Claims Assessor - Sandton, South Africa - Discovery Ltd.

Discovery Ltd.

Verified Company

Sandton, South Africa

1 week ago

Posted by:

Thabo Mthembu

beBee Recruiter

Description

Business Unit:
Vitality Life
Function:Claims Administration
Date:7 Jun 2023Discovery - VitalityLife

Claims Assessor

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 leaders, Discovery is passionate about innovating in order to not only achieve financial success, but ignite positive and meaningful change within our society.

About the VitalityLife Claims Team
At VitalityLife, we are committed to providing a markt-leading claims management service. Our customers are our priority and we are dedicated to supporting them when they need us most.

We are committed to ensuring that compassion and empathy are a fundamental part of the claims experience for our customers.

Key Purpose

The role contributes to the organisational goals by assessing, validating and finalising of all Life Cover, Serious Illness Cover, Income Protection Cover, Disability Cover claims according to the policy terms and conditions whilst adhering to the service level agreements and maintaining high service standards.

Areas of responsibility may include but not limited to:
The successful applicant will be responsible for but not limited to the following job functions:

Medical and financial assessment of Income Protection claims.
Assessing the contractual validity of a claim.
Identifying possible fraud, misrepresentation and preexisting conditions.
Liaising with internal and external stakeholders to reach claim decision.
Provide input into product development and system enhancements
Complaint resolution
Support team through knowledge sharing (medical, technique)
Coaching of administrators

Personal Attributes and Skills

Deciding and initiating action
Working with People
Able to work unsupervised and to take initiative
Adhering to Principles and Values
Presenting and Communicating Information
Conflict handling and resolution
Collaboration and team work
Learning and Researching
Delivering Results and Meeting Customer Expectations
Following Instructions and Procedures
Adapting and Responding to Change
Coping with pressure and setbacks
Achieving Personal Work Goals

Education and Experience:

Education:

Matric/Grade 12 is essential
A minimum 2 years prior experience within a claims environment in the life insurance industry is essential.
COP (Certificate of Proficiency) in life insurance would be advantageous.
Medical degree or diploma would be advantageous.

Knowledge:

Microsoft Office skills, i.e. Outlook, Excel and Word are mandatory.
Intermediate knowledge of the Life Insurance Industry.
Experience within the UK Life Claims environment would be advantageous.
An intermediate to advanced understanding of Medical conditions and diagnoses
An intermediate to advanced level of Communication Skills (verbal & written)
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.