Trainee Claims Assessor

Old Mutual Limited; Cape Town; On-site; ZAR 250,000 - 380,000; Full time

Job summary

Old Mutual Limited in Cape Town is seeking a Trainee Claims Assessor to join a specialised claims team. You will use medical and financial knowledge to assess individual life benefit claims and determine liability.

The role values accuracy, time management and clear communication as you support risk management, collaborate with colleagues and handle shift commitments. Matric and a medical-aligned degree are essential, with experience in claims an advantage.

Qualifications

• Matric with Biology, Mathematics, or Accounting essential.
• Completed medical or medically aligned degree (e.g., Nursing, Occupational Therapy, Physiotherapy), or a 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.
• Strong MS Office skills and interpersonal abilities.

Responsibilities

• Assess claims using specialist knowledge to evaluate contract validity and liability.
• Determine risk and liabilities on behalf of the organisation.
• Evaluate financial and medical evidence against business rules.
• Make discretionary decisions within standardised practice.
• Communicate findings clearly and collaborate with teams.
• Be willing to work shifts and overtime when required.

Skills

Attention to detail

Interpersonal skills

Time management

Verbal communication

Data analysis

Education

NQF Level 7 Degree / Advanced Diploma

Tools

MS Office

Excel

Job description

## Trainee Claims AssessorApply: Pinelands: Full time: Posted Today: JR-83932**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 teamRole 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 Renewalna**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.***