About this role
<p><img id="photoDetail" src="https://www.discovery.co.za/gallery/template-resources/banners/general/smartpeople-recruit.jpg" style="width:1250.0px;height:301.0px"></p> <h1 style="text-align:justify;margin:12.0pt 0.0in 6.0pt;font-size:20.0pt;font-family:'Open Sans Light', sans-serif;color:#004b8d;font-weight:normal"><strong><span style="font-size:12.0pt">About Discovery </span></strong></h1> <p style="text-align:justify;margin:0.0in;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">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.</span></p> <p style="line-height:normal;margin:0.0in;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"> </p> <h1 style="text-align:justify;margin:12.0pt 0.0in 6.0pt;font-size:20.0pt;font-family:'Open Sans Light', sans-serif;color:#004b8d;font-weight:normal"><strong><span style="font-size:12.0pt">About Discovery Employee Benefits</span></strong></h1> <p style="line-height:normal;margin:0.0in;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"> </p> <p style="background-color:white;margin:0.0in;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">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</span><span style="line-height:120%;color:#6d6e71">.</span></p> <h1 style="text-align:justify;margin:12.0pt 0.0in 6.0pt;font-size:20.0pt;font-family:'Open Sans Light', sans-serif;color:#004b8d;font-weight:normal"><strong><span style="font-size:12.0pt">Key Purpose of the role </span></strong></h1> <p style="line-height:normal;margin:0.0in;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">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.</span></p> <p style="margin:0.0in;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"> </p> <h1 style="text-align:justify;margin:12.0pt 0.0in 6.0pt;font-size:20.0pt;font-family:'Open Sans Light', sans-serif;color:#004b8d;font-weight:normal"><strong><span style="font-size:12.0pt"> Areas of responsibility may include but not limited to</span></strong></h1> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">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</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">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</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">Makes correct decisions - medically researched, legally defendable, fair, equitable and justifiable final decisions</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">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</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">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.</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">Ensure that all queries are answered correctly in a logical and fair manner in accordance client service levels using a client centric approach</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">Bring medical expertise, experience and skills and assist with continual medical training, coaching, mentoring, development, empowerment and performance of fellow disability claims team members.</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">To liaise with associated persons such as Medical Officers, Reinsurers, Legal Officers, rehabilitation consultants, investigators and management</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">Work effectively in a team environment, share information and provide support to other team members</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">Contribute to team and cross-team processes, discussions, interactions, activities and programmes</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">Create and Implement initiatives and opportunities for change and improvement – within the team, business and self.</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">Maintains and develops professional relationships with internal and external clients and ensure the best communication with customers using a client centric approach.</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">Seeks and receives the advice and input of others</li> <li style="line-height:normal;margin:0.0in 0.0in 0.0in 24.0px;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71">Seeks involvement in projects of varying subject matter.</li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="line-height:120%">Participate in personal and professional development activities, training and courses</span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="line-height:120%">Additional ad hoc preparations for Audits (Internal and External), Compliance audits</span></li> </ul> <h1 style="text-align:justify;margin:12.0pt 0.0in 6.0pt;font-size:20.0pt;font-family:'Open Sans Light', sans-serif;color:#004b8d;font-weight:normal"><strong><span style="font-size:12.0pt;font-family:'Open Sans', sans-serif"> </span></strong><strong><span style="font-size:12.0pt">Personal Attributes and Skills</span></strong></h1> <ul style="list-style-type:square;margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Resilience</span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Working with People</span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Results Driven</span></li> </ul> <ul style="list-style-type:square;margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Decision making skills</span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Organizational awareness</span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Attention to detail</span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Analytical </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Adaptable/ flexible </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Creative and innovative </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">People orientated </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Team player </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Customer centric </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Dependability and Reliability</span> <ul style="list-style-type:circle;margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Self-starter </span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Quality Oriented</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Teamwork/Collaborative </span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c"> Integrity</span></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Tenacity </span></li> </ul> </li> </ul> <h1 style="text-align:justify;margin:12.0pt 0.0in 6.0pt;font-size:20.0pt;font-family:'Open Sans Light', sans-serif;color:#004b8d;font-weight:normal"><strong><span style="font-size:12.0pt;font-family:'Open Sans', sans-serif"> </span></strong><strong><span style="font-size:12.0pt">Education and Experience</span></strong></h1> <ul style="list-style-type:square;margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Relevant tertiary qualification </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Decision making skills </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Time management skills</span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Verbal and written communication skills </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Problem solving skills </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:gray"><span style="color:#515254">Claims p</span>ayments </span><span style="color:#515254">processing product and process knowledge of Employee and Disability products</span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Advanced MS Office Excel skills (Essential) </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Organizational skills </span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c">Knowledge and understanding of Employee Benefits and Claims Payments administration</span></li> <li style="margin:0.0in 0.0in 0.0in 24.0px;line-height:120%;font-size:10.0pt;font-family:'Open Sans', sans-serif;color:#6d6e71"><span style="color:#5a5b5c"><span style="font-size:10.0pt;line-height:120%;font-family:'Open Sans', sans-serif;color:#515254">2-3 years relevant experience such as working in the risk/health insurance industry</span></span></li> </ul> <p> </p><p>EMPLOYMENT EQUITY <br> <br> 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.</p>