Disability Claims Assessor

In brief

**Overview** This role at Discovery Limited is for a Disability Claims Assessor. The primary function involves identifying, assessing, and managing disability claims throughout their lifecycle, working with both internal and external stakeholders within the Disability Management process. Beyond claims assessment, the position includes leadership tasks related to reporting, people, and projects within the Disability Claims Team. A key aspect of the role is to enhance current processes by identifying gaps, developing new procedures, and proposing innovative recommendations to improve efficiencies and quality of work. The ultimate goal is to manage the disability claims experience through efficient claim management and to develop people and functional leadership skills to support the overall team management. **What you will do** * Ensure the effective validation and assessment of all disability claims according to company policy, maintaining a client-centered approach in communication and stakeholder management. * Review and follow up on all types of disability claims within agreed authority structures and targets, adhering to client service levels, claims management, and process requirements. * Make medically researched, legally defensible, fair, equitable, and justifiable final decisions. * Communicate clearly, friendly, and concisely to internal and external stakeholders regarding requirements, decision letters, and progress on claims, using appropriate language and a client-centric approach. * Ensure all internal and external communication (written and verbal) is professional, in line with company policy, and does not contravene the POPI Act. * Answer all queries correctly, logically, and fairly, in accordance with client service levels and a client-centric approach. * Apply medical expertise, experience, and skills to assist with continual medical training, coaching, mentoring, development, empowerment, and performance of fellow disability claims team members. * Liaise with associated persons such as Medical Officers, Reinsurers, Legal Officers, rehabilitation consultants, investigators, and management. * Work effectively in a team environment, sharing information and providing 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. * Maintain and develop professional relationships with internal and external clients, ensuring the best communication with customers using a client-centric approach. * Seek and receive the advice and input of others. * Seek involvement in projects of varying subject matter. * Participate in personal and professional development activities, training, and courses. * Perform additional ad hoc preparations for internal and external audits, compliance audits, and TC. **Requirements (from the original advert)** * Advanced technical skills, particularly in Excel. * Excellent communication skills. * Sound clinical knowledge. * Comfortable working to extremely tight deadlines. * Allied Professional degree through a registered University. * Bachelor’s degree in Occupational Therapy, Physiotherapy or Speech Therapy or related professions. * 2 - 5 years of clinical experience. * 2 - 5 years insurance experience. * Computer literate and proficient in Microsoft Office and Excel. **Who should apply** * Individuals demonstrating a high sense of urgency and understanding of efficient and effective client service. * Candidates with high emotional intelligence (EQ). * Self-starters with a high attention to detail and ability to multi-task. * Individuals good at follow-through. * Candidates possessing exceptional written and verbal communication skills. * Problem-solving and solution-focused individuals. * Those with analytical interpretation skills. * Individuals skilled in building relationships. * Candidates capable of coping with pressure and deadlines. * Individuals with strong time-management and organizational skills. * Team-orientated candidates willing to assist other team members. * Compassionate individuals, able to work positively with people in difficult situations or transitions. * Candidates with outstanding customer service skills. * Action-orientated individuals. * Those with career ambition. * Individuals who take initiative. * Candidates with strong decision-making abilities. * Individuals capable of working both independently and within a team environment. * Applicants with experience in Vocational Assessments are ideally suited. * Experience in the insurance or wellness industries is preferred but not required. **Deadline** Not specified **Reference** Original posting: https://www.myjobmag.co.za/job/disability-claims-assessor-discovery-limited-4 Source: myjobmag

Summary drafted with AI assistance from the original advert. The advert itself is the authority — how we use AI.

At a glance

• At least 2 years of experience.

• Microsoft Excel
• Microsoft Office
• Customer service

Extracted automatically from the advert; confirm requirements on the original listing.

Job description

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