Claims Investigator And Assessor

Claims Investigator And Assessor
Company:

Sanlam Limited


Details of the offer

Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Create Alert MiWayLife is dedicated to supporting, growing and empowering clients with affordable, simple, and suitable solutions, primarily through telephonic intermediary channels. We have approximately 80 tied sales agents, all dedicated to meeting the financial needs of our clients and prospective clients.MiWayLife's vision is to establish a world-class direct financial service business that seeks to:offer its clients excellent service, superior value products, and fair treatment always;be an employer of choice; andbe a good corporate citizen and play a meaningful role in the transformation of the Financial Services industry.MiWayLife's culture is values-based and is built around the pillars of Accountability, Attitude, Energy Freedom and Professionalism. We are a family of vibrant and energetic free-thinkers, constantly looking to innovate and disrupt.This is a specialist position that reports directly to Operations Manager: Claims. The role is accountable for undertaking investigations to verify the validity of claims. Additionally, the execution of a compliant and effective claims administration function (either Life or Funeral, or both in some cases). Key responsibilities include:Undertake claims investigations with external partiesBuild external partner relationshipsAssess and execute Life claimsAssess and execute Funeral claims What will make you successful in this role?Qualification & experience Grade 12 or preferably business or commerce degree/diploma3 years' experience as a claims assessor with specific focus in forensics investigation with external parties.Experience in financial distribution services, preferably re-assuranceAssessor certification Successful candidate must be willing to travelKnowledge and skills IT:MS: Office (Excel, Word, PP, Outlook)MISThought ExpressBusiness:Financial services industry knowledge MiWayLife business and operating model Relevant regulatory legislation and compliance knowledge (POPI etc)Policy contracts governances, clauses, coverClaims and assessor principles, processes and governances Underwriting processes and guiding principles (basic) Medical/health assessment indicators and metricsLegal investigative processes (including affidavits)Criminal/SAPS procedures (processing cases)Call centre and sales processesClient complaints processesPersonal attributesTenacity and determinationAnalytical and detail mindedCurious and investigating orientationSound ethicsClient orientated Able to build relationships/partnershipsPlanning and organising orientation Quality orientation Qualification and ExperienceKnowledge and SkillsPersonal AttributesBuild a successful career with usWe're all about building strong, lasting relationships with our employees. We know that you have hopes for your future – your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realize their worth.Core CompetenciesTurnaround timeDue date for applicationsIf you meet the above criteria, and you are interested in applying for this role please submit your CV via the following link: The closing date for applications is 22nd August 2024. Please note that the recruiter reserves the right to withdraw the advertisement prior to the closing date, or to allow for further applications to be submitted after the closing date indicated. Turnaround timesThe time taken to complete this process depends on how far you progress and the availability of managers.Our commitment to transformationMiWayLife is committed to transformation and embracing diversity and our employment equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society as well as people with disabilities. 
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Job Function:

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Claims Investigator And Assessor
Company:

Sanlam Limited


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