Claims Assessor

Overall Job Purpose

This role reports to the Team Manager Claims. Responsible for assessment and processing of short-term Sickness, Critical Illness and Hospital claims. The incumbent will deal with technical and complex claims queries and/or complaints providing an excellent service offering.

An insurance assessor, also known as a claims assessor, is a professional who evaluates insurance claims to ensure the individual claiming receives justifiable compensation. They review all aspects of the claim, financials and medical reports.

Key Responsibiliti

es:Process optimization and efficienc

• ieAssessment and management of short-term sickness, critical illness and hospital cla
• imCheck the technical aspects of the claim – Inclusive of potential non-disclosure, and exclusio
• nsReview all medical information on file, analyze and synopsize information at ha
• ndDetermine and record additional required informat...