Disability Claims Assessor (Senior)

Key Purpose of the role

• The Primary Function of this role is to provide expertise in the disability assessment processes within the assessment team to ensure that Disability claims management from Early identification to Claims termination, are of an acceptable standard, to assist the team in overcoming barriers to performance and to ensure that leadership of the team is performed according to best practices advocated by Discovery

Areas of responsibility may include but not limited to

• Accurate assessment, investigation, and validation of assessments across the Disability Management process in accordance with the goals, objectives, processes and standard operating procedures
• Ensuring all risks are mitigated and escalated, this includes the identification of fraudulent activity.
• Providing effective, efficient, and professional service to all our stakeholders, both telephonically and through written correspondence.
• Maintains, report, arrange, organize, and update the systems and procedures
• Responding to queries ensuring they are resolved timeously and effectively and managing workflow
• Data analysis and reporting to various stakeholder
• Client meetings
• Quality assurance of assessments
• Manage projects relevant to the Disability claims 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
• Analyse processes to identify risks and opportunities for enhancements or innovations to continuously improve the team's outputs
• Guiding and motivating staff
• Display speed and execution in assessing and Disability claims cases per day to ensure outcomes are delivered.
• Discuss complex, large, and substandard lives with Line Manager, CMO and Reassurers.
• Conduct accurate Disability claims requirement setting within SLA to meet objectives.

Education and Experience

• Medical qualification required with a minimum of 2 years clinical or insurance experience Occupational Therapy or Physiotherapy is preferred
• Intermediate – Advanced proficiency on MS Office Excel, Outlook, Word - Essential
• Knowledge of the Group Life Product
• 1 – 2 years of working experience in claims project development, process improvement and case management is preferential
• 3 – 5 years' experience in disability claims management