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Cape Town

    Senior Disability Claims Assessor - Cape Town, South Africa - Old Mutual

    Old Mutual background
    Full time
    Description

    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

    Skills

    Education

    Closing Date

    15 May 2024

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