Disability Claims Assessor

Goapply Vault; Pretoria; On-site; ZAR 300 000 - 500 000; Full time

Job summary

A leading insurance firm in Gauteng is seeking a Disability Claims Assessor to validate and manage disability claims. The role requires strong analytical skills, excellent communication, and a client-focused approach. Candidates should have a Bachelor's degree in a relevant field and 2–5 years experience in clinical or insurance environments. This is an excellent opportunity to contribute to a team dedicated to process improvement in the insurance sector.

Qualifications

• 2–5 years of clinical experience.
• Experience in insurance, claims assessment, or wellness sector preferred.

Responsibilities

• Validate, review, and assess disability claims.
• Make fair, medically informed decisions.
• Communicate clearly with clients and stakeholders.
• Support development of team members.
• Contribute to process improvements.
• Participate in projects for improving claim management.

Skills

Strong clinical and analytical skills

Excellent written and verbal communication abilities

High attention to detail

Time management and organisational skills

Client-focused approach

Problem-solving and decision-making skills

Ability to work independently and collaboratively

Education

Bachelor's degree in Occupational Therapy, Physiotherapy, Speech Therapy, or related field

Tools

Microsoft Office, particularly Excel

Job description

We are recruitingDisability Claims Assessorswho are interested in opportunities within the employee benefits and insurance sector.

Role Overview

This role focuses on assessing, managing, and finalising disability claims while ensuring compliance with company policy and service standards.

It requires a balance of technical expertise, medical knowledge, and strong stakeholder management.

In addition to handling claims, you will contribute to process improvements, provide guidance to team members, and support broader projects within the Disability Claims team.

Key Responsibilities

• Validate, review, and assess disability claims in line with policy, authority structures, and client service levels.
• Make fair, medically researched, and legally defensible decisionsmunicate clearly and professionally with clients and stakeholders, ensuring a client-centric approach.
• Collaborate with medical officers, reinsurers, legal officers, rehabilitation consultants, and investigators.
• Support the development of team members through training, mentoring, and knowledge sharing.
• Contribute to process improvements, audits, compliance reviews, and innovation initiatives.
• Participate in cross-team collaboration and projects aimed at improving claim management processes.

Skills and Attributes

• Strong clinical and analytical skills with the ability to interpret complex information.
• Excellent written and verbal communication abilities.
• High attention to detail, time management, and organisational skills.
• Passionate, client-focused approach with the ability to handle sensitive cases.
• Strong problem-solving and decision-making skills.
• Ability to work independently and as part of a collaborative team.

Qualifications and Experience

• Bachelor's degree in Occupational Therapy, Physiotherapy, Speech Therapy, or a related allied health profession.
• 2–5 years of clinical experience.
• 2–5 years of experience in insurance, claims assessment, or the wellness sector (preferred).

Proficiency in Microsoft Office, particularly Excel.Vocational Rehabilitation experience or a related diploma would be an advantage.

What to Expect

Once you submit your application, our team will review it carefully.

If your profile aligns with the role, you will receive a message from LinkedIn notifying you of the next steps.