Funeral Assessor II

Job description: Purpose Statement To improve claims operational excellence, increase customer satisfaction, minimize losses for Capitec Insurance through accurate and holistic assessment of all types of insurance non-medical claims (life, funeral and death), in accordance with terms and conditions of the respective policy/ies, legislative frameworks and goals, objectives, processes and standards sets by Capitec.   Location: Century City  Experience Minimum of 3 years practical experience in funeral and/or life insurance claims assessment, preferably within the context of fully underwritten products Experience in stakeholder management and client engagement Qualifications (Minimum) Grade 12 National Certificate / Vocational Qualifications (Ideal or Preferred) A relevant qualification in Healthcare or Science Knowledge Minimum: Understanding of the long-term insurance industry and claims handling processes Knowledge of Funeral and Life Insurance Products Knowledge of relevant legal framework relating to funeral and life insurance claims Ideal: Knowledge or practical experience on assessment of Credit Life Insurance products, especially retrenchment and death claims.  Occupational certitficate or course on long-term life Insurance Claims Assessor   What you will be required to do As an Funeral Assessor II at Capitec Bank, your primary responsibilities will include: Support funeral claims process set-up Funeral claims assessment Quality assurance – review and verify claims for accuracy and completeness. Approve decisions and payments within turnaround time. Maintain high quality  and meet productivity targets Fraud risk assessment - flag and escalate suspicious claims per Capitec’s fraud framework. Assessment of misrepresentation/non-disclosure in life insurance Identify trends and areas of concern and escalate accordingly Resolve complex claims queries and complaints within service level agreements Stakeholder engagement Skills Administration Skills Attention to Detail Decision making skills Numerical Reasoning skills Planning, organising and coordination skills Conditions of Employment Clear criminal and credit record