FNB | Claims Assessor – IRC189349

FNB | Claims Assessor – IRC189349

at 5 First Place, Bank City, Johannesburg, Gauteng, South Africa in FRI Life Ops Claims
Ends 09 Apr 2021

about us

There is no about us detail available.

purpose

Accurate assessment, investigation, and validation of long-term insurance claims in accordance with the goals, objectives, processes, and standards of the organization in order to meet customers. These claims may include the funeral, death, disability, dread disease, and retrenchment claims.

experience and qualifications

  • Grade 12.
  • Suitable tertiary qualification.
  • At least 5 years experience in risk claims which must include experience in funeral, death, disability, dread disease, and retrenchment claims on simple and complex life insurance products.
  • Experience in identifying of managing claims fraud.
  • The long-term insurance industry and product knowledge.

additional requirements

  • Accurate assessment, investigation, and management of long-term insurance claims including disability and critical illness claims.
  • Ensuring that the claims assessment and that the standard of decision is consistent with the company values and philosophy. • Ensuring all risks are mitigated and escalated, this includes the identification of fraudulent activity. • Providing effective, efficient, and professional service to all our customers, advisors, and branches, both telephonically and through written correspondence. • Taking ownership of queries and ensuring they are resolved timeously and effectively. • Dealing with complaints, including disputes from the Office of the Long-Term Ombudsman. • Ensuring adherence to organizational best practice and legislative requirements. • Teamwork to meet service and quality standards. • Deliver exceptional service that exceeds customers’ expectations through proactive, innovative, and appropriate solutions. • To plan and manage return to work programs by effectively communicating with clients and service providers. Additional Requirements
  • At least 2 years’ medical claims assessment experience
  • Worked in a Long-term insurance environment
  • Experience in dealing with Ombudsman / escalated queries

responsibilities

  • Analyze, provide assistance and guidance to team leaders and assessors with the technical aspects of claims.
  • Ensuring adherence to organizational best practice and legislative requirements.
  • Accurate assessment, investigation, and validation of complex long-term insurance claims/ claims with high value in accordance with the goals, objectives, processes, and standards of the organization in order to meet customers. These claims may include the funeral, death, disability, dread disease, and retrenchment claims.
  • Taking ownership of queries and ensuring they are resolved timeously and effectively
  • Ensuring all risks are mitigated and escalated, includes the identification of fraudulent activity and nondisclosure.
  • Continuously assess own performance, seek timely and clear feedback, and request training where appropriate.
  • Providing effective, efficient, and professional service to all our customers and branches, both telephonically and through written correspondence.
  • Assist with system and process development.
  • Teamwork to meet service and quality standards.

APPLY NOW 

Related jobs 

Capitec Bank | Teller Opportunities April (14 POSTS)

KFC | Food Service Team Member opportunities 2021

Leave a Reply

Your email address will not be published. Required fields are marked *