Reference Number HOL250317-1
Job Title Disability Claims Assessor
Business Unit Hollard Group Risk
Department HGR Risk Management
Job Family Operations - incuding Claims, Policy Servicing, Underwriting and Retentions
Job Type Classification Permanent
Reporting To Claims Manager
Number of Positions 1
Location - Town / City Johannesburg
Location - Province Gauteng
Location - Country South Africa
Job Advert Summary
An Exciting new opportunity has become available within Hollard Group Risk. We are looking to recruit a Disability Claims Assessor.
Position Summary
The incumbent will be responsible and accountable for assessing, reviewing and managing Capital Disability, Dread Disease and Income Disability claims and any other claims which need a medical assessment component. The person will need to ensure that the standard of decisions taken is equitable and made in accordance with the principles and philosophy of our company. The incumbent will need to ensure that service level agreements are adhered to and that claims are assessed and reviewed to the clients satisfaction.
Key Responsibilities
To assess claims consistently and to ensure that claims assessment and disability management practice is in line with the market but also in line with the company values
- To liaise with and provide clients with feedback professionally
- To plan return to work programmes for claims needing active management
- To keep records and update systems
- To ensure effective client engagement
- To visit clients (employers and members)
- Ability to work with various stakeholders
- 2-3 years claims experience in Group Risk
- Experience in working with group schemes
- Patience and tolerance
- Self-management
- Strong verbal and written communication
- Proactive, capable of identifying and initiating change
- Results and action orientated
- Ability to deal with stressful environment and situations
- Empathy
- Matric
- Postgraduate medically aligned degree is required eg. Occupational therapy / Physiotherapy
- 3-5 years clinical experience /claims assessing experience in Group Risk environment with exposure to Income Disability Claims, Capital Disability and Dread Disease claims
- Insurance related studies
