Disability Claims Assessor

**Business Unit**:Discovery Employee Benefits

**Function**:Clinical

**Date**:7 May 2025
- Achieve more than**YOU BELIEVE**
- Discovery Corporate & 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 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 Corporate & 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**Areas of responsibility may include but not limited to**
- The successful applicant will be responsible for but not limited to the following job functions:

- Ensure the effective validation and assessment of all disability claims according to company policy whilst having a client centred approach ingrained into the communication and management of all relevant stakeholders and clients
- Review and follow up on all types of disability claims within agreed authority structures and targets in accordance to client service levels, claims management and process requirements
- Makes correct decisions - medically researched, legally defendable, fair, equitable and justifiable final decisions
- Communicate to internal and external stakeholders on set requirements, decision letters and progress on claims in a clear, friendly, and concise manner using appropriate language and a client centric approach
- Ensure all Internal and External communication (Written and Verbal) is done so in a professional manner and in line with the company policy and does not contravene the POPI Act.
- Ensure that all queries are answered correctly in a logical and fair manner in accordance client service levels using a client centric approach
- Bring medical expertise, experience and skills and assist with continual medical training, coaching, mentoring, development, empowerment, and performance of fellow disability claims team members.
- To liaise with associated persons such as Medical Officers, Reinsurers, Legal Officers, rehabilitation consultants, investigators, and management
- Work effectively in a team environment, share information, and provide support to other team members
- Contribute to team and cross-team processes, discussions, interactions, activities, and programmes
- Create and Implement initiatives and opportunities for change and improvement - within the team, business, and self.
- Maintains and develops professional relationships with internal and external clients and ensure the best communication with customers using a client centric approach.
- Seeks and receives the advice and input of others
- Participate in personal and professional development activities, training, and courses
- Additional ad hoc preparations for Audits (Internal and External), Compliance audits and TC

**Personal Attributes and Skills**- High Sense of urgency and understanding of efficient and effective client service
- High EQ
- Self-starter with a high attention to detail and be able to multi-task
- Good at follow-through
- Exceptional ability to communicate written and verbally
- Problem solving and solution focused
- 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
- Outstanding customer service skills
- Action orientated
- Career ambition
- Takes initiative
- Decision making
- Ability to work independently and within a team environment
- Problem solving

**Education and Experience**
- Medical Degree Allied Professional degree through a registered University
- Qualification - Applicants must have a bachelor’s degree in occupational therapy, Physiotherapy or Speech Therapy or related professions, ideally with experience in Vocational Assessments
- Additional courses recommended but not required: Diploma in Vocational Rehabilitation
- 2 - 4 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

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