15.07.2024
Technical Claims Assessor
Nedbank
South Africa, Durban
Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: Business Unit - Nedbank Wealth Cluster, Nedbank Insurance Division, Long Term Insurance Claims Business UnitClosing Date - 18 July 2024Please Note: Preference will be given to Applicants from Underrepresented GroupsJob FamilyAdmin Ops FacilitiesOperationsManage Self: Professional (MSP)FAIS AffectedJob PurposeTo accurately assess, investigate, and process long-term insurance claims, including death, disability, and critical illness claims, and ensure prompt and fair payment of benefits in accordance with the policy terms and conditions.Job Responsibilities Stakeholder Engagement: Develop effective relationships with stakeholders (internal - client solutions team/client experience and external clients hospitals, doctors, labs, and reassurers). Drive and support effective teamwork within the department. Effective client communication throughout the claims journey. Ensure information is provided correctly to stakeholders by maintaining and sharing knowledge. Process Management Meet client needs by ensuring claims are processed according to service level agreement and insurance policy terms and conditions. Job Responsibilities Continue Professional Development: Engage in appropriate training interventions to promote own professional development. Adhere to organizational best practice and legislative requirements. Keep abreast of legislation and other medical industry changes that impact on the role by reading the relevant newsletters, websites, and attending sessions. Improve personal capability and stay abreast of developments in the field of expertise by identifying training courses and career progression for self through input and feedback from managers. Ensure personal growth and enable effectiveness in performance of roles and responsibilities by ensuring all learning activities are completed, experience practiced, and certifications obtained and/or maintained within specified time frames. People SpecificationEssential Qualifications - NQF LevelMatric / Grade 12 / National Senior CertificateProfessional Qualifications/Honour’s DegreePreferred QualificationPhysiotherapy/ Occupational Therapy/ Nursing/ Junior Doctor/ Medical related degreeEssential CertificationsPreferred CertificationsBeneficial: Higher Certificate in Long Term InsuranceMinimum Experience Level3 - 6 years2 - 3 years Long Term InsuranceTechnical / Professional KnowledgeAdministrative procedures and systemsInsurance Policy Technical KnowledgeBusiness principlesGovernance, Risk and ControlsRelevant regulatory knowledgeRelevant software and systems knowledgeBusiness writing skillsMedical and Financial KnowledgeGeneral Communication SkillsCustomer OrientationMonitoring InformationDecision MakingInitiating ActionWork StandardsPlanning and OrganizingCommunication--------------------------------------------------------------------------------------- Please contact the Nedbank Recruiting Team at +27 860 555 566 If you can't find the job you're looking for, activate job alerts to be one of the first to know when new positions open up. Nedbank Ltd Reg No 1951/000009/06.Authorised financial services and registered credit provider (NCRCP16). For assistance please contact the Nedbank Recruiting Team at +27 860 555 566#J-18808-Ljbffr
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