Senior Life Claims Assessor – Disability & Impairment

FNB South Africa; Johannesburg; On-site; ZAR 350,000 - 550,000; Full time

Job summary

FNB South Africa is seeking a proactive Risk Claims Assessor to apply loss control processes and monitor recovery within FR Life Assurance. The role focuses on assessing long-term insurance claims, including impairment, disability, income replacement, death and critical illness, ensuring decisions reflect company values.

The ideal candidate will have a medical qualification (OT/Physio/Biokineticist), 3+ years in medical claims assessment, and exposure to long-term insurance environments, with

Qualifications

• At least 3 years of medical claims assessment experience.
• Experience in long-term insurance environments.
• Experience dealing with Ombudsman/ escalated queries.

Responsibilities

• Accurately assess, investigate and manage long-term insurance claims including impairment, disability, income replacement, death and critical illness claims.
• Ensure claims assessment aligns with company values and policy.
• Identify fraudulent activity, policy abuse and pre-existing conditions; escalate when needed.
• Provide professional service to customers, advisors and branches via phone and written correspondence.
• Take ownership of queries and resolve them timeously.

Skills

Medical claims assessment experience

Ombudsman handling

Insurance claims investigation

Education

Occupational Therapy / Physiotherapy / Biokineticist qualification

Tools

ASISA life insurance claims assessor course

Job description

FNB South Africa is seeking a proactive Risk Claims Assessor to apply loss control processes and monitor recovery within FR Life Assurance. The role focuses on assessing long-term insurance claims, including impairment, disability, income replacement, death and critical illness, ensuring decisions reflect company values.

The ideal candidate will have a medical qualification (OT/Physio/Biokineticist), 3+ years in medical claims assessment, and exposure to long-term insurance environments, with