Company:
Sanlam Group
Industry: Banking / Financial Services
Deadline: Oct 17, 2025
Job Type: Full Time
Qualification: Bachelors, National Certificate
Experience: 3 – 5 years
Province: Western Cape
City: Bellville
Field: Customer Care, Insurance
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: 17 October 2025
Method of Application
Submit your CV and Application on Company Website:
