Trainee Claims Assessor

Old Mutual Life Assurance Company (SA) Ltd; Cape Town; On-site; ZAR 420,000 - 620,000; Full time

Job summary

Old Mutual Life Assurance Company (SA) Ltd in South Africa is seeking a claims assessor for individual life benefits. You will apply specialist medical knowledge to evaluate contracts and determine liability, supporting accurate adjudication of claims within policy rules.

Key requirements include Matric with Biology/Mathematics/Accounting, a medical or allied degree (nursing, OT, physio) or a related diploma, and strong communication, time management and problem-solving skills.

Qualifications

• Matric with Biology, Mathematics or Accounting is essential.
• Completed medical or allied degree (e.g., Nursing, Occupational Therapy, Physiotherapy) or a related diploma is advantageous.
• Claims assessing experience is an added advantage.
• Strong medical knowledge and attention to detail are essential.
• Experience in the Financial Service Industry is advantageous.

Responsibilities

• Assess claims in the individual life benefit range using specialist medical knowledge.
• Evaluate contracts and determine liability in accordance with business rules.
• Communicate decisions clearly and manage time effectively to meet service standards.
• Collaborate with the claims team and support shifts when required.

Skills

Interpersonal skills

Time management

Communication skills

Problem solving

MS Office

Education

Degree in medical/related field or equivalent

Matric with Biology/Mathematics/Accounting

Three-year related diploma (advantage)

Tools

MS Office

Job description

Let's Write Africa's Story Together! Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.

Job Description

This role uses specialist technical knowledge to assess claims in the individual life benefit range for the business and/or specific products. This role is for a dynamic individual with a willingness to learn and be part of a specialised claims assessing team.

Role Description & Key Result Areas:

Personal Effectiveness

Accountable for managing own time effectively to meet service delivery needs. Prioritise tasks and ensure high-quality output. Makes increased contributions by broadening individual skills. Collaborates effectively with others and can work independntly. Accepts and lives the company values.

Risk Management

Uses specialist technical knowledge to evaluate and manage the validity of contracts and; determine and manage the liability of claims. Determines, selects, and accepts risk and/or liability on behalf of the organisation. Evaluates financial and medical evidence against business rules and practices. Exercises discretion in decision-making within standardised practice.

Role Requirements

• Matric with Biology, Mathematics, or Accounting essential.
• Completed medical / medically aligned degree, e.g. Nursing; Occupational Therapy; Physiotherapy, or a three (3) year related diploma would be a distinct advantage.
• Claims assessing experience would be an added advantage.
• Specialised medical knowledge through learning or experience is essential.
• Experience in the Financial Service Industry would be advantageous.
• PC proficiency in MS Office i.e. Word, Excel, etc.
• Well-developed interpersonal skills.
• Strong verbal and written communication skills particularly the ability to have difficult conversations.
• Attention to detail.
• Well-developed problem-solving skills.
• Excellent time management skills.
• Good presentation skills.
• Must be a team player.
• Must be willing to work shifts and overtime where necessary.

Competencies

Decision Making Ownership Thinking Skills Tenacity Continuous Renewal na Skills Action Planning, Computer Literacy, Data Compilation, Data Controls, Default Risk, Insurance Product Management, Insurance Sales, Legal Practices, Management Reporting, Numerical Aptitude, Oral Communications, Professional Presentation, Risk Based Pricing, Risk Management, Underwriting Management Competencies Action Oriented Collaborates Drives Results Ensures Accountability Financial Acumen Instills Trust Manages Complexity Optimizes Work Processes

Education

NQF Level 7 - Degree, Advance Diploma or Postgraduate Certificate or equivalent

Closing Date

15 October 2026 , 23:59

The appointment will be made from the designated group in line with the Employment Equity Plan of Old Mutual South Africa and the specific business unit in question.

The Old Mutual Story!

Old Mutual is a premium African financial services organisation that offers a broad spectrum of financial solutions to retail and corporate customers across key market segments in 14 countries. The lines of business include Life and Savings, Property and Casualty, Asset Management and Banking and Lending. We are rooted in our purpose of Championing Mutually Positive Futures Every Day and believe that a great customer experience is anchored in a great employee experience.