Claims Assessor Specialist

FirstRand Bank; Johannesburg; On-site; ZAR 320,000 - 540,000; Full time

Benefits offered by this job

Networking opportunities

Challenging working environment

Opportunities to innovate

Job summary

FirstRand Bank is seeking a FR Life Assurance Loss Claims Assessor. You will assess and investigate long-term insurance claims, including impairment, disability, and income replacement, ensuring decisions align with company values and regulatory standards.

You will manage risks, address potential fraud, and deliver professional service to customers and advisors while collaborating with branches. A medical background and relevant ASISA training are advantageous.

Qualifications

• Three or more years of medical claims assessment experience.
• Experience in long-term insurance environment.
• Familiar with Ombudsman/escalated queries.

Responsibilities

• Accurately assess, investigate and manage long-term insurance claims including impairment, disability, income replacement, death and critical illness.
• Ensure decisions are consistent with company values and philosophy.
• Identify fraudulent activity, policy abuse and pre-existing conditions and escalate as needed.
• Provide professional service to customers, advisors and branches via phone and written communication.
• Take ownership of queries and resolve them timeously.
• Ensure adherence to regulatory requirements and internal best practices.
• Collaborate with teammates to meet service and quality standards.
• Deliver proactive, innovative solutions to exceed customer expectations.

Skills

Medical claims assessment

Attention to detail

Communication

Education

Occupational Therapy, Physiotherapy or Biokineticist

Job description

Job Description

To apply loss control processes within the organisation, including the follow up of special investigations and monitoring recovery Hello Future Risk Claims Assessor,

Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen.

As part of our talented team in FR Life Assurance, you will be surrounded by unique talents, diverse minds, and an adaptable environment that lives up to the promise of staying curious. Now's the time to imagine your potential in a team where experts come together and ignite effective change

Are you someone who can:

• Accurately assess, investigate and manage long-term insurance claims including Impairment, Disability, income replacement, death and critical illness claims.
• Ensure that the claims assessment and that the standard of decision is consistent with the company values and philosophy.
• Ensure all risks are mitigated and escalated; this includes the identification of fraudulent activity, policy abuse and pre-existing conditions.
• Provide effective, efficient and professional service to all our customers, advisors and branches, both telephonically and through written correspondence.
• Take ownership of queries and ensuring they are resolved timeously and effectively.
• Ensure adherence to organizational best practice and legislative requirements.
• Teamwork to meet service and quality standards.
• Deliver exceptional service that exceeds customers' expectations through proactive, innovative and appropriate solutions.

You will be an ideal candidate if you:

• Have a suitable medical qualification (Occupational Therapy, Physiotherapy and or biokineticist)
• At least 3 years' medical claims assessment experience
• Worked in a Long-term insurance environment.
• Experience in dealing with Ombudsman / escalated queries.
• Nursing background will be advantageous.
• ASISA Life insurance claims assessor course as a requirement- would be advantagous

You will have access to:

• Opportunities to network and collaborate.
• A challenging working environment
• Opportunities to innovate.

We can be a match if you:

• Adaptable and curious
• Have a proven successful track record.
• Thrive in a collaborative environment.

Are you interested to take the step? We look forward to engaging with you.

All appointments will be made in line with FirstRand Group's Employment Equity plan. The Bank supports the recruitment and advancement of individuals with disabilities. In order for us to fulfill this purpose, candidates can disclose their disability information on a voluntary basis. The Bank will keep this information confidential unless we are required by law to disclose this information to other parties.

#post #fnb #LI-AW1

Important Closing Date Note

Take note that applications will not be accepted on the below date and onwards, kindly submit applications ahead of the closing date indicated below.

18/11/26

All appointments will be made in line with FirstRand Group's Employment Equity plan. The Bank supports the recruitment and advancement of individuals with disabilities. In order for us to fulfill this purpose, candidates can disclose their disability information on a voluntary basis. The Bank will keep this information confidential unless we are required by law to disclose this information to other parties.