Claims Assessor Specialist

2 weeks ago

Sandton, South Africa Discovery Ltd. Full time

Business Unit:
Discovery Life
Function:Claims Administration
Date:8 May 2024- Discovery - Discovery Life
Claims Assessor Specialist
About Discovery

  • Discovery's 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 fastpaced and dynamic environment enables smart, selfdriven 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 fastpaced 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 client's 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 highquality 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.

Personal Attributes and Skills

  • Action Oriented
  • Nimble Learning
  • Instills Trust
  • Plans and Aligns
  • Communicates Effectively
  • Customer focus
  • Resilient
  • Flexible
  • Independent

Essential Technical Competencies

  • Analytical Skills
  • Effective communication skills
  • Decision Making skills
  • Proficiency MS Suite
  • Understanding of Finance, Accounting and Tax practices

Qualifications & Experience

Essential:

  • Matric (with Mathematics)
  • Diploma/Bachelors degree in a financial field such as accountancy
  • BCom Accounting
  • 12 years work experience in the financial services sector

Advantageous:

  • Atleast 1 year experience in the Long-Term Insurance Sector
  • EMPLOYMENT EQUITY
The Company's 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.

  • Claims Assessor Specialist

    4 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Vitality Life**Function**:Claims Administration**Date**:17 Feb 2024Discovery - VitalityLife - Claims Assessor - Specialist - About Discovery - Discovery’s 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...

  • Claims Assessor Specialist

    4 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Vitality Life**Function**:Claims Administration**Date**:14-Apr-2023Discovery - VitalityLife - Claims Assessor - Specialist - About Discovery VitalityLife - Discovery’s 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...

  • Claims Assessor Specialist

    2 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    Business Unit:Vitality LifeFunction:Claims AdministrationDate:17 Feb 2024Discovery - VitalityLife Claims Assessor Specialist About Discovery Discovery's 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...

  • Claims Assessor Specialist

    2 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    Business Unit:Discovery LifeFunction:Claims AdministrationDate:3 Jun 2024- Discovery - Discovery Life Claims Assessor Specialist- About Discovery Discovery's 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...

  • Claims Assessor

    2 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    Business Unit:Discovery InsureFunction:Claims AdministrationDate:26 Jun 2023Discovery - InsureLiabilities Motor Claims Assessor SpecialistAbout Discovery Discovery's 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...

  • Claims Assessor

    3 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Insure**Function**:Forensics/Fraud/Fiduciary Services**Date**:13 Jun 2024**Discovery - Insure** **Motor Claims Assessor Specialist - Short Term Insurance (Limpopo)** **About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional...

  • Claims Assessor Specialist

    4 days ago

    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Life**Function**:Claims Administration**Date**:3 Jun 2024- Discovery - Discovery Life Claims Assessor Specialist - **About Discovery** - Discovery’s 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...

  • Claims Assessor

    4 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Vitality Life**Function**:Claims Administration**Date**:7 Aug 2023Discovery - VitalityLife - Claims Assessor**About Discovery** - Discovery's 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...

  • Claims Assessor Specialist

    1 month ago

    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Life**Function**:Claims Administration**Date**:8 May 2024- Discovery - Discovery Life Claims Assessor Specialist**About Discovery** - Discovery’s 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...

  • Claims Assessor

    2 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    Business Unit:Vitality LifeFunction:Claims AdministrationDate:11-Jan-2023Discovery - VitalityLifeClaims AssessorAbout Discovery VitalityLife Discovery's 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...

  • Claims Assessor

    2 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    Business Unit:Vitality LifeFunction:Claims AdministrationDate:7 Aug 2023Discovery - VitalityLife Claims AssessorAbout Discovery Discovery's 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...

  • Claims Assessor

    2 weeks ago

    Sandton, City of Johannesburg Metropolitan Municipality, Gauteng, , South Africa FreeRecruit Full time

    Responsibilities and work outputs Contribute to the ongoing enhancement and execution of the claims assessment methodology across Critical Illness, Income Protection and Lump Sum Disability benefit lines.Approves or declines claim submissions without supervision within company guidelines.Selects and accepts major risks on behalf of the company, evaluating...

  • Claims Assessor

    4 weeks ago

    Sandton, City of Johannesburg Metropolitan Municipality, Gauteng, 2031, South Africa FreeRecruit Full time

    Responsibilities and work outputs Contribute to the ongoing enhancement and execution of the claims assessment methodology across Critical Illness, Income Protection and Lump Sum Disability benefit lines.Approves or declines claim submissions without supervision within company guidelines.Selects and accepts major risks on behalf of the company, evaluating...

  • Senior Claims Liaison

    1 week ago

    Sandton, South Africa PPS Recruitment Full time

    This role reports to the Executive Claims Assessor. The role will transfer specialist claims knowledge, in-depth process knowledge and client centric principles to the claims team by conducting, quality assurance and post audit entrenchment. Conduct training session for the claims team and other internal and external stakeholders and provide technical input...

  • Claims Assessor

    3 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Vitality Life**Function**:Claims Administration**Date**:22 Feb 2024Discovery - VitalityLife - Claims Assessor (Senior)**About Discovery** - Discovery's 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...

  • Claims Specialist

    3 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Employee Benefits**Function**:Claims Administration**Date**:25 Jan 2024Achieve more than - *** **YOU BELIEVE** - Discovery Employee Benefits- Claims Specialist_ **About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who...

  • Desktop Assessor

    3 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Insure**Function**:Claims Administration**Date**:24 Jan 2024- Discovery - Insure Desktop Claims Assessor Specialist - **About Discovery** - Discovery’s 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,...

  • Disability Claims Assessor

    4 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Employee Benefits**Function**:Clinical**Date**:25 Aug 2023Achieve more than - *** **YOU BELIEVE** - Discovery - Employee Benefits- Disability Claims Assessor**About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who...

  • Disability Claims Assessor

    2 weeks ago

    Sandton, South Africa Discovery Ltd. Full time

    **Business Unit**:Discovery Employee Benefits**Function**:Clinical**Date**:4 Mar 2024Achieve more than** **YOU BELIEVE** - Discovery Employee Benefits Disability Claims Assessor - **About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who...

  • Claims Assessor

    3 weeks ago

    Sandton, South Africa Guardrisk Full time

    **Introduction** Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined in policy wording. **Role Purpose** Processing of medical expense shortfall (gap cover) claims in accordance with stipulated service levels and in terms and conditions of cover as defined...