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Case Management Consultant

4 months ago

Sandton, South Africa Discovery Ltd. Full time

Business Unit:
Discovery Employee Benefits
Function:Clinical
Date:5 Apr 2024Achieve more than
YOU BELIEVE**- Discovery Corporate and Employee Benefits
Case Management Consultant
-
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 Corporate and Employee Benefits
  • Discovery Corporate and Employee Benefits is the first and only employee benefits provider to be shaping employee behaviour, creating healthier and wealthier workforces. It is an exciting business to be in as we reimagine the way retirement savings and life insurance is brought to companies and employees.
-
Key Purpose of the role

  • The primary function of this role is to provide opinions as well as assess and manage claims and Early Intervention cases, with internal and external stakeholders, within the Disability Management process with the intention of keeping members at work or assisting them to return to work.

A key purpose is to add value to the current processes by identifying gaps, developing processes and proposing innovative recommendations that will impact efficiencies and the quality of work produced.

You will therefore need advanced technical skills, particularly in excel, excellent communication skills, sound clinical knowledge, work reintegration and rehabilitation exposure and be comfortable working to extremely tight deadlines.

The ultimate goal of the role is to manage the disability claims experience through in-claim case management and Early Intervention.


Areas of responsibility may include, but are not limited to

  • Complete inclaim case management and early intervention cases, across all schemes
  • Provide opinions to assessors on potential case management/early intervention claims and cases
  • Relationship management of service providers, brokers, employers and members
  • Case management related stakeholder engagement
  • Assist assessors with case management reports for their schemes and with client meeting that involve case management related discussions
  • Support in the development and growth of the early intervention program
  • Support in the management of the persons with disabilities project (Level Up)
  • Assist with the development of case management protocols and SOPs
  • Case Management data analysis and presentation
  • Support with Early Intervention employer training and provide guidance in employer medical forums.
  • Contactable at all times during working hours
  • Attend all case management and disability team meetings

Personal Attributes and Skills

  • Selfstarter with a high attention to detail and the ability to multitask
  • Good at follow through
  • Exceptional ability to communicate written and orally
  • Problem solving and solutionfocused
  • Analytical interpretation
  • Building relationships
  • Coping with pressure (deadlines)
  • Time-Management and Organizational Skills
  • Must be team orientated, willing to assist other team members in the office
  • Compassion: will be working with people who are sometimes in dire situations or going through difficult transitions. Must be compassionate to their situation and working with them in a positive way
  • Outstanding customer service skills
  • People interaction skills including empathy, negotiation and boundary setting
  • Presentation skills, including development of presentations
  • Precise and detail orientated
  • Conforms to case management team and disability department rules and guidelines

Education and Experience

  • Qualification
  • Applicants must have a Bachelor's degree in Occupational Therapy, Physiotherapy or Speech Therapy, ideally with experience in Vocational Assessments
years of clinical experience

  • Experience in the insurance or wellness industries is preferred, but not required.
  • Computer literate and proficient in Microsoft Office and Excel

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.

  • 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.