Job Vacancies at Discovery Limited

About the Job

Key Purpose of the role

• The responsibilities of this role is to assessment, administration and payment function within the Group Risk Claims Department.

Areas of responsibility may include but not limited to

• Accurate assessment, investigation, and validation of claims in accordance with the goals, objectives, processes and standard operating procedures
• Issuing reminders on outstanding claim information for all pending claims and existing claims as per standard operating procedures
• Accurately updating and maintaining claims registers
• Drafting and issuing decision letters or synopsis for claim review
• Calculating benefits payable in line with the Life Plan Guide
• Ensure that complete and accurate claim files are maintained and that all documents and correspondence is saved on the central folders
• Administration skills, and reconciliation of payments
• Refund requests as per the standard operating procedures
• Ensuring all risks are mitigated and escalated, this includes the identification of fraudulent activity and non-disclosure.
• Timeously responding to escalations, complaints, and QA findings/disputes (2 hours)
• Contact Centre – data verification standards and telephone etiquette for overflow
• Providing effective, efficient, and professional service to all our clients, both telephonically and through written correspondence
• Taking ownership of queries and ensuring they are resolved timeously and effectively
• Maintains, compiles, reports, arranges, organizes and updates the filing systems
• Compiling claim reports and issuing payment letters
• Responding to queries timeously and managing workflow daily
• Adhering to the standard operating procedures
• Manage projects relevant to annuities team to ensure delivery within the agreed timeline
• Build and maintain with relationships at all levels service providers and internal departments to enhance organizational effectiveness and efficiency
• Report any irregularities to the Senior Manager
• Coordinate and monitor all claims related activities which includes payment of claims, reporting, data maintenance and client enquiries.
• Analyze processes to identify risks and opportunities for enhancements or innovations to continuously improve the team’s outputs
• Update and maintain standard operating processes
• Assist with staff development, mentoring and training to optimize staff performance
• Managing complaints, escalations, and quality audit defects to ensure high levels of service are adhered to, including root cause analysis, implementation of preventative measures and corrective action
• Empower employees to take accountability for the targets agreed upon to ensure high service levels

Personal Attributes and Skills

• Resilience
• Working with People
• Results Driven
• Decision making skills
• Organizational awareness
• Attention to detail
• Analytical
• Adaptable/ flexible
• Creative and innovative
• People orientated
• Team player
• Customer centric
• Dependability and Reliability
• Self-starter
• Quality Oriented
• Teamwork/Collaborative
• Integrity
• Tenacity
• Tolerance for Stress

Education and Experience

• Matric - Essential
• Decision making skills
• Time management skills
• Verbal and written communication skills
• Problem solving skills
• Advanced MS Office Excel skills
• Organizational skills
• Knowledge and understanding of Employee Benefits and Claims Payments administration
• 2-3 years relevant experience

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About the Job

Key Purpose

• The HR Administrator: Intern will support the Performance Services Department with day-to-day HR administration. The incumbent will be an integral part of the Performance Services Team assisting with, but not limited to the following:
  • Recruitment administration, HR Administration, Reporting, Data Capturing, Filing, Project Administration etc. The incumbent must also be an ambassador for Discovery Health Performance Services.

Areas of responsibility may include but not limited to:

• Recruitment administration,
• HR Administration,
• Reporting,
• Data Capturing,
• Filing,
• Project Administration
• Be an ambassador for Discovery Health Performance Services

Personal Attributes and Skills

• Strong Relationship skills.
• Strong Collaboration skills.
• Strong focus on Service Excellence.
• Takes Initiative.
• Process and Task driven.
• Attention to detail.
• Uses discretion when dealing with confidential correspondence/information.
• Manages time effectively.
• Works in a systematic, methodical and orderly way, within strict SLAs.
• Works productively in a pressurized environment.
• Team player

Education and Experience

Essential

• Matric/ Grade 12.
• B Degree in HR/ HR related field.
• Highly proficient in Microsoft Office

Advantageous

• Relevant Honors qualification in HR related field.