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Claims Assessor – Claims Assessment and Management Specialist

Job Description

The incumbent will be responsible
and accountable for assessing, reviewing and managing Capital Disability, Dread
Disease and Income Disability claims and any other claims which need a medical
assessment component. The person will need to ensure that the standard of
decisions taken is equitable and made in accordance with the principles and
philosophy of the hiring company.

Additionally, the incumbent will
need to develop a level of competence in underwriting.The incumbent will need to ensure
that service level agreements are adhered to and that claims are assessed and
reviewed to the clients’ satisfaction.

Job Requirements

1. Post
   Graduate medically aligned degree is preferable e.g. Occupational therapy

2. 3-5
   yrs’ Claims assessing experience in Group Risk in a Claims environment with
   exposure to Income Disability Claims (PHI), Capital Disability and Dread
   Disease claims.

3. Medical
   knowledge with 2-3 yrs clinical experience

4. Insurance
   related studies especially the COP (Retirement Funds 1)/ Elements of Insurance
   is an advantage.

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