About Discovery

Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.

About Discovery Employee Benefits

Discovery Corporate & Employee Benefits is the first and only employee benefits provider to be shaping employee behaviour, creating healthier and wealthier workforces. It is an exciting business to be in as we reimagine the way retirement savings and life insurance is brought to companies and employees.

Key Purpose of the role

The primary function of this role is to effectively manage Disability Claim administration and provide integrated services to internal and external clients within the Group Risk Claims Department. In addition to this, the individual will be responsible for the technical assessment of claims by checking the applicable cover, scheme and member details, eligibility, financial details.

 Areas of responsibility may include but not limited to

• Ensure the effective validation and assessment of all disability claims according to company policy whilst having a client centered approach ingrained into the communication and management of all relevant stakeholders and clients
• Review and follow up on all types of disability claims within agreed authority structures and targets in accordance to client service levels, claims management and process requirements
• Makes correct decisions - medically researched, legally defendable, fair, equitable and justifiable final decisions
• Communicate to internal and external stakeholders on set requirements, decision letters and progress on claims in a clear, friendly and concise manner using appropriate language and a client centric approach
• Ensure all Internal and External communication (Written and Verbal) is done so in a professional manner and in line with the company policy and does not contravene the POPI Act.
• Ensure that all queries are answered correctly in a logical and fair manner in accordance client service levels using a client centric approach
• Bring medical expertise, experience and skills and assist with continual medical training, coaching, mentoring, development, empowerment and performance of fellow disability claims team members.
• To liaise with associated persons such as Medical Officers, Reinsurers, Legal Officers, rehabilitation consultants, investigators and management
• Work effectively in a team environment, share information and provide support to other team members
• Contribute to team and cross-team processes, discussions, interactions, activities and programmes
• Create and Implement initiatives and opportunities for change and improvement – within the team, business and self.
• Maintains and develops professional relationships with internal and external clients and ensure the best communication with customers using a client centric approach.
• Seeks and receives the advice and input of others
• Seeks involvement in projects of varying subject matter.
• Participate in personal and professional development activities, training and courses
• Additional ad hoc preparations for Audits (Internal and External), Compliance audits

     Personal Attributes and Skills

• Resilience
• Working with People
• Results Driven

• Decision making skills
• Organizational awareness
• Attention to detail
• Analytical
• Adaptable/ flexible
• Creative and innovative
• People orientated
• Team player
• Customer centric
• Dependability and Reliability
  • Self-starter  
  • Quality Oriented
  • Teamwork/Collaborative  
  •  Integrity
  • Tenacity  

    Education and Experience

• Relevant tertiary qualification
• Decision making skills
• Time management skills
• Verbal and written communication skills 
• Problem solving skills
• Claims payments processing product and process knowledge of Employee and Disability products
• Advanced MS Office Excel skills (Essential)
• Organizational skills
• Knowledge and understanding of Employee Benefits and Claims Payments administration
• 2-3 years relevant experience such as working in the risk/health insurance industry

EMPLOYMENT EQUITY   
                             
The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.