Claims Assessor Specialist

Imagine a world where people live healthier, more enhanced and protected lives… A world in which each organisation is a powerful influencer and responsible corporate citizen, committed to being a force for social good. As a leading innovator in healthcare, wellness, insurance, investments, financial and life planning, Discovery works ceaselessly to make this vision a reality. Fuelled by our passion for enhancing lives and our desire to innovate, Discovery consistently sets global standards, creating shared value through shared intellectual capital. A testament to this is our Vitality programme, which is both a platform to incentivise people to live healthier lives as well as a channel through which shared value is delivered. We are a proudly South African-born, global company with health, life and short term insurance operations in South Africa and the United Kingdom, and a presence in Germany, France, the United States, Canada, Australia, Singapore, Hong Kong, Philippines, Thailand, Malaysia, China and Japan through our Global Vitality Network. One way in which we uphold our promise of shared value is by being a positive disruptor that focusses on bringing about sustainable change in the lives of the people and communities we serve across the globe. Our values of leadership, honesty, innovation and fairness act as our compass, directing our business practices to take advantage of every opportunity while looking for ways to dazzle clients. Key Purpose To provide support to the assessing team with regards to financial assessments of Income Continuation and Disability Benefit claims. Ensuring that client's benefits are paid correctly if/when the client is receiving income other than our disability benefits (aggregation), to protect the interest of the entity. Compilation of daily and monthly assessing/FSCA stats. Areas of responsibility may include but not limited to Adherence to the service level agreement discipline for financial assessments in accordance to the policy contact. Support the Claims assessing team with interpretation of the financial information, business statement and calculating aggregation of earnings applicable to benefits to ensure correct and high-quality output. Demonstrate proficient service through formal communication to ensure adherence to communication standards. Prepare and report on the Claims Assessing productivity statistics daily and monthly to show trends within the area. Adhoc Quality Assurance to measure effective decision making. Verification of payment calculations on income continuation benefits. Identify financial discrepancies to prevent over insurance. Personal Attributes and Skills Action Oriented Nimble Learning Instills Trust Plans and Aligns Communicates Effectively Customer focus Resilient Flexible Independent Essential Technical Competencies Analytical Skills Effective communication skills Decision Making skills Proficiency MS Suite Understanding of Finance, Accounting and Tax practices Qualifications & Experience Essential: Matric (with Mathematics) Diploma/Bachelors degree in a financial field such as accountancy - BCom Accounting 1-2 years work experience in the financial services sector Advantageous: Atleast 1 year experience in the Long-Term Insurance Sector