Funeral Assessor II (Pipeline)

Capitec; Cape Town; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A financial services company in Cape Town is seeking a motivated individual for the role of Claims Assessor to improve operational excellence in insurance. The ideal candidate will oversee funeral and life insurance claims, analyzing accuracy and ensuring compliance with policies. A minimum of 3 years' experience in claims is essential along with a Grade 12 qualification. The role involves stakeholder engagement and assessing claims to minimize losses while maintaining service levels.

Qualifications

• Minimum of 3 years practical experience in funeral and/or life insurance claims assessment.
• Experience in stakeholder management and client engagement.
• Understanding of the long-term insurance industry and claims handling processes.

Responsibilities

• Support funeral claims process set-up.
• Review and verify claims for accuracy and completeness.
• Resolve complex claims queries and complaints within service level agreements.

Skills

Administration Skills

Attention to Detail

Decision making skills

Numerical Reasoning skills

Planning, organising and coordination skills

Education

Grade 12 National Certificate / Vocational

Job description

Apply By

We're on the lookout for energetic, self-motivated individuals who share our passion for service in the banking industry. To be part of the journey, follow the steps below:

• To see what life at Capitec is all about and complete a short assessment, please click here!
• Once you have completed the above finalize your application by clicking apply below

Purpose Statement

To improve claims operational excellence, increase customer satisfaction, minimize losses for Capitec Insurance through accurate and holistic assessment of all types of insurance non-medical claims (life, funeral and death), in accordance with terms and conditions of the respective policy/ies, legislative frameworks and goals, objectives, processes and standards sets by Capitec.

Disclaimer

This is a pipeline advertisement intended to build a talent pool for future opportunities that may arise.

Experience

• Minimum of 3 years practical experience in funeral and/or life insurance claims assessment, preferably within the context of fully underwritten products
• Experience in stakeholder management and client engagement

Qualifications (Minimum)

• Grade 12 National Certificate / Vocational

Qualifications (Ideal Or Preferred)

• A relevant qualification in Healthcare or Science

Knowledge - Minimum

• Understanding of the long-term insurance industry and claims handling processes
• Knowledge of Funeral and Life Insurance Products
• Knowledge of relevant legal framework relating to funeral and life insurance claims

Knowledge - Ideal

• Knowledge or practical experience on assessment of Credit Life Insurance products, especially retrenchment and death claims.
• Occupational certificate or course on long-term life Insurance Claims Assessor

What You Will Be Required To Do

• Support funeral claims process set-up
• Funeral claims assessment
  • Quality assurance – review and verify claims for accuracy and completeness. Approve decisions and payments within turnaround time. Maintain high quality and meet productivity targets
  • Fraud risk assessment - flag and escape suspicious claims per Capitec’s fraud framework.
  • Assessment of misrepresentation/non-disclosure in life insurance
  • Identify trends and areas of concern and elevate accordingly
• Resolve complex claims queries and complaints within service level agreements
• Stakeholder engagement

Skills

• Administration Skills
• Attention to Detail
• Decision making skills
• Numerical Reasoning skills
• Planning, organising and coordination skills

Conditions of Employment

• Clear criminal and credit record

Capitec is committed to diversity and, where feasible, all appointments will support the achievement of our employment equity goals.