Claims Assessor : Life / Death / Disability / Severe illness - 6 month contract

Isilumko Staffing; Johannesburg; On-site; ZAR 350,000 - 450,000; Full time

Job summary

A leading insurance and banking firm is seeking a Claims Assessor to join their team in Johannesburg. The ideal candidate has 3–5 years of claims assessment experience and a relevant diploma or bachelor's degree. Key responsibilities include assessing claims, delivering exceptional service, and maintaining high accuracy standards. If you are detail-oriented and thrive in a fast-paced environment, apply today.

Qualifications

• 3–5 years in Claims Assessment (Death, Disability, Severe Illness) — Essential.
• 2–3 years in Underwriting — Advantageous.
• Understanding medical codes.

Responsibilities

• Assess productivity targets — average of 7 benefits per day per individual.
• Deliver exceptional service through formal, standards-driven communication.
• Independently assess claims within authority limits to ensure accuracy and minimize error rates.
• Uphold service level agreements to maintain operational excellence.
• Achieve Quality Assurance scores above 85% for claims decisions and communication.
• Present complex claims to cross-functional committees.

Skills

Analytical thinking

Communication

Decision-making

Attention to detail

Education

Matric

Diploma/Bachelor’s in Nursing, Occupational Therapy, or Physiotherapy

Job description

Overview

Position: Claims Assessor – Individual Life Benefits
Location: Sandton
Industry: Long-Term Insurance | Banking Client

Are you a detail-oriented professional with a passion for precision, service excellence, and impactful decision-making? Our client, a leading name in the banking and insurance space, is looking for a Claims Assessor to join their high-performing team. If you thrive in a fast-paced environment and have a knack for interpreting complex medical and legal information, this is your moment to shine.

Responsibilities

• Assess productivity targets — average of 7 benefits per day per individual
• Deliver exceptional service through formal, standards-driven communication
• Independently assess claims within authority limits to ensure accuracy and minimize error rates
• Uphold service level agreements to maintain operational excellence
• Achieve Quality Assurance scores above 85% for claims decisions and communication
• Present complex claims (disputes, declines, voids) to cross-functional committees including medical, legal, underwriting, actuarial, and compliance

Qualifications

• Experience:
  3–5 years in Claims Assessment (Death, Disability, Severe Illness) — Essential
• 2–3 years in Underwriting — Advantageous
• Understanding medical codes

Education & Registration

• Matric — Essential
• Diploma/Bachelor’s in Nursing, Occupational Therapy, or Physiotherapy — Essential
• 3–5 years of relevant claims experience, long term insurance

Skills

• Analytical thinking
• Communication
• Decision-making
• Attention to detail