advantageous
• Must have an investigative mindset

Duties and Responsibilities

• Process and check individual life claims such as (but not limited to) death, funeral, lump sum disability, cancer, critical illness, retrenchment, medical premium waiver, road accident injury and temporary disability claims
• Doing regular follow-ups to obtain outstanding claim documentation
• Requesting affidavits from clients confirming their unemployment status for continued payment of the retrenchment benefit
• Interacting with medical aids, hospitals and medical practitioners regarding medical history required and relevant to assessing the claim.
• Assessing claims and making final claim synopsis decision
• Liaising with the reinsurance companies regarding the claim decision
• Dealing with client queries either telephonically or via e-mail correspondence
• Arranging for and approving claim payments
• Drafting reports and compiling time lines for Management
• Providing input for claim related template improvements
• Other administration related functions
• Compiling and collating the claim case data files required by the Auditors

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