Life Claims Assessor - 12 month contract
for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must only include sections when posting has real specific content. We need to parse content.
The job description includes:
- The job at a glance: description of role: reporting to Claims Manager: Life, responsible for adjudicating and processing claims.
- What You Will Do: includes Claims Adjudication bullet list, Claims Management bullet list, Adjudicate and process payments bullet list, Customer Service bullet list.
- Job Requirements: What You'll Bring To The Table: list of qualifications: Grade 12, FAIS RE5, NQF Level 5 Higher Certificate, medical qualification advantageous, Insurance Qualification advantageous, 3-5 years claims related experience, knowledge of LTI Act, FAIS Act, GCOC, Insurance Act, ASISA Standards, Good Administrative skills, Advanced Excel Skills, Knowledge of Claims processing, approval, Long Term Insurance experience, Deadline driven.
- What You'll Get In Return: We offer great opportunities for personal and professional development in a stable company that’s 130 years strong. The role comes with a competitive salary package and various benefits. Flexible work arrangements (combination of remote and in the office). Furthermore, you will be a part of a dedicated group of colleagues who value teamwork and collaboration.
- Turnaround time: shortlisting process etc. This is application instructions? It's about process; we should remove application instructions? The instruction says remove application instructions. Turnaround time and closing date etc are application instructions? Likely yes: "Turnaround time ... Closing date: 4th October 2026". Also "Our Commitment to transformation..." is EEO boilerplate; should be removed.
Thus we need sections: About the role (maybe from THE JOB AT A GLANCE). Responsibilities (What You Will Do). Requirements (Job Requirements). Qualifications? Could be separate but we have qualifications listed in Requirements; maybe we combine Requirements and Qualifications? The instruction says use headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We should only include sections with real specific content.
We have content for About the role (short paragraph). Responsibilities (detailed bullet list). Requirements (list of qualifications/experience). Skills (maybe we can extract skills: Good Administrative skills, Advanced Excel Skills, Knowledge of Claims processing, approval, Long Term Insurance experience, Deadline driven). Benefits (competitive salary package, various benefits, flexible work arrangements, professional development, teamwork). Pay? Not specified beyond "competitive salary package". That's vague; we should not create Pay section if not specific. Schedule? Not specified. So we include About the role, Responsibilities, Requirements, Skills, Benefits.
We need to use for each section heading. Use - for any list of duties/requirements/benefits, and
for prose.
We must preserve ALL substantive information; do not invent or summarize away detail. So we need to include all bullet points exactly as given, but we can format as list items.
We need to avoid repeating job title as heading. Not include Job ID etc.
We must remove boilerplate: EEO, application instructions, etc.
Let's extract details.
About the role: "As a Life Claims Assessor, you will be reporting to the Claims Manager: Life, you will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance."
That's the only prose.
Responsibilities: Under "What You Will Do" there are four categories: Claims Adjudication, Claims Management, Adjudicate and process payments for claims, Customer Service. Each has bullet points (some are sentences). We need to preserve all.
Let's list them:
Claims Adjudication:
- Verify claims captured for correctness and compliance
- Capture / accept additional information on claims i.e. medical reports
- Ensure all documents required to process a claim are indexed and filed into the system
- Add meaningful and accurate notes to ensure complete synopsis of claim on the system
- Update requirements on claims and ensure they are always accurate and up to date
Claims Management:
- Manage claims in line with individual targets
- Review of claims in line with process, authority limits and within agreed timelines
- Escalate where required within authority limits
- Management of medical reports for claims with Permanent Disability
- Communicate claims process to both the employer and employee as set out in the claim’s management processes
- Timeous management of workflows and notifications
Adjudicate and process payments for claims:
- Adjudication and processing of TTD benefits including approval within authority limits
- Adjudicating and processing payment of sundry invoices within authority limits
- Process Permanent Disability claims
Customer Service:
- Regularly communicate and liaise verbally and in writing with customers/suppliers/visitors/enquirers and relevant staff
- Interpret and respond clearly and effectively to spoken requests over the phone or in person, and to verbal or written instructions
- Manage walk-in queries as and when required in line with the RMA Service Catalogue
- Handle customer inquiries both telephonically and by email
- Research required information using available resources
- Provide customers with accurate product and service information in an efficient manner
- Update existing customer personal information on the system
- Deal with all customers in a professional and empathetic manner
Now Requirements (What You'll Bring To The Table):
List:
- Grade 12 qualification/Matric Certificate
- FAIS Regulatory Examination (RE5) - This is a FAIS compliant role
- NQF Level 5 Higher Certificate in a FAIS Recognised Qualification
- A medical qualification would be advantageous
- Insurance Qualification (advantageous)
- 3 to 5 years claims related experience
- General knowledge of the LTI Act
- Intimate knowledge of the FAIS Act
- Intimate knowledge of the GCOC
- Intimate knowledge of the Insurance Act
- General knowledge of the ASISA Standards and Guides
- Good Administrative skills
- Advanced Excel Skills
- Knowledge of Claims processing, approval
- Long Term Insurance experience
- Deadline driven
We could separate Requirements (qualifications/experience) and Skills (specific skills). The instruction says we can have sections for Requirements, Qualifications, Skills. But we need to avoid thin sections. Perhaps combine Requirements and Qualifications into one Requirements section, and Skills separate.
But we have many items that are qualifications (Grade 12, FAIS RE5, NQF Level 5, medical qualification advantageous, Insurance Qualification advantageous, 3-5 years experience, knowledge of various Acts, ASISA Standards). Skills: Good Administrative skills, Advanced Excel Skills, Knowledge of Claims processing, approval, Long Term Insurance experience, Deadline driven. However "Knowledge of Claims processing, approval" could be skill. "Long Term Insurance experience" maybe experience. "Deadline driven" is attribute.
We could make Requirements section for qualifications and experience, and Skills section for skills.
Let's decide: Requirements: list of formal qualifications and experience: Grade 12, FAIS RE5, NQF Level 5 Higher Certificate, medical qualification advantageous, Insurance Qualification advantageous, 3 to 5 years claims related experience, General knowledge of the LTI Act, Intimate knowledge of the FAIS Act, Intimate knowledge of the GCOC, Intimate knowledge of the Insurance Act, General knowledge of the ASISA Standards and Guides, Long Term Insurance experience.
Skills: Good Administrative skills, Advanced Excel Skills, Knowledge of Claims processing, approval, Deadline driven.
But "Knowledge of Claims processing, approval" maybe overlaps with requirements; but we can keep.
Benefits: "We offer great opportunities for personal and professional development in a stable company that’s 130 years strong. The role comes with a competitive salary package and various benefits. Flexible work arrangements (combination of remote and in the office). Furthermore, you will be a part of a dedicated group of colleagues who value teamwork and collaboration."
We need to preserve all substantive information. So we need to include those sentences as prose (
). Could also break into list? It's not a list; we can keep as paragraph.
Now we need to output HTML fragment only, no /, no markdown.
We'll produce:
About the role
As a Life Claims Assessor, you will be reporting to the Claims Manager: Life, you will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance.
Responsibilities
- Verify claims captured for correctness and compliance
- Capture / accept additional information on claims i.e. medical reports
- Ensure all documents required to process a claim are indexed and filed into the system
- Add meaningful and accurate notes to ensure complete synopsis of claim on the system
- Update requirements on claims and ensure they are always accurate and up to date
- Manage claims in line with individual targets
- Review of claims in line with process, authority limits and within agreed timelines
- Escalate where required within authority limits
- Management of medical reports for claims with Permanent Disability
- Communicate claims process to both the employer and employee as set out in the claim’s management processes
- Timeous management of workflows and notifications
- Adjudication and processing of TTD benefits including approval within authority limits
- Adjudicating and processing payment of sundry invoices within authority limits
- Process Permanent Disability claims
- Regularly communicate and liaise verbally and in writing with customers/suppliers/visitors/enquirers and relevant staff
- Interpret and respond clearly and effectively to spoken requests over the phone or in person, and to verbal or written instructions
- Manage walk-in queries as and when required in line with the RMA Service Catalogue
- Handle customer inquiries both telephonically and by email
- Research required information using available resources
- Provide customers with accurate product and service information in an efficient manner
- Update existing customer personal information on the system
- Deal with all customers in a professional and empathetic manner
Requirements
- Grade 12 qualification/Matric Certificate
- FAIS Regulatory Examination (RE5) - This is a FAIS compliant role
- NQF Level 5 Higher Certificate in a FAIS Recognised Qualification
- A medical qualification would be advantageous
- Insurance Qualification (advantageous)
- 3 to 5 years claims related experience
- General knowledge of the LTI Act
- Intimate knowledge of the FAIS Act
- Intimate knowledge of the GCOC
- Intimate knowledge of the Insurance Act
- General knowledge of the ASISA Standards and Guides
- Long Term Insurance experience
Skills
- Good Administrative skills
- Advanced Excel Skills
- Knowledge of Claims processing, approval
- Deadline driven
Benefits
We offer great opportunities for personal and professional development in a stable company that’s 130 years strong. The role comes with a competitive salary package and various benefits. Flexible work arrangements (combination of remote and in the office). Furthermore, you will be a part of a dedicated group of colleagues who value teamwork and collaboration.
We should not include Pay or Schedule sections.
Check that we didn't include any boilerplate: we removed Turnaround time, Cl
- for any list of duties/requirements/benefits, and
for prose. We must preserve ALL substantive information; do not invent or summarize away detail. So we need to include all bullet points exactly as given, but we can format as list items. We need to avoid repeating job title as heading. Not include Job ID etc. We must remove boilerplate: EEO, application instructions, etc. Let's extract details. About the role: "As a Life Claims Assessor, you will be reporting to the Claims Manager: Life, you will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance." That's the only prose. Responsibilities: Under "What You Will Do" there are four categories: Claims Adjudication, Claims Management, Adjudicate and process payments for claims, Customer Service. Each has bullet points (some are sentences). We need to preserve all. Let's list them: Claims Adjudication: - Verify claims captured for correctness and compliance - Capture / accept additional information on claims i.e. medical reports - Ensure all documents required to process a claim are indexed and filed into the system - Add meaningful and accurate notes to ensure complete synopsis of claim on the system - Update requirements on claims and ensure they are always accurate and up to date Claims Management: - Manage claims in line with individual targets - Review of claims in line with process, authority limits and within agreed timelines - Escalate where required within authority limits - Management of medical reports for claims with Permanent Disability - Communicate claims process to both the employer and employee as set out in the claim’s management processes - Timeous management of workflows and notifications Adjudicate and process payments for claims: - Adjudication and processing of TTD benefits including approval within authority limits - Adjudicating and processing payment of sundry invoices within authority limits - Process Permanent Disability claims Customer Service: - Regularly communicate and liaise verbally and in writing with customers/suppliers/visitors/enquirers and relevant staff - Interpret and respond clearly and effectively to spoken requests over the phone or in person, and to verbal or written instructions - Manage walk-in queries as and when required in line with the RMA Service Catalogue - Handle customer inquiries both telephonically and by email - Research required information using available resources - Provide customers with accurate product and service information in an efficient manner - Update existing customer personal information on the system - Deal with all customers in a professional and empathetic manner Now Requirements (What You'll Bring To The Table): List: - Grade 12 qualification/Matric Certificate - FAIS Regulatory Examination (RE5) - This is a FAIS compliant role - NQF Level 5 Higher Certificate in a FAIS Recognised Qualification - A medical qualification would be advantageous - Insurance Qualification (advantageous) - 3 to 5 years claims related experience - General knowledge of the LTI Act - Intimate knowledge of the FAIS Act - Intimate knowledge of the GCOC - Intimate knowledge of the Insurance Act - General knowledge of the ASISA Standards and Guides - Good Administrative skills - Advanced Excel Skills - Knowledge of Claims processing, approval - Long Term Insurance experience - Deadline driven We could separate Requirements (qualifications/experience) and Skills (specific skills). The instruction says we can have sections for Requirements, Qualifications, Skills. But we need to avoid thin sections. Perhaps combine Requirements and Qualifications into one Requirements section, and Skills separate. But we have many items that are qualifications (Grade 12, FAIS RE5, NQF Level 5, medical qualification advantageous, Insurance Qualification advantageous, 3-5 years experience, knowledge of various Acts, ASISA Standards). Skills: Good Administrative skills, Advanced Excel Skills, Knowledge of Claims processing, approval, Long Term Insurance experience, Deadline driven. However "Knowledge of Claims processing, approval" could be skill. "Long Term Insurance experience" maybe experience. "Deadline driven" is attribute. We could make Requirements section for qualifications and experience, and Skills section for skills. Let's decide: Requirements: list of formal qualifications and experience: Grade 12, FAIS RE5, NQF Level 5 Higher Certificate, medical qualification advantageous, Insurance Qualification advantageous, 3 to 5 years claims related experience, General knowledge of the LTI Act, Intimate knowledge of the FAIS Act, Intimate knowledge of the GCOC, Intimate knowledge of the Insurance Act, General knowledge of the ASISA Standards and Guides, Long Term Insurance experience. Skills: Good Administrative skills, Advanced Excel Skills, Knowledge of Claims processing, approval, Deadline driven. But "Knowledge of Claims processing, approval" maybe overlaps with requirements; but we can keep. Benefits: "We offer great opportunities for personal and professional development in a stable company that’s 130 years strong. The role comes with a competitive salary package and various benefits. Flexible work arrangements (combination of remote and in the office). Furthermore, you will be a part of a dedicated group of colleagues who value teamwork and collaboration." We need to preserve all substantive information. So we need to include those sentences as prose (
). Could also break into list? It's not a list; we can keep as paragraph. Now we need to output HTML fragment only, no /, no markdown. We'll produce:
About the role
As a Life Claims Assessor, you will be reporting to the Claims Manager: Life, you will be responsible for adjudicating and processing claims in an effective and efficient manner within the prescribed guidelines set out by Rand Mutual Assurance.
Responsibilities
- Verify claims captured for correctness and compliance
- Capture / accept additional information on claims i.e. medical reports
- Ensure all documents required to process a claim are indexed and filed into the system
- Add meaningful and accurate notes to ensure complete synopsis of claim on the system
- Update requirements on claims and ensure they are always accurate and up to date
- Manage claims in line with individual targets
- Review of claims in line with process, authority limits and within agreed timelines
- Escalate where required within authority limits
- Management of medical reports for claims with Permanent Disability
- Communicate claims process to both the employer and employee as set out in the claim’s management processes
- Timeous management of workflows and notifications
- Adjudication and processing of TTD benefits including approval within authority limits
- Adjudicating and processing payment of sundry invoices within authority limits
- Process Permanent Disability claims
- Regularly communicate and liaise verbally and in writing with customers/suppliers/visitors/enquirers and relevant staff
- Interpret and respond clearly and effectively to spoken requests over the phone or in person, and to verbal or written instructions
- Manage walk-in queries as and when required in line with the RMA Service Catalogue
- Handle customer inquiries both telephonically and by email
- Research required information using available resources
- Provide customers with accurate product and service information in an efficient manner
- Update existing customer personal information on the system
- Deal with all customers in a professional and empathetic manner
Requirements
- Grade 12 qualification/Matric Certificate
- FAIS Regulatory Examination (RE5) - This is a FAIS compliant role
- NQF Level 5 Higher Certificate in a FAIS Recognised Qualification
- A medical qualification would be advantageous
- Insurance Qualification (advantageous)
- 3 to 5 years claims related experience
- General knowledge of the LTI Act
- Intimate knowledge of the FAIS Act
- Intimate knowledge of the GCOC
- Intimate knowledge of the Insurance Act
- General knowledge of the ASISA Standards and Guides
- Long Term Insurance experience
Skills
- Good Administrative skills
- Advanced Excel Skills
- Knowledge of Claims processing, approval
- Deadline driven
Benefits
We offer great opportunities for personal and professional development in a stable company that’s 130 years strong. The role comes with a competitive salary package and various benefits. Flexible work arrangements (combination of remote and in the office). Furthermore, you will be a part of a dedicated group of colleagues who value teamwork and collaboration.
We should not include Pay or Schedule sections. Check that we didn't include any boilerplate: we removed Turnaround time, Cl