Claims Assessor : Life / Death / Disability - 6 month contract
- Johannesburg, Gauteng
- R10,000-15,000 per month
- Contract
- Full-time
Location: Sandton
Industry: Long-Term Insurance | Banking ClientAre you a detail-oriented professional with a passion for precision, service excellence, and impactful decision-making? Our client, a leading name in the banking and insurance space, is looking for a Claims Assessor to join their high-performing team. If you thrive in a fast-paced environment and have a knack for interpreting complex medical and legal information, this is your moment to shine.What You'll Be Doing:Assess productivity targets - average of 7 benefits per day per individual
Deliver exceptional service through formal, standards-driven communication
Independently assess claims within authority limits to ensure accuracy and minimize error rates
Uphold service level agreements to maintain operational excellence
Achieve Quality Assurance scores above 85% for claims decisions and communication
Present complex claims (disputes, declines, voids) to cross-functional committees including medical, legal, underwriting, actuarial, and complianceWhat You Bring:Experience:
- 3-5 years in Claims Assessment (Death, Disability, Severe Illness) - Essential
- 2-3 years in Underwriting - Advantageous
- Matric - Essential
- Diploma/Bachelor's in Nursing, Occupational Therapy, or Physiotherapy - Essential
- OR 3-5 years of relevant claims experience
- Medical registration - Required
- Analytical thinking
- Communication
- Decision-making
- Attention to detail