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Imagine a world where people live healthier, more enhanced and protected lives… A world in which each organisation is a powerful influencer and responsible corporate citizen, committed to being a force for social good. As a leading innovator in healthcare, wellness, insurance, investments, financial and life planning, Discovery works ceaselessly to...
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Key Purpose of the role
The responsibilities of this role is to assessment, administration and payment function within the Group Risk Claims Department.
Areas of responsibility may include but not limited to
Monitor team performance and activities to ensure smooth running of business processes and outputs
Plan appropriately to ensure that business processing is not disrupted in order to achieve an efficient team
Empower employees to take accountability for the targets agreed upon to ensure high service levels
Managing Complaints and Escalations of clients to ensure high levels of service are adhered to
Assist with staff development, coaching and training to optimize staff performance
Manage projects relevant to annuities team to ensure delivery within the agreed timelines
Analyse processes to identify risks and opportunities for enhancements or innovations to continuously improve the team’s outputs
Accurate assessment, investigation and validation of claims in accordance with the goals, objectives, processes and standard operating procedures
Calculating benefits payable
Ensuring all risks are mitigated and escalated, this includes the identification of fraudulent activity and non-disclosure.
Providing effective, efficient and professional service to all our clients, both telephonically and through written correspondence.
Taking ownership of queries and ensuring they are resolved timeously and effectively.
Maintains, report, arrange, organize and update the filing systems and procedures
Sending out reminder letters on due dates for all pending claims and existing claims
Responding to queries and managing workflow
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
Tolerance for Stress Education and Experience
Matric - Essential
Decision making skills
Time management skills
Verbal and written communication skills
Problem solving skills
Advanced MS Office Excel skills (Beneficial)
Organizational skills
Knowledge and understanding of Employee Benefits and Claims Payments administration
2-3 years relevant experience
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 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.
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