Current Jobs at Discovery Limited

Key Purpose of the role

Assisting the underwriters with general administration related to underwriting. Ensure all the documents required by the underwriters are requested, sourced from suppliers e.g. Doctors, paid for and provided to the underwriters in their entirety. Answer all queries pertaining/related to underwriting. Ensure brokers are well informed by providing accurate information to them in order to adequately support clients. Attend to requests for members who want to be seen by our nurses. Compile underwriting status reports. Provide or receive half cost medicals from other insurers.

Areas of responsibility may include but not limited to

• Compile a report for brokers from SFE and Compass, 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.
• Send completed medicals to another insurer on request and/or request completed medicals from other insurer to underwrite member.
• Load members on the system to the smart service team for a nurse to complete required medical documents.
• Booking of appointments for the completion of medical requirements for Underwriting purposes
• Servicing of stakeholders’ needs by providing feedback and resolving booking queries.
• Liaising with other Business Units to ensure that clients are treated fairly and also ensuring that organization is compliant with the rules and laws set.
• Access completed medicals from the Smart Service System if not already on SFE.
• Link the received completed medicals to the system and allocate to the underwriters for a decision.
• Verify the membership on Paradigm, that covers are aligned on SFE and Compass.  Ensure member is on SFE.
• 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.
• Investigate reasons for anomalies on any underwriting admin process and troubleshoot. Look out for members that need decisions to be re-apply
• Compile a report for brokers from SFE and Compass, 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.
• Send completed medicals to another insurer on request and/or request completed medicals from other insurer to underwrite member.
• Load members on the system to the smart service team for a nurse to complete required medical documents.
• Access completed medicals from the Smart Service System if not already on SFE.
• Link the received completed medicals to the system and allocate to the underwriters for a decision.
• Verify the membership on Paradigm, that covers are aligned on SFE and Compass.  Ensure member is on SFE.
• 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.
• Investigate reasons for anomalies on any underwriting admin process and troubleshoot. Look out for members that need decisions to be re-apply

Personal Attributes and Skills     

The successful candidate must demonstrate the following competencies:

• Self-starter with a high attention to detail and be able to multi-task
• Good at follow through
• Exceptional ability to communicate written and orally
• Problem solving and solution focused
• Analytical – interpretation
• Building relationships
• Coping with pressure (deadlines)
• 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 
• Microsoft Office skills, i.e. Outlook, Excel and Word are mandatory. Underwriting Administration background
• Minimum 1 year’s working experience in Group Risk Underwriting. Knowledge of Group Risk Industry benefit payments

go to method of application »

Key Purpose of the role

Assisting the underwriters with general administration related to underwriting. Ensure all the documents required by the underwriters are requested, sourced from suppliers e.g. Doctors, paid for and provided to the underwriters in their entirety. Answer all queries pertaining/related to underwriting. Ensure brokers are well informed by providing accurate information to them in order to adequately support clients. Attend to requests for members who want to be seen by our nurses. Compile underwriting status reports. Provide or receive half cost medicals from other insurers.

Areas of responsibility may include but not limited to

• Administration and execution of end-to-end underwriting processes as dictated by the UW SOPS

Reporting:

• Status reporting of members in the UW process
• Audit report generation
• Reporting on volumes and SLA on personal and functional pools

Client Liaison:

• Attending to queries, complaints, and escalations of clients
• Telephonic follow-up on client experience of the UW process
• Setting up and attending client meetings and compiling meeting minutes

Interdepartmental liaison:

• Network with group risk divisions, smart service, executive wellness and other divisions within Discovery to facilitate and support the UW process
• Engaging with the reinsurer when necessary

 System monitoring:

• Supporting the UW division with system escalations and Jira tickets
• Enhancing the systematic processes through problem solving and recommendations

Operational:

• Investigate reasons for anomalies on any underwriting admin process and troubleshoot. Look out for members that need decisions to be re-applied
• Compile a report for brokers from SFE and Compass, 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.
• Send completed medicals to another insurer on request and/or request completed medicals from other insurer to underwrite member.
• Load members on the system to the smart service team for a nurse to complete required medical documents.
• Access completed medicals from the Smart Service System if not already on SFE.
• Verify the membership on Paradigm, that covers are aligned on SFE and Compass.  Ensure member is on SFE.
• 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.
• Index items using Paradigm and SFE.
• Load payments to doctors on the Supplier Worksheet, send proof of payments to doctors and ensure that medicals are obtained once payment is received.
• Assist team members with ad hoc functions.
• Adhere to working hours and hybrid working arrangements.

Personal Attributes and Skills     

The successful candidate must demonstrate the following competencies:

• Self-starter with a high attention to detail and be able to multi-task
• Good at follow through
• Exceptional ability to communicate written and orally
• Problem solving and solution focused
• Analytical – interpretation
• Building relationships
• Coping with pressure (deadlines)
• 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 
• Microsoft Office skills, i.e. Outlook, Excel and Word are mandatory
• Medical background is beneficial
• Minimum 1 year’s working experience in Group Risk Underwriting.
• Knowledge of Group Risk Industry

go to method of application »

Key Purpose

Administer and validate claims and assist with queries and payments for commercial lines insurance.

Areas of responsibility may include but are not limited to

• Register, administer and validate claims within a predetermined turnaround time (TAT)
• Resolve written and/or telephonic queries from brokers, clients, franchises and providers
• Build and maintain relationships with brokers, franchises and providers
• Process payments to brokers, clients and providers within predetermined turnaround time (TAT)
• Provide feedback to relevant stakeholders regarding claims and queries
• Submit daily, weekly and monthly reports to management, franchises and brokers

Personal Attributes and Skills

• Values Driven
• Optimistic
• Learns on the Fly
• Resilient
• Instils Trust
• People Savvy
• Drives Results
• Problem Solver
• Deciding and initiating action
• Persuading and influencing
• Writing and reporting
• Analysing
• Planning and organizing
• Delivering results and meeting customer expectations
• Following instructions and procedures
• Coping with pressure and setbacks

Education and Experience

• Short term insurance qualification (IISA designation) (Advantageous)
• Short term insurance knowledge (Advanced)
• Discovery Insure product (Advanced)
• Commercial product knowledge specific (Advanced)
• Telephone Etiquette - Advanced
• Conflict Handling - Advanced
• Communication Skills (verbal and written) - Advanced
• Time Management - Advanced
• Administrative skills – Advanced

Required:

• Matric Essential
• FAIS – Minimum credits as required (Personal Lines and Commercial) Essential
• RE 5 (Representative) Essential
• At least 2 – 5 years Commercial Short Term Insurance experience (Essential)
• Minimum 5 years commercial claims experience (Essential)

go to method of application »

Key Purpose

All Finance reporting requirements including preparation of Monthly Management accounts. Oversee a team of Junior accountants for Personal Lines short term Insurance.

Areas of responsibility may include but not limited to

• Assist in preparation of reporting packs to be submitted to Group entities for financial statement preparation
• Preparation of the Monthly Management accounts
• Review and approving month end Journals
• Review and signing of Monthly balance sheet recons
• Review and submit the Monthly Vat return and Tax schedules
• Monthly Manex meetings with Cost centres managers
• Manage and oversee a team of Junior accountants
• Complete the monthly cash flow
• Oversee the Investment portfolio and manage the daily cashflow
• Assist with the external audit and ensuring that all deliverables are provided to the auditors

Personal Attributes and Skills

• Financial Reporting
• Financial Accounting
• Interpersonal Savvy
• Driving Results
• Instilling trust
• Resilience
• Learning on the fly
• Problem Solving
• Optimism
• Values Driven

Qualification and Experience

• Matric (Essential)
• BCom Accounting Degree (Essential)
• Minimum of 2 years Finance reporting experience in insurance industry

Knowledge

• Financial acumen – intermediate
• Microsoft Excel – intermediate
• Sage system – Intermediate
• Accounting system – intermediate
• Alcehmex – intermediate
• VAT – intermediate

go to method of application »

Key Outputs:

The successful Candidate will be responsible for but not limited to the following Job function: 

• Enroll Member on Oncology Program and ensure that the member meets all requirements to qualify for the benefit (i.e. Forensics, Underwriting categories)
• Review treatment plans in line with the SAOC and ICON guidelines
• Approve treatment in line with SAOC/ICON as well as Discovery Health protocol.
• Decline treatment which is not in line with SAOC\ICON as well as internal Discovery Health protocol.
• Refer complex cases to internal and external Medical Review teams and provide feedback to both members and Providers.
• Communicate funding decisions to members, employers and brokers verbally or in writing.
• Make comprehensive notes on treatment that was approved/declined and how the funding decision was made.
• Mitigate risk by using clinical knowledge to identify risk and reporting it accordingly.
• Provide support to internal and external stakeholders 
• Guide members and providers through the Oncology benefit by coordinating treatment plans and sending them updated guidelines and information. Maintain up to date knowledge on your professional and clinical skill.
• Meeting daily Operational targets.

Competencies:

The successful candidate must demonstrate the following competencies: 
 

• Analyzing: Analyses numerical data, verbal data, and all other sources of information. Breaks information into component parts, patterns, and relationships. Probes for further information or greater understanding of a problem. Makes rational judgments from the available information and analysis. Produces workable solutions toa range of problems. Demonstrates an understanding of how one issue may be a part of a much larger system.
• Deciding and Initiating Action: Makes prompt, clear decisions, which may involve tough choices or considered risks. Takes responsibility for actions, projects and people. Takes initiative, acts with confidence, and works under own direction. Initiates and generates activity.
• Following Instructions and Procedures: Appropriately follows instructions from others without unnecessarily challenging authority. Follows procedures and policies. Keeps to schedules. Arrives punctually for work and meetings. Demonstrates commitment to the organization. Complies with legal obligations and safety requirements of the role.
• Presenting and Communicating Information: Speaks clearly and fluently. Expresses opinions, information, and key points of an argument clearly. Makes presentations and undertakes public speaking with skill and confidence. Responds quickly to the needs of an audience and to their reactions and feedback. Projects credibility.
• Delivering Results and meeting customer expectations: Focuses on customer needs and satisfaction. Sets high standards for quality and quantity. Monitors and maintains quality and productivity. Works in a systematic, methodical, and orderly way. Consistently achieves project goals.

Education and Experience:

• Matric
• Registered & Enrolled Nurse
• Registered with SANC
• 2 years Clinical experience
• Experience in Oncology Treatment Interventions.
• Microsoft Office
• Effective communication skills (verbal & written)
• Effective presentation skills 
• Telephone Etiquette
• Active listening skills

The following requirements will be advantageous:

• 1-year experience as a Case Manager.
• DH systems and products.

go to method of application »

Key Purpose

The Query Analyst (Junior) will primarily handle problem incidents on the CA system raised by the Problem Management team by using knowledge of Discovery Health products, rules, and systems to determine the validity of the reported issue. 

Areas of responsibility may include but not limited to

• Review problem reports, analyse and investigate using the appropriate tools.
• Create the system problem/datafix document by applying knowledge of the system, interfaces and dependencies and identify sets of stakeholders to be involved. Ensure that the document is accurate, complete and fit for purpose.
• If required, revert to stakeholders if technical issues require business decisions to proceed and answer any queries from the development team. 
• Identify the cause of unexpected system errors, using pre-written SQL to correct data
• Liaise directly with developers and development managers to arrive at solutions
• Using technical skills, plan, code and quality check ad hoc reports as needed from business and the department

Personal Attributes and Skills

Behavioural skills

• Tenacity, Stress Management, Persuasion, Client orientation, Analytical thinking

Technical Skills

• Analytical, Troubleshooting techniques, Business writing (reports) and Presentation

Education and Experience

• Matric and/or relevant IT qualification
• Minimum of 1 year’ experience in an IT environment or Health Insurance Industry
• Oracle SQL/PLSQL experience 
• Product knowledge 
• Proficient in MS Office, CA and Paradigm

go to method of application »

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
• Pre-assess or review disability claim applications as per process
• 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 follow-up 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 re-applied
• Deal with escalated calls or queries to ensure high quality.

Personal Attributes

• Resilient
• Adaptable/ flexible
• Dependable and Reliable   
• High level of Integrity
• Tenacity
• Self-starter with a high attention to detail and be able to multi-task.
• 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.

go to method of application »

Key Purpose

• To take inbound calls, assist Africa Health Insurance members with queries and ensure first time resolutions or refer them to the appropriate area for resolution.

Key Outputs

• Dealing with multiple telephonic queries from Africa Health Insurance members, brokers, franchises, the public and internal parties
• Dealing with all queries through to resolution
• Keeping client up to date with their queries
• Ensuring excellent quality service to all members
• Completing administrative and repetitive tasks
• Keeping accurate detailed stats of all queries/correspondence and reporting on it on a weekly basis
• Logging of all queries and routing all enquiries to correct departments
• Working on Africa Health Insurance systems
• Keep up to date with policy and product changes
• Assisting with written correspondence where necessary
• Driving the values of first time resolution on all interactions
• Applying logic in all circumstances

Competencies

Behavioral Competencies

• Presenting and communicating information
• Delivering results and meeting customer expectations
• Deciding and initiating action
• Following instructions and procedures
• Adhering to principles and values
• Persuading and influencing
• Analyzing
• Coping with pressure and setbacks
• Able to work between shifts allocated

Knowledge

• All Africa Health Insurance product and benefit knowledge
• Africa Health Insurance Systems

Skills

• Time Management
• Verbal and written communication

Qualifications & Experience

Essential

• Matric
• Basic MS Office Knowledge
• Minimum of 6 months customer service experience
• Ability to speak French