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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...
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Key Purpose
Design and implement robust, scalable and optimally performing systems using Java related technologies, according to provided specifications, standards and procedures, while ensuring compliance with the architectural standards and guidelines laid out by Discovery.
Areas of responsibility may include but not limited to
Design:
- Translate business requirements into technical designs adhering to Discovery Insure processes, standards and guidelines, taking cognisance of performance, security and scalability requirements. Deliver within agreed timeframes.
- Liaise with relevant parties where clarification of business requirements or resolution to technical issues is needed
- Research and find effective solutions to technical issues that arise
- Estimate development timelines based on business requirements
Development:
- Construct robust, maintainable, scalable, optimally performing system code in line with technical specifications, following prescribed process, standards and procedures. Deliver within agreed timeframes
- Conduct unit testing and fix any defects found
Testing:
- Verify build stability and quality with development team before releasing to test team, aiming to release with zero defects
- Assist the Business analyst in ensuring the test pack includes relevant scenarios and test data.
- Consult and assist in reviewing risk / impact of defects found in testing, and assist with fixing where necessary
Support / Troubleshooting:
- Assist system users with technical support issues and handle according to defined procedures
- Ability to effectively analyse root cause of system errors (data errors, performance and stability issues)
Mentoring / Team development:
- Actively coach other developers to understand and apply the Insure coding and architectural standards correctly, as well as any technologies in use
- Perform code review to ensure logical correctness, maintainability, scalability, performance, compliance with architectural standards and frameworks
- Assist in identifying training needs of team members
Personal development:
- Keep abreast of current technological trends and how these might be applied in the Discovery environment
- Constant improvement of knowledge of the various applications, their functionalities and data models
General:
- Ability to communicate clearly, constructively and effectively. Easily able to follow and participate in technical, business process, and other discussions
- Able to build business relationships with other members of team and the business areas we support.
Personal Attributes and Skills
Technical Competencies
- Excellent understanding of Object Orientated principals and Java language fundamentals
- Knowledge of commonly used design patterns
- Broad understanding of how to put together an EE-based business solution from scratch
- EJB
- HTML
- JSF
- JQuery
- JAXB
- SOAP Web services
- Message Driven Beans
- UML
- XML/XSD
- SQL
Behavioural Skills:
- Action orientated go-getter, hungry to learn and add real value
- Structured and analytical problem solver: Obsessive about finding solutions to problems: action oriented problem solver.
- Able to plan, organise and prioritize own work
- Able to multitask
- Able to work independently
- Team player: reliable, works actively with others towards common goal, communicates constructively, shares information, knowledge and experience, treats others in a respectful and supportive manner
Education and Experience
Essential:
- 6+ years’ experience in Java development with exposure to core competencies listed
Advantageous Experience
- REST Web services
- JSON
- Business Process Management Tools
- Apache Camel
- Apache Webserver Configuration
- JBOSS Configuration
- CSS
- GIT
- Integrated Build Tools
- HTML 5
- Knowledge of Short Term Insurance industry
Working knowledge of:
- Software development within SDLC
- Unit Testing
- Data modelling and design of database structures
- BSc Computer Science /Information Systems degree
Formal Java qualification
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.
go to method of application »
Key Purpose
Design and implement robust, scalable and optimally performing systems using Java related technologies, according to provided specifications, standards and procedures, while ensuring compliance with the architectural standards and guidelines laid out by Discovery.
Areas of responsibility may include but not limited to
Design:
- Translate business requirements into technical designs adhering to Discovery Insure processes, standards and guidelines, taking cognisance of performance, security and scalability requirements. Deliver within agreed timeframes.
- Liaise with relevant parties where clarification of business requirements or resolution to technical issues is needed
- Research and find effective solutions to technical issues that arise
- Estimate development timelines based on business requirements
Development:
- Construct robust, maintainable, scalable, optimally performing system code in line with technical specifications, following prescribed process, standards and procedures. Deliver within agreed timeframes
- Conduct unit testing and fix any defects found
Testing:
- Verify build stability and quality with development team before releasing to test team, aiming to release with zero defects
- Assist the Business analyst in ensuring the test pack includes relevant scenarios and test data.
- Consult and assist in reviewing risk / impact of defects found in testing, and assist with fixing where necessary
Support / Troubleshooting:
- Assist system users with technical support issues and handle according to defined procedures
- Ability to effectively analyse root cause of system errors (data errors, performance and stability issues)
Mentoring / Team development:
- Actively coach other developers to understand and apply the Insure coding and architectural standards correctly, as well as any technologies in use
- Perform code review to ensure logical correctness, maintainability, scalability, performance, compliance with architectural standards and frameworks
- Assist in identifying training needs of team members
Personal development:
- Keep abreast of current technological trends and how these might be applied in the Discovery environment
- Constant improvement of knowledge of the various applications, their functionalities and data models
General:
- Ability to communicate clearly, constructively and effectively. Easily able to follow and participate in technical, business process, and other discussions
- Able to build business relationships with other members of team and the business areas we support.
Personal Attributes and Skills
Technical Competencies
- Excellent understanding of Object Orientated principals and Java language fundamentals
- Knowledge of commonly used design patterns
- Broad understanding of how to put together an EE-based business solution from scratch
- EJB
- HTML
- JSF
- JQuery
- JAXB
- SOAP Web services
- Message Driven Beans
- UML
- XML/XSD
- SQL
Behavioural Skills:
- Action orientated go-getter, hungry to learn and add real value
- Structured and analytical problem solver: Obsessive about finding solutions to problems: action oriented problem solver.
- Able to plan, organise and prioritize own work
- Able to multitask
- Able to work independently
- Team player: reliable, works actively with others towards common goal, communicates constructively, shares information, knowledge and experience, treats others in a respectful and supportive manner
Education and Experience
Essential:
- 6+ years’ experience in Java development with exposure to core competencies listed
Advantageous Experience
- REST Web services
- JSON
- Business Process Management Tools
- Apache Camel
- Apache Webserver Configuration
- JBOSS Configuration
- CSS
- GIT
- Integrated Build Tools
- HTML 5
- Knowledge of Short Term Insurance industry
Working knowledge of:
- Software development within SDLC
- Unit Testing
- Data modelling and design of database structures
- BSc Computer Science /Information Systems degree
- Formal Java qualification
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.
go to method of application »
Job purpose
Discovery Health has defined as one of its key objectives — the growth of the business and its earnings rom non-scheme business. This objective necessitates the development of new innovative health and wellness products that add value to employers, employees and individual members. This strategic thrust will enable richer integration of Discovery Health as a key strategic partner in the comprehensive management of the health and wellness of its clients. Leveraging Discovery's unique IP and shared value model, Discovery Health will drive to grow in new markets and be a leader, offering superior and innovative products and achieving the greatest market share. Employee Health Solutions is an area that houses Discovery Health's new market businesses, including:
- Healthy Company
- Flexicare
- Prepaid for corporates
- Trauma
- Gap Cover
- Healthcare fund
And any other solutions that may be developed in future to add value to employers and their employees
The Segment Support Manager will support the Managing Executive within the New Markets Division, Employee Health Solutions portfolio by:
- Taking ownership of projects that support the realisation of segment strategies;
- Enable and operationalise strategic initiatives of the New Markets division with segment nuances.
- Provide support to ensure the acquisition of new business and activities that support new business development
Key Outputs may include but are not limited to:
- Assist in the development of a Customer Value Management (CVM) strategy and leverage key insights and advanced analytics
- Develop base management strategy and implementation of activities across the segment and sub-segments for customer revenue enhancement, base retention and churn control.
- Performance of customer behavior analysis and create, execute and monitor strategic interventions/campaigns for retention, churn and cross sell
- Regularly track and manage churn process, understand trends and dynamics
- Provide ongoing strategy and intervention reporting, analysis, and insights
- Monitor interventions, such as campaign performance, on an ongoing basis and continuously optimize tactics to improve effectiveness in achieving targets
- Gather, review and organize segment customer data and profiles into segments.
- Grow the value of the in-life revenue and loyalty of the customer base.
- Lead in the design, implementation and execution of segment targeted strategies to achieve revenue targets
- Monitor and ensure all strategies deployed, interventions and campaigns developed by are reliably executed in systems and other customer touch points
- Detailed research and analysis to provide substance to the ideas and direction of the employer executive team;
- Project ownership and or project management of strategic initiatives;
- Management of business reporting and compliance for the business to internal and external stakeholders;
- Input into operational design and process efficiencies;
- Preparation of proposals for strategic partnerships, new business and new products for both external and internal distribution;
- Support product design and guide and influence design of processes to enable delivery
- Collaborating with teams such as R&D, marketing, sales and corporate relationship management to ensure that the strategy and set standards are achieved.
Role Specific Attributes
- Exceptional analytical, problem solving and research skills into segment insights;
- Creative thinking and the ability to operationalise innovation;
- An ability to deal with complex issues as well as migrate between detail and high level requirements;
- Drive and commitment to exceed expectations.
- Reliability and dependability — can be counted on;
- Ability to influence and negotiate with impact across divisions and teams at all levels, and with external parties;
- A thorough understanding of business dynamics and strategic challenges;
- Sophisticated written and verbal communication skills for executive-level internal and external delivery;
- Commitment to excellence and;
- An ability to deal with ambiguity and continuous change.
Work Experience
- A minimum of 7 years in Customer Value Management (CVM) and at least the last 2 years in a leadership role.
- A minimum of 3 - 4 years Health Care and Insurance business experience with clear leadership responsibility for key business objectives
- Strong experience in customer experience and journey, churn retention, campaign management and customer lifecycle management.
- Extensive experience in the management of the Corporate or Employer client segment advantageous (design and penetration of employer solutions)
- Extensive business and/or technical experience with a proven track record of innovation, delivery, and performance
Technical Skills or Knowledge
- Insights into the corporate/employer segment and solution
- Analytical thinking and ability to formulate compelling business cases
- Expertise in Customer Value Management (CVM) strategy and leverage key insights and advanced analytic
Education
- A completed business-related tertiary qualification
go to method of application »
Key Purpose
Design and implement robust, scalable and optimally performing systems using Oracle related technologies, according to provided specifications, standards and procedures, while ensuring compliance with the architectural standards and guidelines laid out by Discovery
Areas of responsibility may include but not limited to
Design:
- Translate business requirements into technical designs adhering to Discovery Insure processes, standards and guidelines, taking cognisance of performance, security and scalability requirements. Deliver within agreed timeframes.
- Liaise with relevant parties where clarification of business requirements or resolution to technical issues is needed
- Research and find effective solutions to technical issues that arise
- Estimate development timelines based on business requirements
Development:
- Construct robust, maintanable, scalable, optimally performing system code in line with technical specifications, following prescribed process, standards and procedures. Deliver within agreed timeframe
Testing:
- Verify build stability and quality with development team before releasing to test team, aiming to release with zero defects
- Assist the Business analyst in ensuring the test pack includes relevant scenarios and test data.
- Consult and assist in reviewing risk / impact of defects found in testing, and assist with fixing where necessary
Support / Troubleshooting:
- Assist system users with technical support issues and handle according to defined procedures
- Ability to effectively analyse root cause of system errors (data errors, performance and stability issues)
Mentoring / Team development:
- Actively coach other developers to understand and apply the Insure coding and architectural standards correctly, as well as any technologies in use
- Perform code review to ensure logical correctness, maintainability, scalability, performance, compliance with architectural standards and frameworks
- Assist in identifying training needs of team members
Personal development:
- Keep abreast of current technological trends and how these might be applied in the Discovery environment
- Constant improvement of knowledge of the various applications, their functionalities and data models
General:
- Ability to communicate clearly, constructively and effectively. Easily able to follow and participate in technical, business process, and other discussions
- Able to build business relationships with other members of team and the business areas we support.
Personal Attributes and Skills
Technical Competencies:
- Data Modelling specifically related to OLTP
- PLSQL
- SQL
- XML
- Dynamic SQL
- SQL and PLSQL performance tuning
- Report writing
- BI/Warehouse/ETL
- Java SE
Education and Experience
Essential:
5-7 years of consistent experience in the listed core competency areas.
Working knowledge of:
- Software development within SDLC
- Unit Testing
- Data modelling and design of database structures
Advantageous:
- BSc Computer Science or equivalent 3 year qualification
- Oracle Certified Professional - Advanced PLSQL developer
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.
go to method of application »
Key Purpose
The Test Automation Analyst will join a team and be part of automating the testing process, adequately identifying, and testing the business functional requirements to fulfillment and ensuring that defects are resolved. The role also defines, Implements, and drives a Test Automation culture within the DHS environment, supporting the CI/CD Devops strategy. The role involves coaching and mentoring for Juniors in the team contributing to the continuous improvement of the Test process and methodologies.
Areas of responsibility may include but not limited to:
The successful candidate will be required to perform but not limited to the following key outputs in respect of the Support Systems Management portfolio:
Test Data
- Test Data requirements must be recorded for test cases during the test case creation process
- Source and record correct test data for Test Cases
- Provide testers with the information required for them to assist in the test data creation process
Test Schedule
- Understand and confirm acceptance on responsibilities, deliverables and timelines
- Provide scheduling input to the Test Manager
- Document the test coverage and produce a test schedule
- Communicate the frequency of test deployments
- Arrange access to the test environment
Test Results
- Defining and applying test standards & guidelines
- Defining test vision and test strategy
- Using Test Automation Frameworks for defining and running automated tests
- Experience with (Acceptance) Test Driven Development and ability to promote it
- Experience with integrating automated tests within build & deployment pipeline (CD/CI)
- Experience with setting up automated performance tests (measuring performance against benchmark and different types of load)
- Ensure adequate controls are established and adequate testing is completed for all new development and enhancements to existing applications
- Build and maintain a repository of regression test cases using JIRA Xray
- Ensure test status results are properly documented and tracked and software defects are reported clearly
Review test results stored in JIRA Xray
Defects Report
- Generate and maintain defect/bug/error/problem database or reports as needed (JRIA XRay).
- Review and validate defects logged.
- Log, Track and Resolve defects on JIRA XRay
- Generate monthly report tracking automated vs manual testing and success ratio
Competencies
The successful candidate must demonstrate the following competencies:
- Learning orientation, detail orientation
- Structured and analytical problem solving, prioritisation, planning and organising, Action/Pro-active orientation
- Business communication skills (verbal and report writing), Interpreting business and technical specifications
- Root cause analysis
Education and Experience
Education:
Matric
BSc Computer Science or equivalent 3-year IT qualification
Experience:
- Minimum 3 years of relevant Test Automation experience
- ISTQB qualification in Automated testing - essential
- Must have experience with regression, usability, sanity and functional testing methods
- Experience in scripting with QTP/equivalent tool - essential
- Knowledge and experience in Cucumber, Selenium, InteliJ, CI/CD, Java, Devops, Bitbucket, Bamboo, AWX, JIRA, JIRA Xray, LeanFT, Dynatrace, SQL
- Process knowledge of SDLC (strong functional knowledge of Systems Engineering)
- Testing methodologies, ITIL process awareness
Knowledge:
Technical knowledge of SQL scripts
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.
go to method of application »
Key Purpose
Work closely with a passionate development team to design, develop and maintain Java based solutions for a dynamic, multi-national company that sets the benchmark in its industry.
Areas of responsibility may include but not limited to
- Develop, test, and maintain high quality application software.
- Analyse, maintain and enhance existing application and troubleshoot issues.
- Assist with the production of technical specifications and designs
- Promote new technologies and share knowledge within the team.
- Recommend improvements to development processes, contribute to implementation plans, and assist in rollout
- Perform code reviews
Personal Attributes
- Passionate about technology and development.
- Results oriented with the ability to work under pressure and juggle multiple concurrent projects with changing priorities and deadlines
- Strong analytical and problem solving skills.
- Able to deal with complexity and migrate between detailed and high level requirements.
- Self-starter who takes ownership, is accountable, and is able to work with minimal supervision.
- Excellent written and verbal communication skills.
Education, Experience and Skills
Minimum
- Matric/Grade 12 and formal Java qualifications.
Preferred
- IT related Degree or Diploma (BSc/BTech or similar).
Minimum
- 3 years Java systems development experience.
- Java EE knowledge and experience.
- Experience with XML/XSD/JAXB and Web Services.
- Unit testing and mocking frameworks.
- Experience with industry standard Application Servers (preferably WebLogic).
- Knowledge of OO design principles and development patterns.
Preferred
- 3 years Java systems development experience.
- Spring Framework.
- ORM/Hibernate/JPA experience.
- JMS, Tibco EMS experience.
- Oracle and PL/SQL knowledge.
- SOAP (XML/JSON)
- Presentation layer development (HTML5, CSS, JavaScript, jQuery, GWT, Spring MVC)
- Experience with Business Rules Management Frameworks.
- Experience using formal modelling languages (UML, etc) and modelling tools (Enterprise Architect, Visual Paradigm etc.)
- Exposure to Agile principles and methodologies, including Continuous Integration and Test Driven Development
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.
go to method of application »
Key Purpose
The primary function of this role is to gather, analyze and document Discovery Life business requirements for system and process enhancements in accordance with standards
Areas of responsibility may include but not limited to:
- Conduct analysis to elicit and understand Business needs to produce Business requirements for System development.
- Document User-interface-, reporting-and-process enhancements, for Business process improvement and Systems enhancement initiatives, using the Enterprise Architect tool.
- Document Standard Operating procedures (SOP’s), in accordance with standards for IQS (Intelligence Quality System).
- Conduct root cause analysis and investigation of production defects to ensure that Discovery Life systems operate efficiently.
- Review Test plans to ensure that the Business requirements are tested effectively.
- Assist the Senior Business Analyst/ Business Architect in compiling the business case for new Business initiatives to be considered for addition to the Roadmap.
- Conduct Joint Application Design (JAD) sessions with stakeholders and present solutions for Business process improvement and Systems enhancement initiatives.
- Report and provide regular updates on progress to stakeholders to manage delivery of Business initiatives.
- Adherence to established standards of Business process Mapping (BPM) and Enterprise Architecture (EA) tool for Business process improvement and/or Systems development.
- Adherence to the agreed System Development Life Cycle (SDLC) for Systems development.
- Collaborate, negotiate and co-ordinate with various stakeholders to produce and obtain sign- off of Business requirements documents and Business Case documents to ensure business processes are developed and improved.
Education and Experience
Essential:
- Matric
- Overall Business Analysis experience of 5 years.
Advantageous:
- Diploma in Business Analysis
- Minimum 2 years Business Analysis experience, within the Life Insurance/Financial Services Industry
Technical Skills and Knowledge
Essential:
- Unified Modelling language (UML)
- Business Process Modelling techniques and methods
- MS Office Suite (Expert)
- Analytical skills
- Knowledge of the Life Insurance Industry
- System Development Life Cycle (SDLC)
Advantageous
Knowledge of
- SQL
- Discovery Life Products
- Discovery Life Systems
- Enterprise Architect tool
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.
go to method of application »
Key Purpose
Finance team leader role whose responsibilities include calculating and processing journals, reconciliation of balance sheet accounts, completion of tax schedules and review thereof. The role may also be responsible for the drafting of management accounts and manex reporting, adhoc financial reporting analysis, and any other financial reporting related tasks.
Areas of responsibility may include but not limited to:
- Financial journals
- Financial reconciliations
- Tax schedules
- Intercompany invoicing
- Product finance support
- Variance analysis
- Management accounts
- Vat reconciliation
- Support the business unit with daily, weekly and monthly reports as required
Competencies and Skills
- Communication
- Innovation
- Tenacity
- Drive
- Team player
Personal Attribute and Skills:
- Communication skills
- Team player
- Attention to detail
Education and Experience
Education:
Essential:
- Matric
- BCom degree / Finance diploma
Advantageous:
- BCom honors
- 1 to 2 years work experience
Experience
- Good understanding of accounting principles and application thereof
- Financial reporting
- Excel
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.
go to method of application »
Key Purpose
To provide support to the Reputation Management function and to contribute to the delivery of professional and efficient influencer relations. To ensure that media and other audiences have a clear and continued understanding of the company’s strategy, performance, products and key initiatives.
Areas of responsibility may include but not limited to:
- Support the Reputation Management function and contribute to the delivery of professional and efficient influencer relations, across traditional and social media.
- Ensure that media and other audiences have a clear and continued understanding of the company’s strategy, performance, products and key initiatives.
- Provide strategic and administrative assistance to the Head of Reputation Management and deliver a professional and efficient media relations service for Discovery.
- Build and maintain good working relationships with journalists, bloggers, influencers and other stakeholders
- Assist with events such as media conferences, interim and final year-end results presentations, and sponsorship activities and events.
- Support a variety of campaigns across the Discovery businesses by defining goals, analysing problems and exploring opportunities for brand promotion.
- Provide strategic reputation support across the various projects and take accountability for the PR and social media element of these projects.
- Create a variety of content, both developing content ideas, writing and curating content,
- Producing reports
- Coordinate the development of media releases, speeches, social media content, video and any other external communications material in collaboration with the content team.
- Respond promptly and accurately to queries from individuals, journalists and other organizations.
- Monitor and gather insights into industry development and best practices, and giving feedback to the business.
- Develop innovative, creative and unique approaches to influencer marketing.
Competencies
- Exceptional verbal and written communication skills
- Experience in writing and editing
- Strong interpersonal skills and emotional intelligence
- Enjoys working with people, networking and influencing
- Ability to handle client-facing meetings with ease (essential skill)
- A positive attitude, creativity and confidence to approach stakeholders, internal and external to achieve objectives
- Focused on delivering results and meeting customer expectations
- Effective project management and outstanding time management skills
- A passion for working with social influencers and using digital platforms to create brand awareness
- An understanding of the South African online communities
- The ability to work independently in fast-paced, deadline-driven environments
- The ability to handle multiple campaigns simultaneously
- Excellent personal organisation skills and superb attention to detail
- Highly collaborative style
- Ability to think critically with sound decision making skills
Education and Experience
- Honours degree in Media, Corporate Communications, PR, Business Studies or the equivalent
- 2-5 years of media/stakeholder relations experience in corporate communications, PR, digital, marketing or similar in a financial service, management consulting, journalism or similar space. Public relations agency or management consultancy experience advantageous.
- Experience working with insurance, investment, or financial services brands beneficial
- Proven track record and journalist/producer network in respect of media relations
- Experience developing and/or implementing communications strategies
Skills
- High level of computer literacy, including the ability to research online and learn how to use new online tools
- Proficiency in all Microsoft Office applications
- Familiarity with digital media platforms such as Google, Facebook, Twitter, LinkedIn, YouTube, Instagram, TikTok, etc.
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
go to method of application »
Key Purpose
The primary function of this role is to support the identification, assesses and management claims with internal and external stakeholders within the Disability Management process from Early Identification through the lifecycle of the claim. The individual will be responsible for the technical pre-assessment of claims, queries, and relationship management. You will therefore need advanced technical skills, particularly in excel, excellent communication skills, and be comfortable working to extremely tight deadlines. The goal of the role is to manage the disability claims experience through innovative and efficient claim administration principles.
Areas of responsibility may include but not limited to
- Technical assessment of claim by checking the applicable cover, scheme and member details, eligibility, financial details etc. on compass, Discovery Health and on ASISA (Association for Savings and Investment South Africa)
- Assess and confirm the eligibility, authenticity and validity of all evidence submitted by clients
- Move the claims from pre-assessment pool to assessment on Claims Management System
- Acknowledge all information received and let the client know who the assessor is.
- Request additional information and explain why the information is still required If there is no medical information shared in any evidence or forms submitted
- Assess and confirm the eligibility, authenticity, and validity of Certificates of Existence Claims
- Assess and confirm the eligibility, authenticity, and validity of all notifications
- Capture all types of claims, incoming and outgoing information, and notifications on the Claims Allocation sheets/platform
- Maintains, arrange, organize, and update the filing systems and procedures on SharePoint
- Sending out reminder letters on due dates for all pending claims and existing claims that are undergoing reviews.
- Keeping records and processing payments of medical accounts
- Responding to queries, especially account queries, immediately
- Proving claim experience, list, or monthly report to the customers, including pricing and Customer Service advisor.
- Following up on reports and confirming appointments date payments
- Ensuring that all documentation and communication sent out meets all technical and professional compliance
- Ensuring that all queries are dealt with professionally, effectively, and stipulated turn-around times are met
- Ensuring effective communication with role players involved
- Attending client meetings to support team as needed
- Data management on data management system including monthly claims register submission
- Validating data on claims registers
Personal Attributes
Resilient
- Adaptable/ flexible
- Dependable and Reliable
- Elevated level of Integrity
- Tenacity
- Self-starter with a high attention to detail and be able to multi-task
- Good at follow through
- Exceptional ability to communicate written and orally
- Problem solving and solution focused
- Analytical – interpretation
- Building relationships
- Coping with pressure
- Time-Management and Organizational Skills
- Must be team orientated, willing to assist other team members in the office
- Compassion: will be working with people who are sometimes in dire situations or going through difficult transitions. Must be compassionate to their situation and working with them in a positive way
- Outstanding customer service skills
Education and Experience
Matric-essential
- Tertiary qualification is administration, data management advantageous
- Telephone etiquette, detail orientated and self-driven. Customer centric focus to be evident.
- MS Office- Advanced Excel skills, operational processes, and process mapping.
- 2 – 4 years claims experience in the long-term insurance industry. Pension and Provident Fund experience is 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.
Method of Application
Use the link(s) below to apply on company website.
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Gmail
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