Claims and Underwriting Administrator - Sandton, South Africa - Discovery Ltd.

Discovery Ltd.
Discovery Ltd.
Verified Company
Sandton, South Africa

1 week ago

Thabo Mthembu

Posted by:

Thabo Mthembu

beBee Recruiter
Description

Business Unit:
Discovery Employee Benefits
Function:Claims Administration
Date:10 Apr 2024Achieve more than
YOU BELIEVE**- Discovery Corporate & Employee Benefits

Client Care Team:
Claims and Underwriting Administrator
-
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 fastpaced and dynamic environment enables smart, selfdriven 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 Corporate & 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. Our goal is simple to reimagine the way we deliver benefits to South African employees and companies. We have the ability and responsibility to shape employee behaviour. In doing so, we will create healthier and wealthier workforces and move South Africa forward.
-
Key Purpose of the role

  • Assisting the underwriters with general administration related to underwriting. Ensure brokers are well informed by providing accurate information to them in order to adequately support clients. Compile underwriting status reports. Provide or receive half cost medicals from other insurers. Ensure claim assessments and payment of lump sum benefits (Funeral, death, SIB and ICB) payments.
-
Principle Accountabilities

  • Enhance group risk revenue and profit streams to meet business objectives through the following:
  • Claims:
  • Compile claims reports for brokers from SFE and Compass
  • Manage claim related queries and provide the client with feedback thereof
  • Receive claims from indexing department for assessment of the funeral and death claims member; child or spouse claims as well as extended family members. Assess each claim by verifying claim details against standard claims requirements. Liaise with Broker should documentation not be in order
  • Should discrepancies be picked up, refer the documentation to the Forensics Department. Ensure regular followup until Forensics provide an investigation outcome
  • Once all documentation has been received, set up payment on the system for verification by second Assessor and Authoriser
  • Receive claims for verification (second assessing) and authorizing
  • Issue payment letters and/or claims decision letters to Brokers once payment has been approved
  • Underwriting:
  • To send medicals requirements requests to brokers/SC in order to be completed by member for underwriting members' over the acceptable limit
  • Link the received completed medicals to the system and allocate to the underwriters for a decision
  • Ensure all documents submitted are correct and completed in full. Where documents are missing, source the documents from Meditech or other Pathologists
  • Once all documentation is attached on SFE, complete audit for Member and move it to the Underwriters
  • Compile underwriting admin reports for brokers from SFE and Compass
  • Investigate reasons for anomalies on any underwriting admin process and troubleshoot. Look out for members that need decisions to be reapplied
  • Deal with escalated calls or queries to ensure high quality.
  • Personal Attributes
  • Resilient
  • Adaptable/ flexible
  • Dependable and Reliable
  • High level of Integrity
  • Tenacity
  • Selfstarter with a high attention to detail and be able to multitask.
  • Good at follow through
  • Exceptional ability to communicate written and orally.
  • Problem solving and solution focused.
  • Analytical interpretation
  • Building relationships
  • Coping with pressure
  • Time-Management and Organizational Skills
  • Must be team orientated, willing to assist other team members in the office.
  • Compassion: will be working with people who are sometimes in dire situations or going through difficult transitions. Must be compassionate to their situation and working with them in a positive way.
Outstanding customer service skills


Education and Experience

  • Matric
  • Essential


  • Relevant Industry Qualifications

  • Advantageous
  • MS Office experience especially Excel and Compass
  • Essential
  • Group Life/Risk Insurance experience
  • Essential
  • 1 to 2 years working experience within a Group Life Administration environment

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
  • EMPLOYMENT EQUITY
The Company's approved Employment
More jobs from Discovery Ltd.
See all jobs of Discovery Ltd.