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FirstRand Bank

Banking, corporate finance, and insurance group

Claims Assessor Specialist

Claims AdjudicationPosted on Nov 10
Full-timeJohannesburg, South AfricaNo salary listedIn-person

About the Job

Requirements

  • Have a suitable medical qualification, such as Occupational Therapy, Physiotherapy, or biokinetics.
  • Have at least 3 years of medical claims assessment experience.
  • Have worked in a long-term insurance environment.
  • Experience dealing with the Ombudsman or escalated queries is specified as a candidate qualification.
  • An ASISA Life Insurance Claims Assessor course is described as advantageous.

Responsibilities

  • Accurately assess, investigate, and manage long-term insurance claims, including impairment, disability, income replacement, death, and critical illness claims.
  • Ensure claims assessments and decision standards are consistent with company values and philosophy.
  • Mitigate and escalate risks, including identifying fraudulent activity, policy abuse, and pre-existing conditions.
  • Provide effective, efficient, and professional service to customers, advisors, and branches by telephone and written correspondence.
  • Take ownership of queries and ensure they are resolved promptly and effectively.
  • Ensure adherence to organizational best practice and legislative requirements.
  • Work as a team to meet service and quality standards.
  • Deliver customer service through proactive, appropriate solutions.

Desired Qualifications

  • A nursing background is advantageous.

About the Company

FirstRand Bank

Banking, corporate finance, and insurance group

FirstRand Bank is a large South African financial services group that combines three main divisions: FNB, RMB, and Momentum. FNB handles retail and commercial banking, RMB focuses on corporate and investment banking, and Momentum provides insurance. The company’s product lineup spans everyday banking and lending for individuals, corporate and investment banking services for businesses, and life and other insurance products. It differentiates itself by operating as a confederation of specialized divisions under one group, allowing each unit to focus on its core strengths while sharing the group’s financial backing. The goal is to deliver a broad, integrated set of financial services for retail customers, businesses, and insurers across the country and beyond.

Company size
1,001-5,000
Company stage
IPO
Headquarters
Johannesburg, South Africa
Founded
1838

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