Job title : Senior Claims Assessor Job Location : Western Cape, Cape Town Deadline : December 22, 2024 Quick Recommended Links Jobs by Location Job by industries Job Description Role Overview Use your specialist technical medical knowledge to assess risk for business and/or specific products.
Uses specialist technical knowledge to evaluate and manage the validity of contracts and determine and manage the liability of claims (Assessor).
Determines, selects and accepts risk and/or liability on behalf of the organisation.
Evaluates proposals and medical / financial evidence against business rules and practices.
Manage a portfolio of clients which encompasses presentations, reporting and assistance with the claims process.
Ongoing process optimisation & improvements within teams with a focus on implementing best practice in the longer term Acts as mentor and coach for new staff Collaborates effectively with others to achieve team goals Regular engagement with Corporate teams, providing feedback to product team on claims trends Accepts and lives the company values Role Requirements Grade 12/Matric with Biology, Mathematics Completed medical / medically aligned Degree, e.g.
Nursing, Occupational Therapy, Physiotherapy Minimum 2 years Clinical experience Experience in the Financial Service Industry is highly advantageous Specialised medical knowledge through learning or experience - essential Disability Claims assessment experience in a Group Assurance or Risk environment and GAP product knowledge - advantageous Well developed interpersonal skills Strong verbal and written communication skills Attention to detail Good presentation skills Computer literate and proficient in MS Office programmes e.g.
Word & Excel Have sound analytical and problem solving abilities with a focus on attention to detail Work effectively with internal and external colleagues and clients to accomplish organisational and team goals Enjoy working in a progressive environment Medical / Healthcare jobs