The Claims Consultant assesses and manages claims effectively and efficiently, within the required SLA, ensuring optimal profitability of the business.
Responsibilities
- Claims assessment and management of Individual Life claims across all benefit types, for the South African operation, as well as other benefits relevant to the business (e.g., credit life, funeral).
- Provide quality technical support and training to clients.
- Proactive case management of disability income claims.
- Assist with client audits where required.
- Identify trends and report to Head of Claims.
- Assist with developing and delivering claims value-added solutions to clients.
- Identify fraud, waste and abuse and act in accordance with internal orocesses.
Required:
- At least 3 years assessment experience of all major benefit types in the Individual Life sector.
- At least 2 years assessment experience of credit life and funeral claims.
- Degree in Occupational Therapy or Physiotherapy or any other relevant qualification.
- At least 3 years clinical experience in their field.
- Medical and functional knowledge that can be applied in an insurance setting.
- Computer literate and proficient in Microsoft Office.
- Flexibility to handle diverse tasks in a fast-paced environment.
- Innovative problem-solving ability.
- Client-centric approach with strong networking skills.
- Understanding of current industry trends and legislation, impacting life insurance and claims.
- Understanding of the non-disclosure process and the application at claims stage.
- Knowledge of the Ombudsman process and dealing with complaints.
- Ability to view the bigger picture and impact on the business.
- Ability to transfer knowledge to others.
- Good presentation skills.
RGAs Commitment to Diversity, Equity, and Inclusion
RGA Aims to evolve RGA workplaces and the communities in which RGA has a presence, into more diverse, equitable and inclusive environments. We will create a culture where individuals are valued, feel a sense of belonging, and are respected for their differences a workplace where all employees are encouraged and supported to reach their full potential.
Our individual, social, economic, and cultural identities shape and influence our experiences and perspectives. Therefore, to do our best work RGA will ensure diversity in our workforce across the various dimensions of social, interpersonal, and cultural identity -- and by practicing inclusivity in how we work with one another. Inclusion in our workplace is a step towards our purpose of making financial protection accessible to all.
Flexible Working
We support hybrid and flexible ways of working and would welcome a discussion on how we can balance what is important to you with business requirements during the recruitment process.
Company Overview
Reinsurance Group of America is one of the largest global life and health reinsurance companies in the world. With operations in 26 countries, we are the only global reinsurance company to focus primarily on life and health related reinsurance solutions.
Our core products and services include life reinsurance, living benefits reinsurance, group reinsurance, health reinsurance, financial solutions, facultative underwriting, and product development.
RGA has approximately $3.4 trillion of life reinsurance in force, assets of $84.9 billion, and a singular purpose: to make financial protection accessible to all.
In South Africa, RGA has been ranked #1 on NMG Consulting's All Business Capability Index for Life and Health Reinsurers for 13 consecutive years and has grown to be the largest reinsurer of new individual business. If you have a passion for excellence, service, and a desire to work in a challenging environment that offers a breadth of experiences then RGA may well be the company for you
