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Claims Assessor

Company

PPS

Location

South-Africa, gauteng

Type

Full-time

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...

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