Aspiring Life Claims Assessor (Medical Knowledge)

Old Mutual Life Assurance Company (SA) Ltd; Cape Town; On-site; ZAR 420,000 - 620,000; Full time

Job summary

Old Mutual Life Assurance Company (SA) Ltd in South Africa is seeking a claims assessor for individual life benefits. You will apply specialist medical knowledge to evaluate contracts and determine liability, supporting accurate adjudication of claims within policy rules.

Key requirements include Matric with Biology/Mathematics/Accounting, a medical or allied degree (nursing, OT, physio) or a related diploma, and strong communication, time management and problem-solving skills.

Qualifications

• Matric with Biology, Mathematics or Accounting is essential.
• Completed medical or allied degree (e.g., Nursing, Occupational Therapy, Physiotherapy) or a related diploma is advantageous.
• Claims assessing experience is an added advantage.
• Strong medical knowledge and attention to detail are essential.
• Experience in the Financial Service Industry is advantageous.

Responsibilities

• Assess claims in the individual life benefit range using specialist medical knowledge.
• Evaluate contracts and determine liability in accordance with business rules.
• Communicate decisions clearly and manage time effectively to meet service standards.
• Collaborate with the claims team and support shifts when required.

Skills

Interpersonal skills

Time management

Communication skills

Problem solving

MS Office

Education

Degree in medical/related field or equivalent

Matric with Biology/Mathematics/Accounting

Three-year related diploma (advantage)

Tools

MS Office

Job description

Old Mutual Life Assurance Company (SA) Ltd in South Africa is seeking a claims assessor for individual life benefits. You will apply specialist medical knowledge to evaluate contracts and determine liability, supporting accurate adjudication of claims within policy rules.

Key requirements include Matric with Biology/Mathematics/Accounting, a medical or allied degree (nursing, OT, physio) or a related diploma, and strong communication, time management and problem-solving skills.