Claims Assessor Specialist - Discovery Life at Discovery Limited

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