Assessor Medical Claims at Capitec Bank

Job description

Purpose Statement

• To minimise losses for Capitec Insurance through accurately assessing, investigating and validating disability claims in accordance with the goals, objectives, processes and standards set by Capitec Life

Experience

Minimum

• 3 - 5 years disability claims assessor experience
• Experience in stakeholder management and client engagement

Ideal:

• 3+ years disability claims assessor experience

Qualifications (Minimum)

• Grade 12 National Certificate / Vocational

Qualifications (Ideal or Preferred)

• A relevant tertiary qualification in Healthcare or Science

Knowledge

Minimum:

• Insurance industry knowledge, specifically relating to the disability landscape
• Relevant legislation relating to disability claims
• Principles of medical claim assessment
• Understanding of the Insurance landscape

Ideal

• Investigative tactics, tools and methodologies.
• Intimate knowledge of disability processes for both religious and cultural disability services.

Skills

• Administration Skills
• Attention to Detail
• Decision making skills
• Numerical Reasoning skills
• Planning, organising and coordination skills

Competencies

• Adhering to Principles and Values
• Analysing
• Coping with Pressures and Setbacks
• Deciding and Initiating Action
• Delivering Results and Meeting Customer Expectations
• Learning and Researching
• Persuading and Influencing
• Working with People

Conditions of Employment

• Clear criminal and credit record