Case Management Consultant

3 days ago

Cape Town, Western Cape, South Africa Discovery Limited Full time
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Business Unit: Discovery Life

Function: Case Management

Date: 5 Mar 2025

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 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 an additional support through proactive duration management Income protection and lump sum disability claims management. With a key focus on intervention strategies and facilitation of early return to work where possible for specified and or subjective medical conditions.

Areas of responsibility may include but not limited to

1. Identify, screen, review and proactively develop and execute an appropriate plan of action for relevant claims to ensure case management interventions are applied.
2. Investigate and analyse claims information in conjunction with contract provisions to determine benefit eligibility in line with claims management resources.
3. Initiate telephonic interviews with claimants to gather additional information for early intervention.
4. Monitor the rehabilitation process by liaising with clients/ carers/ treating doctors / therapists/ reassurers to ensure clients are motivated, compliant, and receiving optimal management.
5. Facilitate and manage client referrals to Healthy Company and or digital therapeutic resources to ensure emotional and psychological wellbeing of client.
6. Follow all claims management procedures to support clients and enable potential return to work and job accommodation opportunities where necessary.
7. Understanding occupations and duties in relation to nominated occupation and impact on disability.

Personal Attributes and Skills

1. Resilience
2. Working with People
3. Results Driven
4. Adaptable and flexible
5. Analytical Skills
6. Attention to Detail
7. Action Oriented
8. Customer Focus
9. Plans and Aligns

Qualifications

1. Matric
2. Bachelor's degree in health-related industry of Psychology, Occupational therapy, Physiotherapy
3. 2-3 years clinical experience from a hospital; clinic or private setting
4. Assessment of psychiatric disorders, functional impairment, rehabilitation

Advantageous:

1. Risk management knowledge with experience in long term insurance.
2. Medical knowledge in terms of medical terminology, interpretation and how these impact the ability to work.
3. Experience with return-to-work program, vocational rehabilitation, clinical case management.

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.

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