Credit Life Claims Assessor (Zestlife)

We are looking for a detail-oriented and customer-focused Credit Life Claims Assessor to join our Long-Term Insurance Claims this role you will be responsible for assessing and administering a range of life insurance claims ensuring accurate fair and timely outcomes while delivering excellent service to our clients. If you have strong analytical skills a passion for working with people and experience in life insurance claims wed love to hear from you.

• 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.

• 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

• Matric and tertiary qualifications
• Minimum of 3 years experience in Life Insurance Claims processing and assessing of various claim benefits
• Relevant Life Insurance Industry certification such as Wealth Management RE5 Claims Assessing would be advantageous

Skills required

• Excellent written reporting and verbal communication skills
• Good negotiation skills and effective in dealing with customers
• Thorough understanding of Life Insurance business and products and the ability to interpret and apply policy terms and conditions as well as administration principals
• Ability to work with detail and have a high level of accuracy
• Intermediary MS Office especially Excel Word and Microsoft Outlook skills
• Good time management
• Excellent investigation skills
• Excellent planning and organising
• Works well in a team and independently
• Analysing
• Creative thinking learning and researching
• Delivering results and meeting customer expectations
• Coping with pressure and setbacks

Attitude

• Ability to work well under pressure
• Commitment to meet daily targets and SLAs
• Self-motivated