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 certiicate 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