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Clientèle Life Assurance Company Limited: Claims Assessor in Sandton

Clientèle Life Assurance Company Limited: Claims Assessor in Sandton

  • Full Time
  • Sandton
  • Posted on February 17, 2024
Clientèle Life Assurance Company Limited

Website Clientèle Life Assurance Company Limited

Clientèle Life Assurance Company Limited

Clientèle Life Assurance Company Limited is a reputable insurance company based in Sandton, Johannesburg. With a focus on providing quality assurance and financial security to its clients, Clientèle Life Assurance Company Limited has established itself as a trusted name in the industry. We are currently seeking a dedicated and skilled individual to join our team as a Claims Assessor.

Clientèle Life Assurance Company Limited is a prominent insurance provider headquartered in Sandton, Johannesburg. The company has built a strong reputation for itself by offering a wide range of insurance products and services tailored to meet the diverse needs of its clientele. With a commitment to excellence and customer satisfaction, Clientèle Life Assurance Company Limited has become a trusted name in the insurance industry.

Founded on principles of integrity, reliability, and innovation, Clientèle Life Assurance Company Limited prides itself on delivering financial security and peace of mind to its customers. The company offers various insurance products, including funeral cover, hospital cover, life insurance, dread disease cover, and disability insurance. These products are designed to provide comprehensive coverage and support to individuals and families during challenging times.

Clientèle Life Assurance Company Limited operates with a customer-centric approach, placing a strong emphasis on understanding and meeting the unique needs of each client. The company’s team of dedicated professionals works tirelessly to ensure that customers receive prompt, efficient, and personalized service at every stage of their insurance journey.

In addition to its commitment to customer satisfaction, Clientèle Life Assurance Company Limited is also dedicated to fostering a positive work environment for its employees. The company values diversity, teamwork, and innovation, and strives to create opportunities for professional growth and development within the organization.

Clientèle Life Assurance Company Limited stands as a beacon of reliability and trustworthiness in the insurance industry. With a focus on quality, integrity, and customer service, the company continues to uphold its position as a leading provider of insurance solutions in South Africa.

Job Position: Claims Assessor
Location: Sandton, Johannesburg
Job Type: Permanent, Full Time
Published: 6 hours ago
Salary: Market related
EE/AA: Non EE/AA
Easy Apply: Yes

The profession of a Claims Assessor within the insurance industry plays a critical role in ensuring that policyholders receive the benefits they are entitled to under their insurance policies. Claims assessors are responsible for evaluating insurance claims, determining their validity, and facilitating the processing of payments to policyholders or beneficiaries.

Here are some key aspects of the profession of a Claims Assessor:

1. Assessment of Claims: Claims assessors are tasked with reviewing and assessing insurance claims submitted by policyholders. This involves carefully examining the details of the claim, including the circumstances surrounding the loss or event covered by the policy, the documentation provided by the policyholder, and any other relevant information.

2. Verification of Information: Claims assessors are responsible for verifying the accuracy and authenticity of the information provided in the insurance claim. This may involve conducting investigations, obtaining additional documentation or evidence, and communicating with various parties involved in the claim process, such as healthcare providers, witnesses, or law enforcement agencies.

3. Adherence to Policy Terms: Claims assessors must have a thorough understanding of the terms and conditions of the insurance policies they are responsible for assessing. They ensure that the claim falls within the scope of coverage outlined in the policy and that any exclusions or limitations are applied correctly.

4. Decision Making: Based on their assessment of the claim and adherence to policy terms, claims assessors make decisions regarding the disposition of the claim. This may involve approving the claim for payment, denying the claim if it does not meet the requirements for coverage, or requesting further information or documentation from the policyholder.

5. Communication: Claims assessors maintain regular communication with policyholders, keeping them informed about the status of their claims, any additional requirements or information needed, and the final decision regarding their claims. They must possess strong interpersonal and communication skills to effectively interact with policyholders and address any concerns or questions they may have.

6. Compliance: Claims assessors must ensure compliance with regulatory requirements and internal policies and procedures governing the processing of insurance claims. This includes adhering to timelines for claims processing, maintaining confidentiality of sensitive information, and following ethical standards in their interactions with policyholders and other stakeholders.

7. Continuous Improvement: The profession of a Claims Assessor requires a commitment to continuous learning and improvement. Insurance industry regulations, policies, and practices may evolve over time, and claims assessors must stay updated on industry developments and participate in ongoing training and professional development activities to enhance their skills and knowledge.

In summary, the profession of a Claims Assessor is integral to the functioning of the insurance industry, as these professionals play a crucial role in ensuring that policyholders receive fair and timely compensation for covered losses. Claims assessors must possess a combination of analytical, communication, and decision-making skills, as well as a commitment to upholding ethical standards and regulatory compliance in their work.

Purpose of Role
The Claims Assessor plays a pivotal role in ensuring the smooth processing of funeral, hospital, life, dread disease, and disability claims. This includes obtaining all necessary documentation from clients, conducting thorough assessments, and providing timely feedback to clients throughout the claims process. The individual will be responsible for managing their pending claims efficiently to meet turnaround time targets.

Key Performance Indicators

  • Finalization of valid claims in a fast, efficient, and qualitative manner.
  • Explanation of the claims procedure to clients and thorough interviews to gather necessary information.
  • Requesting outstanding documents from clients and maintaining regular communication regarding claim progress.
  • Monitoring and managing pending claims effectively.

Minimum Requirements
Experience and Qualifications

  • Experience in assessing funeral, hospital, and life insurance claims.
  • Matric qualification, with at least one year of experience in the insurance industry.
  • Tertiary qualification advantageous.

Skills and Competencies
Behavioural Competencies

  • Strong administrative and organizational skills.
  • Dynamic self-starter with a self-motivated approach to teamwork.
  • Excellent customer service skills and ability to perform under pressure.
  • Strong corporate image and ability to take initiative.
  • Commitment to maintaining high standards of customer service.

Functional Competencies (Skills)

  • Strong time management skills.
  • Excellent communication skills.
  • Proficiency in Microsoft Office.

Personal Characteristics

  • Team player with excellent communication skills.
  • Ability to solve problems effectively.
  • Self-motivated and driven to succeed.

Package & Remuneration
Salary: Market related

Location
Clientèle Life Assurance Company Limited
Clientèle Office Park, Cnr Rivonia & Alon Road, 2196 Morningside, Johannesburg, South Africa.
Official Website: https://clientele.co.za/

How to Apply
Interested candidates who meet the minimum requirements are encouraged to submit their applications via Pnet. Please include a detailed CV and cover letter outlining your suitability for the position.

Closing Date

N/A

Official Contact

  • WhatsApp: 067 342 7248
  • Tel: 011 320 3000
  • E-mail Legal: legalservices@clientele.co.za
  • Physical Address: Clientèle Office Park, corner Rivonia and Alon Road, Morningside, 2196.

At Clientèle Life Assurance Company Limited, we value diversity and are committed to creating an inclusive environment for all employees. We look forward to welcoming dedicated individuals to join our team and contribute to our ongoing success.

To apply for this job please visit www.pnet.co.za.

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