Claim Assessor : MiWayLife Parktown, Gauteng

MiWayLife is dedicated to supporting, growing and empowering clients with affordable, simple, and suitable solutions, primarily through telephonic intermediary channels. We have tied advisors, all dedicated to meeting the financial needs of our clients and prospective clients.MiWayLife’s vision is to establish a world-class direct financial service business that seeks to:offer its clients excellent service, superior value products, and fair treatment always;be an employer of choice; andbe a good corporate citizen and play a meaningful role in the transformation of the Financial Services industry.MiWayLife’s culture is values-based and is built around the pillars of Accountability, Attitude, Energy Freedom and Professionalism. We are a family of vibrant and energetic free-thinkers, constantly looking to innovate and disrupt.Purpose of the RoleThis specialist role reports directly to the Operations Manager:Claims and is responsible for the assessment and administration of Funeral claims in line with company policies, regulatory requirements, and service standards.Key responsibilities include:Assess and adjudicate funeral claims within agreed service levels.Request and analyse supporting documentation and medical information where applicable.Apply policy terms, conditions, and underwriting principles when making claim decisions.Identify potential fraud indicators and escalate suspicious claims.Communicate claim outcomes professionally to stakeholders.Maintain accurate claims records and audit trails.Collaborate with internal and external stakeholders to resolve complex claims.Contribute to process improvement initiatives within the Claims