Location
South-Africa, gauteng, South-Africa
Posted
July 13, 2026
Job Description
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 ie Assessment and management of short-term sickness, critical illness and hospital cla im Check the technical aspects of the claim – Inclusive of potential non-disclosure, and exclusio ns Review all medical information on file, analyze and synopsize information at ha nd Determine and record additional required informati on Decide on referral to an independent speciali st Receive Ind...