Learner:Claims Assessor

Date: 31 Jul 2026

Location:

Pretoria, Gauteng, ZA

Company: Sanlam Group

Who are we?

Sanlam Developing Markets [SDM] (a wholly-owned subsidiary of Sanlam Life Limited) is one of the top financial services providers in the South African entry-level and emerging middle market. It aims to understand the unique requirements of clients and offers a wide range of simple and affordable financial solutions that cover needs such as funeral insurance, savings for education, life cover and personal accident plans. In terms of the Sanlam Group Governance Policy, SDM is managed by the SA Retail Mass cluster, which is part of the Sanlam Life and Savings cluster within the Sanlam Group. The cluster focusses on retail products, as well as group schemes.

What will you do?

To assess each claim on the claim administration system and identify the type of cla
Assess the validity of the identified claim by assuring all the supporting documentation has been submitted. (assess the documentation in terms of signed claim form, id of deceased, proof of bank details, death certificate, BI 1663)
Valid claims are processes on the administration system and send for payment
Claims that have outstanding documentation: client will be notified of outstanding requirement
Invalid claims will be rejected/ Repudiated
All claims processes must align to SLA and SOPS
To maintain and error rating of less than 1 %
Assure capturing of claims are done accurately
Assure all criteria is met to pay claim
Assure the quality of feedback (written and verbal) to clients
To ensure that clients are provided with real time information on the status of the claim (feedback on the claim processing)
Assure feedback on requirements for successful claims payment is done timeously
Adhoc duties such as client queries, certain reporting requirements but not limited to.

Qualifications

Matric

Knowledge and Skills

Maintain work standards and quality verification

Data Collection and Analysis

Processing transactions and conduct simple calculations

Record keeping, filing and maintenance of databases

Computer Literacy

Personal Attributes

Plans and aligns - Contributing dependently

Communicates effectively - Contributing dependently

Action orientated - Contributing dependently

Optimises work processes - Contributing dependently

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

Being resilient - Contributing dependently

Customer focus - Contributing dependently

Collaborates - Contributing dependently

Cultivates innovation - Contributing dependently

Drives results - Contributing dependently

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.

Our commitment to transformation

The Sanlam Group is committed to achieving transformation and embraces diversity. This commitment is what drives us to achieve a diverse, inclusive and equitable workplace as we believe that these are key components to ensuring a thriving and sustainable business in South Africa. The Group's Employment Equity plan and targets will be considered as part of the selection process.