Life Claims Assessor - Discovery Life at Discovery Limited

Key Purpose

To ensure that the claims service strategy prevails in that, adherence of the assessment of claims decisions are provided to the relevant stakeholders in keeping with the business rules, set criteria and service level agreement discipline.

Areas of responsibility may include but not limited to:

• Set Assessing productivity objective per individual at an average of 7 benefits per day to control output
• Demonstrate proficient service through formal communication to ensure adherence to communication standards.
• Effective independent assessment of claims within authority limit and skill level to ensure accuracy of decision making and monitoring of error rate
• Adherence to the service level agreement discipline to ensure service standard
• Attain a Quality Assurance of above 85% to ensure effective claims decision making and communication output

Education and Experience

Essential:

• Matric
• Diploma/ Bachelors degree in a health-related field such as  Nursing,  Occupational therapy or Physiotherapy
• 2-5 years’ of working experience in Claims Assessment of all types of benefits (e.g. Death, Disability, Severe Illness) in a Long Term Insurance Industry

Advantageous:

• 2 – 5 years Underwriting experience in a Long Term Insurance Industry

Technical Skills and Knowledge

Essential:

• Risk Management knowledge with experience of Individual Life claims assessments of all benefits in Long Term insurance.
• Medical knowledge in terms of medical terminology and interpretation
• Knowledge of Severe Illness; Disability claims assessment
• Analytical Skills
• Effective communication skills
• Decision Making skills
• Proficiency MS Suite

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.