Claims Assessing Manager

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 to not only achieve financial success, but to ignite positive and meaningful change within our society.

About Discovery Insure

Discovery Insure is committed to creating a nation of great drivers and building better businesses through our innovative Shared-value Insurance model. Discovery Insure is South Africa's fastest growing short-term insurance company with comprehensive products that provide protection against current and emerging risks facing clients in the motor and home. Vitality Drive, an internationally recognised and award-winning programme, is a key differentiator in the market that incentivises and rewards clients for driving well. The Vitality Drive programme has been scaled to local and international markets which now include Europe and the Middle East.

The company employs over 1 000 people who are committed to putting our customers and financial advisers first by providing unique and innovative solutions and cover.  

Key Purpose 

To lead and manage the effective operations within the Short-Term Insurance investigations teams and all associated administration and support functions relating to teams and relative stakeholders.

Drive, implement and manage set strategy and targets for the area and provide a service of high standards. The role focuses on ensuring the validity of claims based on the Discovery Insure contract, detecting potential fraud, and supporting fair and accurate claims resolution.

This includes implementing investigation strategies, ensuring compliance with legal and regulatory standards, and collaborating with internal and external stakeholders to protect the company from financial losses due to fraudulent claims.

Areas of responsibility may include but not limited to 

• Full line management function within scope of roll
• Monitor investigations, performance metrics and teams' outputs to identify trends, improve processes, and ensure alignment with business objectives.
• Compile and present monthly investigation performance reports to senior management to provide insights into fraud trends, team productivity, and operational risks.
• Implement investigation strategies across the team to improve detection of fraudulent claims and enhance operational efficiency.
• Collaborate with internal and external stakeholders (e.g., actuaries, legal, underwriting, law enforcement, SAICB) to resolve high-risk claims and support legal proceedings when necessary.
• Oversee investigations into suspicious or complex high quantum claims to ensure accurate claim outcomes and minimize fraud-related losses.
• Provide training and mentorship to investigation staff to build technical capability, promote ethical practices, and maintain high investigation standards
• Cultivate Discovery culture within business are
• Effectively manage operating costs within the call centre as per budget

Education and Experience 

• Matric (Essential)
• Minimum of 8 years' short term insurance claims experience (Essential)
• Minimum of 3 years' leadership and management experience of an investigations team (Essential)
• Higher Certificate or Diploma in Short-Term Insurance (Advantageous)
• ACFE (Advantageous)
• Diploma or Degree in Insurance, Risk Management, or Forensic Investigation (Advantageous)
• Motor Industry-related qualification (e.g., Motor Assessing, or Mechanical Technology) (Advantageous)

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.