Trainee Claims Assessor - Pinelands

Job Description

• This role uses specialist technical knowledge to assess claims in the individual life benefit range for the business and/or specific products.
• This role is for a dynamic individual with a willingness to learn and be part of a specialised claims assessing team

Role Description & Key Result Areas:

• Personal Effectiveness
  • Accountable for managing own time effectively to meet service delivery needs.
  • Prioritise tasks and ensure high-quality output.
  • Makes increased contributions by broadening individual skills.
  • Collaborates effectively with others and can work independntly.
  • Accepts and lives the company values.
• Risk Management
  • Uses specialist technical knowledge to evaluate and manage the validity of contracts and; determine and manage the liability of claims.
  • Determines, selects, and accepts risk and/or liability on behalf of the organisation.
  • Evaluates financial and medical evidence against business rules and practices.
  • Exercises discretion in decision-making within standardised practice.

• Matric with Biology, Mathematics, or Accounting essential
• Completed medical / medically aligned degree, e.g. Nursing; Occupational Therapy; Physiotherapy, or a three (3) year related diploma would be a distinct advantage.
• Claims assessing experience would be an added advantage.
• Specialised medical knowledge through learning or experience is essential.
• Experience in the Financial Service Industry would be advantageous.
• PC proficiency in MS Office i.e. Word, Excel, etc.
• Well-developed interpersonal skills.
• Strong verbal and written communication skills particularly the ability to have difficult conversations.
• Attention to detail.
• Well-developed problem-solving skills.
• Excellent time management skills
• Good presentation skills.
• Must be a team player.
• Must be willing to work shifts and overtime where necessary.

• Decision Making 
• Ownership
• Thinking Skills
• Tenacity
• Continuous Renewal

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• Action Planning, Computer Literacy, Data Compilation, Data Controls, Default Risk, Insurance Product Management, Insurance Sales, Legal Practices, Management Reporting, Numerical Aptitude, Oral Communications, Professional Presentation, Risk Based Pricing, Risk Management, Underwriting Management

• Action Oriented
• Collaborates
• Drives Results
• Ensures Accountability
• Financial Acumen
• Instills Trust
• Manages Complexity
• Optimizes Work Processes

• NQF Level 7 - Degree, Advance Diploma or Postgraduate Certificate or equivalent

Closing Date

15 October 2026 , 23:59