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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
- Increase the sales of the product range through building relationships, superior client service and technical knowledge.
Areas of responsibility may include but not limited to:
- Partner with Business Consultant to grow new business portfolio
- Support advisers with Flexicare and Healthy Company uploads - managing data and upload process end to end
- Empower and educate advisers on the new business process, online application, underwriting process
- New business implementation : Planning and execution in partnership with BC
- Support on on-site implementations and activations
- Conduct member, employer and adviser training throughout the year
- Relationship building at various levels within the intermediary business, including administration, lower and senior management
- Pipeline reporting and proactive pipeline management
Competencies
- Values Driven
- Optimistic
- Learns on the Fly
- Resilient
- Instils Trust
- People Savvy
- Drives Results
- Problem Solver
Education and Experience
- Matric
- Experience with working with Broker Consultants.
- Knowledge of MS Office (Excel, Word, Power Point)
- NQF 5/120 Credits
- RE5
- Sound medical scheme knowledge
- Previous CRM experience
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Key Purpose:
- The successful applicant will be responsible for but not limited to the following job functions:
Assessing the case in relation to the following:
- Members clinical history
- Members benefit structure
- Clinical Information and coding supplied
- Level of care provided
- Appropriateness of the facility
- Appropriateness of the treating doctor
- Appropriateness of treatment
- Managing the benefit for the member and the risk for the relevant scheme through a thorough process to approve or decline Funding to ensure that the member gets the appropriate level of care
- Discharge planning by providing the member with alternatives to receive treatment (This includes Hospital @ Home, Homecare etc.)
- Effective and accurate communication to all stakeholders:
- Case update to the provider
- Funding decisions and benefit confirmation to the members
- Request for additional information from the treating doctor or practice manager
- Engaging with Patient Services Manager and hospital staff
- Handling escalations from Providers and internal stakeholders
- Preparing and presenting complex case to clinical review
- Trend Analysis of inefficiencies and proposals to correct
- Appropriate internal case referrals for clinical management
Operational Targets:
- Attend to patients on daily report
- Review all low acuity admission requests
- Quality of processes
Competencies:
The successful candidate must demonstrate the following competencies:
Role Specific Behaviours
- Ensures accountability.
- Action oriented
- Manages ambiguity.
- Business insight
- Collaborates
- Communicates effectively.
- Manages complexity.
- Manages conflict.
- Courage
- Customer focus
- Decision quality
- Cultivates innovation.
- Interpersonal savvy
- Builds networks.
- Nimble learning
- Organizational savvy
- Persuades
- Plans and aligns.
- Being resilient
- Resourcefulness
- Demonstrates self-awareness.
- Self-development
- Situational adaptability
Education and Experience:
The following requirements are essential:
- Matric
- Must be a Registered Nurse
- Valid SANC Registration
- 3 years Clinical experience in a private hospital setting (ICU, Trauma/Casualty, Medical/General ward preferable)
- 2 years Managed health care experience
- Microsoft Office (Specifically Excel experience)
- Valid Driver’s License and own transport ( working hours are between 08:30 -17:00 & travel up to 50KM may be required)
- Effective Communication Skills (Verbal & Written)
- Telephone Etiquette
- Active Listening Skills
The following requirements are advantageous:
- 1 – 2 years ICU experience
- Knowledge of DH SOP’s and Process experience (internal only)
- Provider payment arrangements (internal Only)
- Clinical coding knowledge of ICD-10 and/or CCSA
Personal Attributes or Competency Profile
The Discovery Person
- Values Driven
- Optimistic
- Learns on the Fly
- Resilient
- Instils Trust
- People Savvy
- Drives Results
- Problem Solver
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Key Purpose
- The role of the Linux Administrator (senior) entails the administration and maintenance of the Linux infrastructure for Discovery Limited, which includes the Sandton Campus, cloud and all international business units. The suitable candidate should also have the ability to plan and implement new solutions based on business requirements and should have strong networking and development knowledge. Automation will play a big part of your contribution towards building and achieving the vision of this team.
Areas of responsibility may include but not limited to
- Administration of Linux infrastructure
- Administration of cloud platforms such as AWS, Azure etc.
- Automation of repeatable tasks and processes
- Working against project timelines
- Develop and implement new solutions based on business requirements
Personal Attributes and Skills
- Strong focus on deliverables
- Strong ownership and accountability
- Ability to work according to project deadlines, under pressure and cope with a highly stressful environment.
- Mature, optimistic, energetic and positive
- High degree of accuracy and attention to detail essential
- Self-motivated , self-thinker and pro-active
- Deadline driven and willing to work overtime when necessary
- Sound work ethics
- Strong verbal and written communication skills
- High degree of literacy
- Team player
- Willing to learn and develop one self
- Excellent troubleshooting skills
Education and Experience
- Grade 12
- Linux certifications such as LPI, RHCE, etc
- 8+ years Linux experience
- Automation Experience with tools such as Ansible, SaltStack, etc
- 1+ year development experience preferable
- Cloud and container experience
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Key Purpose
- To call for requirements considering medical, financial, territorial and vocational risks of new and existing business. To support dedicated Key Distribution partners..
Areas of responsibility may include but not limited to:
- To analyse applications and to call for requirements considering medical, financial, territorial and vocational risks of new and existing business.
- To support key distribution partners and to ensure that all partners get superior customer service.
- To deal with escalations and to check that underwriting rules and policies have been applied.
- To ensure that the thought process used in order to underwrite a particular case is synopsised so that other underwriters can understand the thought process.
- Applying necessary guidelines to ensure correct risk rating is applied to new and existing business.
- To liaise with all internal and external clients regarding risk applied or policies that are deferred/declined.
- To attending to enquires which would include written, telephonic, emailed or face-to face.
Personal Attributes and Skills
- Deciding and initiating action
- Applying Expertise and Technology
- Analysing
- Delivering Results and Meeting Customer Expectations
- Adhering to Principles and Values
- Persuading and influencing
- Coping with extreme pressure and setbacks
- Presenting and Communicating Information
Experience and Educational Requirements:
- Matric/Grade 12 is essential
- Medical Diploma is advantageous
- 2 years’ experience in a financial Industry
Knowledge:
- Understanding VitalityLife products Advanced
- Financial Principles and Interpretation Basic
- Understanding VitalityLife Systems (SAM, Paradigm, AWD) Advanced
- UK specific insurance legislation Intermediate
- Medical Conditions Intermediate
- Understanding of Risk Management & Risk Assessment Intermediate
Skills:
- Computer literacy (MS word, Excel) Intermediate
- Communication skills (verbal & written) Intermediate
- Decision making / Independent thinking Intermediate
- Analysis of Information Intermediate
Method of Application
Use the link(s) below to apply on company website.
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