Specialist, Claims Assessor

Liberty, a prominent financial services organisation, is seeking a dedicated Claims Assessor Specialist to join their dynamic team in Johannesburg. This role is integral to ensuring the credibility and accuracy of claims assessment processes, directly contributing to informed decision-making and the overall success of key organisational objectives. If you possess a keen eye for detail, excellent problem-solving abilities, and a commitment to quality, this opportunity could be a significant step in your career.

About the role

The core function of the Claims Assessor Specialist is to offer expert advice and robust support in the generation and provision of dependable claims assessment activities. This involves adhering strictly to Standard Operating Procedures (SOPs) and fulfilling predefined objectives. The incumbent will play a crucial role in maintaining the integrity of the claims process, ensuring that all assessments are thorough, accurate, and aligned with company standards. This position demands a proactive approach to identifying and resolving discrepancies, thereby upholding the organisation's reputation for reliability and efficiency.

Your responsibilities as a Claims Assessor Specialist will encompass a range of critical tasks designed to support the claims department. These include:

• Providing specialist guidance and support for all claims assessment activities.
• Ensuring the accuracy and reliability of assessment outputs to facilitate informed decision-making.
• Executing established procedures and objectives as defined by Standard Operating Procedures (SOPs).
• Identifying and resolving discrepancies within claims data and assessment processes.
• Maintaining high standards of quality control across all assessment-related tasks and reports.
• Engaging effectively with various stakeholders across different business units to gather information and foster collaboration.
• Handling sensitive conversations and conflict resolution with professionalism and composure.

What they're looking for

Liberty is searching for a candidate with a strong foundation in claims assessment, complemented by well-developed interpersonal and analytical skills. A minimum of three to five years of experience in a comparable role is essential. The ideal candidate will hold a Bachelor's Degree or an Advanced Diploma (NQF Level 7) in Generic Management or a related field.

Key competencies required for this position include:

• **Problem-Solving:** A demonstrated ability to identify issues, analyse their root causes, and implement effective solutions efficiently.
• **Composure:** The capacity to remain calm and focused, even under pressure or in fast-paced environments.
• **Conflict Management:** Skill in navigating disagreements and sensitive discussions tactfully and professionally.
• **Attention to Detail:** Meticulousness in reviewing information, particularly in areas like commission calculations and reporting, to ensure absolute accuracy.
• **Quality Assurance:** A commitment to upholding rigorous quality control measures in all aspects of the work.
• **Stakeholder Management:** The ability to build and maintain strong relationships with colleagues, clients, and other business units, fostering a collaborative spirit.

Liberty prides itself on a culture where employee success is paramount and encourages talent mobility within the organisation. This role offers an opportunity to contribute to a company that values its people and strives to place them in roles that align with their skills and aspirations.

In South Africa, roles like a Claims Assessor Specialist within the financial services sector typically require a strong understanding of insurance principles and regulatory frameworks. While salary can vary significantly based on experience, the specific organisation, and the complexity of the role, an experienced specialist could expect a competitive remuneration package. Common employers in this space include insurers, brokers, and financial planning firms. Career progression often leads into more senior assessment roles, team leadership, or specialised areas within claims management or underwriting.

Minimum Experience
3 - 5 years experience in a similar environment
Minimum Qualifications
Bachelor`s Degrees and Advanced Diplomas [NQF Level 07] in Generic Management