Job Description
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.
Knowledge and Skills
Personal Attributes
Build a successful career with us
We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future – your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth. Through its five business clusters – Sanlam Fintech, Sanlam Life and Savings, Sanlam Investment Group, Sanlam Allianz, Santam, as well as MiWay and the Group Office – the group provides many opportunities for growth and development.
Core Competencies
Turnaround time
The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of managers.
Closing Date: 13 March 2026