Jobs at Discovery Limited

Key Purpose

• To investigate and validate non-motor claims to determine validity based on the Discovery Insure contract. To correctly quantify and validate losses and serve as a mediator between clients and/or brokers. Provide feedback and support to claims consultants and foster good relationships between brokers and clients.

Areas of responsibility may include but not limited to

• Non-motor claims investigation and validation, including settlement, rejection and repair within service level agreement.
• Turn-around time and predetermined mandates.
• Loss adjustment by correctly quantifying losses and/or verifying claimed amounts. Mediation between Insure client and/or broker.
• Reporting on all assessed claims and making recommendations.
• Analyse client behaviour to determine legitimacy of claims.
• Investigate and report on fraudulent claims.
• Perform administrative tasks and meet strict deadlines.
• Make recommendations to prevent fraud.
• Analyse, collecting, evaluating and handling of evidence.
• Claims forum presenting of claims.

Education and Experience

• Matric (Essential)
• 5 years’ minimum short term insurance claims experience (Essential)
• 5 years’ short-term insurance non-motor claims validations and investigations experience (Essential)
• Interviewing techniques (Essential)
• Investigation terminology (Essential)
• Tertiary qualification relating to investigations and interviewing e.g. Certified Fraud Examiner (Advantageous)
• Hold a valid driver license
• Willing to travel

go to method of application »

Key Purpose

• Work closely with a passionate development team to design, develop and maintain Java based solutions for a dynamic, multi-national company that sets the benchmark in its industry.

Areas of responsibility may include but not limited to

• Develop, test, and maintain high quality application software.
• Analyse, maintain and enhance existing application and troubleshoot issues. 
• Assist with the production of technical specifications and designs
• Promote new technologies and share knowledge within the team.
• Recommend improvements to development processes, contribute to implementation plans, and assist in rollout
• Perform code reviews

Personal Attributes and Skills

• Passionate about technology and development.
• Results oriented with the ability to work under pressure and juggle multiple concurrent projects with changing priorities and deadlines 
• Strong analytical and problem solving skills.
• Able to deal with complexity and migrate between detailed and high level requirements.
• IMPORTANT: Self-starter who takes ownership, is accountable, and is able to work with minimal supervision.
• Excellent written and verbal communication skills.

Education and Experience

Minimum 

• Matric/Grade 12
• IT related Degree or Diploma (BSc/BTech or similar).

Preferred

• Formal Java qualifications.
• AWS certifications

Minimum

• 3 years Java systems development experience.
• Java EE knowledge and experience.
• Experience with XML/XSD/JAXB and Web Services. 
• Unit testing and mocking frameworks.
• Knowledge of OO design principles and development patterns.
• Spring/Springboot Framework. 
• ORM/Hibernate/JPA experience.
• JMS, Tibco EMS, Kafka experience.
• SQL knowledge.
• SOAP and REST (XML/JSON)
• AWS experience

Preferred

• Experience with Business Rules Management Frameworks.
• Experience using formal modelling languages (UML, etc.) and modelling tools (Enterprise Architect, Figma)
• Exposure to Agile principles and methodologies, including Continuous Integration and Test Driven Development.
• Python experience.

go to method of application »

Job Purpose 

• The Fraud Operations Manager oversees the fraud risk function at an operational level. This role oversees the detection and investigation of banking fraud that has a direct impact on bank clients. The incumbent manages the sophistication and rigour of the technology to ensure that fraud is detected, investigated and mitigated within acceptable timelines for the client.
• At an operational level the incumbent ensures that the appropriate systems, processes and controls are implemented so as to drive the anti-fraud strategy. 
• The Fraud Operations Manager also speedily manages fraud alerts and intelligently monitors and identifies trends to implement mitigation initiatives for the prevention of further client fraud.

Areas of responsibility may include but are not limited to:

• Translates the anti-fraud strategy into operational action plans to mitigate and prevent future occurrences of fraud for the client.
• Keeps on top of all the client enabling technology within the bank and regularly critiques it from an anti-fraud perspective ensuring the best possible second line of defence for the client.
• Implements the best possible systems and processes that ensure protection, detection, investigation services, policies, controls and training for Discovery Bank.
• Critically evaluates and assesses changes to products, channels and processes from a client fraud prevention perspective. 
• Manages a team who monitor clients’ accounts at an operational level to proactively detect possible fraudulent activity. When fraudulent activity is detected this will trigger an investigation, and if fraudulent activity is confirmed, it will be resolved for the client.
• Monitors and keeps track of any breaches that could result in regulatory sanction being imposed.
• Works with the cybercrime prevention team to identify and prevent real or potential fraud.
• Ensures that a detailed risk register with mitigation plan and controls exists for fraud ops to mitigate operational risks.
• Regularly communicates and coordinates cross departmental fraud detection and/or investigative issues with departments such as Collections, Client Services, Credit and Legal.
• Creates, maintains and enhances internal and external stakeholder relationships in order to improve overall efficiency and ensure compliance.
• Takes accountability for the continuous up-skilling of employees within the division to ensure that current and future business demands for fraud mitigation are met.
• Develops, executes and give inputs into the policies, procedure and standards within fraud ops aligned to the regulatory framework.
• Keeps abreast of trends and business practices in the fraud environment both locally and internationally.
• Oversees and manages the fraud process SLAs to ensure that breaches are kept at a minimum

Personal Attributes and Skills 

• Planning and organising
• Problem solving
• Judgment and decision making
• Conflict management
• Innovative process management
• Client service orientation
• Verbal and written communication
• Strong analytical skills and attention to detail
• Interpretation of data leading to decision making insight
• Business analysis
• Cybercrime detection
• Knowledge of the banking industry and financial crime
• Understanding of Visa and or financial transaction processing within banking
• Risk Management theoretical knowledge
• Understanding of enforcement agencies
• Case Management

Education and Experience 

• Bachelor degree specialising in Finance or Forensics
• Degree in risk management, fraud or financial crime is preferred
• NQF level 9, MBL, MBA, M Comm is advantageous
• At least 7 years’ experience in financial crime, fraud or forensics roles in a financial environment
• At least 3 to 5 years’ experience in managing a team
• At least 5 years of experience in loss prevention/risk management including operations management experience in financial services or banking.
• Experience in risk management within a financial or banking environment.

go to method of application »

Key Purpose

• To maintain full responsibility and accountability for all clinical coding/terminology initiatives and business requirements for the Discovery/Vitality Group including but not limited to Discovery Health and Amplify Health

Areas of responsibility may include but not limited to

• To ensure regulatory compliance to industry coding standards as they apply to each geographical region
• To ensure appropriate use of coding schemas (according to national and international guidelines) towards collecting high quality clinical data for the strategic support of benefits/limits, disease profiling, analytics and the development of critical risk management tools
• To ensure that clinical codes facilitate effective systems and operational processes, across/between all business areas, as well as with external partners
• To ensure continued upskilling within the Group of this scarce specialist skill, ensuring business continuity and stimulating leading edge coding innovations
• To continue to build on (and actively contribute to) the Discovery/Vitality Group’s reputation as a globally recognised Clinical Coding Centre of Excellence
• To partner with international terminology and academic institutions to stay abreast of, and contribute to, international coding initiatives
• To represent the Coding Intelligence team across all relevant internal business areas, as well as externally to clients and terminology organisations
• To actively contribute to strategic decisions related to Clinical Coding in support of the Group’s business objectives Implementation: projects, initiatives and organisational changes;

Personal Attributes and Skills

• Values Driven
• Optimistic
• Learns on the Fly
• Resilient
• Instils Trust
• People Savvy
• Drives Results
• Problem Solver
• Strategic thinker
• Stakeholder Management

Technical Skills or Knowledge

• Written and Verbal Communication
• Presentation Skills
• Attention to detail
• Analytical skills
• Project Management
• Negotiation Skills
• MS Office
• Clinical Coding Expertise/Skills in International Classifications and Terminologies

Education and Experience

• Bachelor’s degree in a medical capacity (e.g. Nursing, Physiotherapy, Clinical Technology) is essential
• Additional qualification within the field of Health Informatics (Advantageous)
• International coding accreditation such as CPC (Certified Professional Coder) with AAPC (American Academy of Professional Coders) or CCS (Certified Coding Specialist) with AHIMA (Advantageous)

Work Experience

• 10 years working experience in similar or same role
• Strategic experience within a clinical coding environment, particularly in the field of health insurance

go to method of application »

Key purpose

• To lead, manage and guide a team of Life, Short - term, Health Conservations and Servicing consultants to reach required targets. To facilitate any necessary course of action to achieve the conservation of business

Key Outputs

The successful candidate will be expected, but not limited to perform the following key outputs:

• Leading and managing a team of 12 - 14 Conservations and Servicing consultants
• Performance Management including the setting of KPIs and the measurement thereof
• Coaching and developing the team and identifying talent
• Inspire, motivate and support team
• Drive staff to achieve required targets and maintain / improve set SLAs’
• Conduct QAs’ on agents calls/ queries and identify areas of improvement and implement accordingly
• Ability to work independently and efficiently
• Ability to multi-task and meet allocated daily / weekly / monthly deadlines
• Dealing with elevated queries/problems. (email, telephonic and system driven queries)
• Implement processes and design Standard Operating Procedures
• Identify and implement process improvements
• Compile and distribute daily / weekly / monthly reports in the format required by management
• Ensuring continual communication between management and staff and all other stakeholders
• Relationship building with all internal and external stakeholders to achieve objectives
• Adhere to and enforce internal policies (Discovery Group policies & Legislative policies)
• Assisting with interviews & Role plays
• Availability to work overtime from time to time, which may include weekends

Personal attributes and skills

• Excellent verbal and numeric communication skills
• Quality driven
• People-focused
• Attention to detail
• Strong Interpersonal Skills
• Strong Leadership skills
• Problem solving skills
• Decision making skills
• Stress tolerance
• Creative and innovative
• Excellent time management skills and ability to prioritise time to meet deadlines
• Organizational awareness
• Detail and process orientated
• Self-motivated & optimistic
• Customer centric
• Solution orientated
• Ability to work independently and efficiently
• Team player
• Ability to work within a team and drive team culture

Qualification & Experience

• Grade 12 – essential
• 3 years Conservations/Retentions Team Leader experience – essential
• Proficient in English – essential (writing, reading, speaking)
• Bi-lingual – advantage (writing, reading, speaking)
• Computer literate - MS Office, especially Excel (Intermediate Level) – essential
• Regulatory Exam and FAIS credits required
• NQF 5 credits / Wealth Management - essential
• Completion of the various Classes of Business
• Bachelors degree will be advantageous

go to method of application »

What is the role

• In the Discovery Health Risk Intelligence unit, our core purpose is “creating intelligence for a healthier tomorrow” by leveraging Discovery’s vast data to drive valuable insights to improve both clinical and operational environments. Key to our purpose is obtaining and structuring quality data, leveraging cutting edge analytical innovations and delivering actionable insights in a sustainable and meaningful way. We leverage an integrated, collaborative, and multidisciplinary approach to ensure our objectives and goals are met. The fixed term contract is for a period of a year, with the possibility of full-time employment thereafter.

What you will do

• The successful applicant will be working within a highly specialized and growing team to enable delivery of advanced analytics capability.

Responsibilities will include:

• Automation and generation of all core functions reports, making sure that reports are released timeously and conform to pre agreed standards
• Work collaboratively as part of team engaging with actuaries, data scientists and business in a healthcare context
• Ensuring that any enhancements and latest tools are incorporated in respective reports
• Present data and model findings in a way that provides actionable insights
• Technical analysis and reporting deliverables produced by the analytics unit
• Producing regular monitoring reports, as well as detailed investigations
• Work with a range of stakeholders to ensure to present and apply insights effectively in the
• environment
• Improve processes and analytical outcomes where opportunities arise

What skills you will need:

Technical skills core:

• Excellent conceptual and technical ability
• Excellent communications, both written and verbal
• Ability to extract insights from data to guide decision making
• Experience working on large and complex datasets
• Experience in using SQL, MS Office,
• Experience in programming languages such as R, Python, SSRS , PowerBI etc beneficial

Behavioural skills:

• A passion for data exploration and complex healthcare environment
• Self-starter
• Willingness to learn and grow exponentially
• A restless curiosity towards data and uncovering unknown correlations
• Ability to work cohesively in a team environment and balance multiple priorities
• A team player who can work alone when required and without supervision
• High level of attention to detail, resilience, enthusiasm, energy and drive
• Positive, can-do attitude
• Ethical and able to maintain confidentiality and manage boundaries
• Aligned to Discovery values and core purpose

Professional Qualifications & Experience

• Honours or Masters’ degree in either Data Science, Statistics, or Applied Mathematics
• Statistical and Healthcare experience is beneficial
• Other qualifications will also be considered if accompanied by the relevant experience