Current Opportunities at Discovery Limited

Job Description

• To effectively managing his/her own work in an independent manner to ensure adherence to agreed SLA’s, meeting departmental and Quality requirements. This extends to but not limited the Short Term Insurance environment whereby the investigator will be responsible for investigations requested by Discovery Insure Management, other business units within the Discovery Group.

Job responsibilities

• Accountable for independently leading and conducting his/her own quality investigations
• Supportive role to management in Implementing fraud prevention programs and creating awareness with role-players
• Highly developed analytical and investigative skills with consistent high performance
• Handle own administrative functions required independently and/or with minimal support
• Relationship building with internal and external clients to achieve objectives.
• Knowledge of the relevant business process impacted by the investigation.
• Interviewing of staff / providers.
• Drafting off Affidavits and opening SAPS cases.
• Provide feedback on investigations to management by means of an Investigation Report.

Work Experience

• Grade 12
• 5 years’ experience in forensic investigations with specific reference to Short Term Insurance investigations / processes.
• Understanding business processes / risk or internal audit background.
• CFE qualification is advantageous
• Previous South African Police Service experience / detective

Education / Qualifications / Accreditations with Professional Body

• CFE qualification
• Grade 12
• NQF 6 or higher qualification in Criminal Justice / Law
• CFE Qualification

Technical Skills or Knowledge

• Commitment to get the job done 
• Good verbal and writing skills
• Negotiable
• Demonstrate commitment to high professional ethical standards and a diverse workplace
• Plans activities and projects well in advance and takes account of possible changing circumstances
• Easily establishes good relationships with customers and peers
• Ability to communicate clearly and concisely
• Assertiveness
• Takes initiative and works under own direction
• Keeps emotions under control during difficult situations
• Diplomatic
• Judgment and good decision making
• Encourages others to value team culture
• Adaptable to new ways of doing business
• Conflict management

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Key Purpose

• Coaching eligible members by making use of interpersonal communication and related techniques designed to engage clients actively and safely in health behavior change about evidence based clinical strategies and interventions to better self-manage their health, health risks(s), and acute or chronic health conditions resulting in optimal wellness, improved health outcomes, lowered health risk, and decreased health care costs.

Key outputs

Areas of responsibility may include but are not limited to:

• Build a strong relationship between the Health Coach and Covered Persons/Members.
• Create a strong sense of purpose.

Analyse member’s conditions, set appropriate goals for such members and create a mutually agreed upon plan focusing key principle goals such as –

• Weight and diet
• Exercise
• Mental Wellbeing
• Condition management.
• Custom (any goal a member may have that varies from the above categories)
• Provide guidance on how to create habits/sustained changes.
• Scenario-plan so that the member can adapt in the moment.
• Assess the environment in which decisions are made and look for opportunities to make healthy decisions in the path of least resistance.
• Achieve tangible metrics that demonstrates improvements on measurable short-and and medium-term outcomes.
• Contacting eligible covered persons/members and explain the benefits of joining a respective programme with the intention of enrolling covered persons onto the programme.
• Effective planning and organization of scheduled coaching interactions to optimize utilization of their time, in addition to driving adherence to their goals.
• Apply best industry practice coaching principles and techniques throughout a member’s coaching journey which includes but are not limited to behavioural change, change management, motivational interviewing, reflective listening, self-efficacy, cognitive behavioural therapy, goal setting and overcoming barriers.
• Assist members with unlocking/accessing benefits available to them across the Discovery Group Platform.
• Assist with necessary interventions and or onward referrals in the management of complex/and or multiple conditions.
• Accurately capture, record and track interactions and outcomes with members throughout their coaching journey.
• Meet set targets as per the business objectives.

Competencies

• Written communication:  Is able to write clearly and succinctly in a variety of communication settings and styles, can get messages across that have the desired effect.
• Self-Development: Is personally committed to actively work on continuously improve him/herself; understands different situations and levels may call for different skills and approaches; works to deploy strengths; works on compensating for weakness and limits.
• Action Oriented:  Enjoys working hard; is action oriented and full or energy for the things he/she sees as challenging; not fearful of acting with a minimum of planning; seizes more opportunities than others.
• Interpersonal Savvy:  Relates well to all kinds of people – up, down and side-ways, inside and outside the organization; builds appropriate rapport; builds constructive and effective relationships; uses diplomacy and tact; can defuse even high-tension situations comfortably.
• Customer Focus:  Is dedicated to meeting the expectations and requirements of internal and external customers; get first-hand customer information and uses if for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.
• Learning on the fly:  Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyses both successes and failures for clues to improvement.
• Time management:  Use his/her time effectively and efficiently; values time; concentrates his/her efforts on the more important priorities, gets more done in less time than others; can attend to a broader range of activities.

Qualification and Experience (essential)

• Clinical Qualification and registration with appropriate health professions body e.g. HPCSA, SANC, AHPCSA, SACSSP
• At least two years work experience in your profession
• Excellent communication skills, written and verbal.
• Proficient in MS Excel, Word, PowerPoint

Qualification and Experience (advantageous)

• Knowledge of Discovery and Vitality products, benefits, funding, and policy rules
• Coaching experience and or coaching qualification