Sanlam Group
What will you do?
Assessment and independent decision making of complex living benefits e.g. severe illness, disability and sickness benefit claims.
Ensure that the client’s claim request is met within the boundaries of the policy contract, which includes the interpretation of contractual definitions.
Liaise with relevant stakeholders (e.g. Underwriters, Legal Department, Product Development, Medical Doctors, Re-insurers) to resolve complex assessments.
Propose improvements to the assessment process.
Written and verbal communication with clients, intermediaries, underwriters and doctors during the assessment process and on outcome of the claim.
Taking full ownership for the communication of the outcome of the claim to the client and intermediary that enables them to understand the decision and prevent complaints.
Complaints handling.
Contact person to VIP intermediaries for technical enquiries and their client’s claims.
What will make you successful in this role?
Knowledge & Experience:
Experience as an Occupational Therapist or clinical role in the medical field
3-5 years experience in the assessment of Living Benefit Claims or Risk claims or Retail claims is recommended.
Experience in complaints handling
Knowledge of Risk Products and Benefits is recommended
Competencies:
Manages complexity
Good communication skills in English and Afrikaans (written and verbal)
Working independently
Qualification and Experience:
Degree or Diploma with 3 to 5 years related experience.
Closing Date: 13 March 2026
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