Living Benefits Claims Consultant at Sanlam Group, Bellville

Living Benefits Claims Consultant at Sanlam Group

Location: Bellville, Western Cape, ZA

Posted: October 4, 2025

Closing Date: October 17, 2025

About Sanlam Life and Savings (SLS)

Sanlam Group is focused on building strong, lasting relationships with our clients and employees. Sanlam Life and Savings (SLS) is a key division, dedicated to serving retail and corporate clients across South Africa. We pride ourselves on helping our employees realize their worth through growth opportunities across our five business clusters (including Sanlam Fintech, Sanlam Investment Group, and Santam). Joining our team means committing to a diverse, inclusive, and equitable workplace, which we believe is essential for a sustainable business in South Africa.

The Opportunity: Living Benefits Claims Consultant

We are seeking a highly competent Living Benefits Claims Consultant to join our team, focusing on Risk and Savings within the SLS Office. This pivotal role requires independent decision-making and expert analysis of complex claims to ensure fair outcomes for our clients.

What You Will Do

This role is centered on expert assessment, technical liaison, and clear client communication:

• Complex Claims Assessment: Independently assess and make final decisions on complex living benefits claims, including severe illness, disability, and sickness benefits.
• Contractual Interpretation: Ensure all claim requests are met within the strict boundaries of the policy contract, requiring precise interpretation of contractual definitions.
• Stakeholder Liaison: Act as a key contact point, liaising with essential internal and external stakeholders (e.g., Underwriters, Legal, Re-insurers, Medical Doctors) to resolve complex assessments.
• Client Communication & Ownership: Take full ownership of written and verbal communication with clients and intermediaries. Articulate claim outcomes clearly to prevent complaints and manage all complaint handling.
• Intermediary Support: Serve as the contact person for VIP intermediaries, providing technical claims support and addressing their clients’ queries.
• Process Improvement: Proactively propose and implement improvements to the claims assessment process.

What Will Make You Successful

Knowledge & Experience

• A Degree or Diploma with 3 to 5 years of related experience is required.
• Prior experience as an Occupational Therapist or in a clinical role within the medical field is highly recommended.
• Experience in the assessment of Living Benefit Claims, Risk Claims, or Retail Claims is highly beneficial.
• Proven experience in complaints handling.
• Familiarity with Risk Products and Benefits is recommended.

Core Competencies

You should be able to operate independently and demonstrate proficiency in:

• Manages Complexity: Ability to analyze and resolve intricate technical and contractual issues.
• Communication: Excellent written and verbal communication skills in English and Afrikaans.
• Personal Attributes: Strong alignment with core competencies such as Cultivating Innovation, Customer Focus, Driving Results, Collaboration, and Being Resilient.

Our Commitment to Transformation:

The Sanlam Group is committed to transformation and embracing diversity. The Group’s Employment Equity plan and targets will be considered as part of the selection process to achieve a diverse, inclusive, and equitable workplace.