Claims Assessor Specialist
About Discovery
Discoverys core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.
About Discovery Life
Discovery Life is an ever growing fast-paced and dynamic environment that provides innovative risk assurance to individual clients. This environment thrives on customer engagement and customer experience as well as mutually beneficial relationships with our brokers and other stakeholders. It is important for our employees to provide a world class service to our internal and external clients, thereby ensuring long and sustainable relationships.
Key Purpose
To provide support to the assessing team with regards to financial assessments of Income Continuation and Disability Benefit claims. Ensuring that clients benefits are paid correctly if/when the client is receiving income other than our disability benefits (aggregation), to protect the interest of the entity. Compilation of daily and monthly assessing/FSCA stats.
Areas of responsibility may include but not limited to
- Adherence to the service level agreement discipline for financial assessments in accordance to the policy contact.
- Support the Claims assessing team with interpretation of the financial information, business statement and calculating aggregation of earnings applicable to benefits to ensure correct and high-quality output.
- Demonstrate proficient service through formal communication to ensure adherence to communication standards.
- Prepare and report on the Claims Assessing productivity statistics daily and monthly to show trends within the area.
- Adhoc Quality Assurance to measure effective decision making.
- Verification of payment calculations on income continuation benefits. Identify financial discrepancies to prevent over insurance.
- Action Oriented
- Nimble Learning
- Instills Trust
- Plans and Aligns
- Communicates Effectively
- Customer focus
- Resilient
- Flexible
- Independent
- Analytical Skills
- Effective communication skills
- Decision Making skills
- Proficiency MS Suite
- Understanding of Finance, Accounting and Tax practices
Qualifications & Experience
- Matric (with Mathematics)
- Diploma/Bachelors degree in a financial field such as accountancy - BCom Accounting
- 1-2 years work experience in the financial services sector
- Atleast 1 year experience in the Long-Term Insurance Sector
The Companys 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.
