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Claims Assessor

Assess insurance claims, verify documentation, and determine settlement outcomes fairly and accurately.

business Office payments Avg: R26,000

description Overview

Claims Assessors investigate claims, request evidence, apply policy terms, and negotiate settlements. Roles exist in insurers, brokers, and claims administrators.

**A Day in the Life:**
Case reviews, documentation checks, contacting stakeholders, and decision recording.

schedule A Day in the Life

08:30

Review new claims and prioritise cases

10:00

Verify documents and request additional info

13:00

Assess liability/coverage and approve settlements

15:30

Update systems and communicate outcomes

trending_up Career Path

Step 1

Claims Admin

0-2

Step 2

Claims Assessor

2-6

Step 3

Senior Assessor / Claims Specialist

6-10

Step 4

Claims Manager

10+

Vital Statistics

Salary Range

R 16,000 - R 45,000

Soft Skills

lock Confidentiality fact_check Attention to Detail description Documentation verified Ethics & Integrity analytics Analytical Thinking chat Communication article Reporting lightbulb Problem-Solving biotech Critical Thinking schedule Time Management groups Teamwork sync Adaptability favorite Emotional Intelligence laptop_mac Digital Literacy badge Professionalism edit Professional Writing theater_comedy Creativity trending_up Leadership

Technical Skills

table_chart Advanced Excel (Power Query/Pivots) policy AML / KYC gavel IFRS Fundamentals payments Payroll Systems request_quote Sage/Pastel Accounting public SARS eFiling Basics receipt_long VAT Basics