Disability Claims Assessor

Discovery Limited; Johannesburg; Sur place; ZAR 350 000 - 520 000; Plein temps

Résumé du poste

Discovery Limited in Johannesburg seeks a Disability Claims Assessor to validate and assess disability claims, coordinate with internal and external stakeholders, and drive efficient claims management.

The role includes reporting, project leadership within the Disability Claims Team, and opportunities to develop people leadership and process improvements while meeting tight deadlines.

Qualifications

• Allied Professional degree from a registered university.
• Bachelor’s degree in occupational therapy, physiotherapy or speech therapy, ideally with vocational assessments experience.
• Diploma in Vocational Rehabilitation recommended.
• 2–5 years of clinical experience.
• 2–5 years insurance experience.
• Experience in the insurance or wellness industries is preferred but not required.
• Computer literate and proficient in Microsoft Office and Excel.

Responsabilités

• Validate and assess disability claims according to policy with client-centric communication.
• Review and follow up on disability claims within authority structures and targets.
• Make medically researched, legally defendable final decisions.
• Communicate requirements and progress to stakeholders clearly and concisely.
• Maintain professional written and verbal communication in line with policy and POPI.
• Answer queries accurately in a fair, client-centric manner.
• Liaise with Medical Officers, Reinsurers, Legal Officers and other professionals.
• Contribute to team processes and cross-team initiatives.
• Lead and participate in audits and compliance preparations.

Connaissances

Advanced Excel

Stakeholder communication

Clinical knowledge

Team leadership

Analytical skills

Formation

Allied Professional degree

Bachelor’s degree in occupational therapy, physiotherapy or speech therapy

Diploma in Vocational Rehabilitation

Outils

Microsoft Office

Excel

Description du poste

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Disability Claims Assessor

Business Unit:

Function: Client Service

Date: 14 Oct 2026

Disability Claims Assessor

About Discovery

Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.

About Discovery Corporate & Employee Benefits

Discovery Corporate and Employee Benefits is the first and only employee benefits provider to be shaping employee behaviour, creating healthier and wealthier workforces. It is an exciting business to be in as we reimagine the way retirement savings and life insurance is brought to companies and employees.

Key Purpose

The primary function of this role is comprised of two aspects, the first is to identify, assess and manage claims with internal and external stakeholders within the Disability Management process from Early Identification through the lifecycle of the claim. The second is to take on key reporting, people leadership and project leadership tasks within the Disability Claims Team. A key purpose is to add value to current processes by identifying gaps, developing processes and proposing innovative recommendations that will impact efficiencies and the quality of work produced. You will therefore need advanced technical skills, particularly in excel, excellent communication skills, sound clinical knowledge, and be comfortable working to extremely tight deadlines. The ultimate goal of the role is to manage the disability claims experience through innovative and efficient claim management as well as develop people leadership skills and functional leadership skills providing key support to the management of the team as a whole.

Areas of responsibility may include but not limited to

• Ensure the effective validation and assessment of all disability claims according to company policy whilst having a client centered approach ingrained into the communication and management of all relevant stakeholders and clients
• Review and follow up on all types of disability claims within agreed authority structures and targets in accordance with client service levels, claims management and process requirements
• Makes correct decisions - medically researched, legally defendable, fair, equitable and justifiable final decisions
• Communicate to internal and external stakeholders on set requirements, decision letters and progress on claims in a clear, friendly, and concise manner using appropriate language and a client centric approach
• Ensure all Internal and External communication (Written and Verbal) is done so in a professional manner and in line with the company policy and does not contravene the POPI Act.
• Ensure that all queries are answered correctly in a logical and fair manner in accordance client service levels using a client centric approach
• Bring medical expertise, experience and skills and assist with continual medical training, coaching, mentoring, development, empowerment, and performance of fellow disability claims team members.
• To liaise with associated persons such as Medical Officers, Reinsurers, Legal Officers, rehabilitation consultants, investigators, and management
• Work effectively in a team environment, share information, and provide support to other team members
• Contribute to team and cross-team processes, discussions, interactions, activities, and programmes
• Create and Implement initiatives and opportunities for change and improvement – within the team, business, and self.
• Maintains and develops professional relationships with internal and external clients and ensures the best communication with customers using a client centric approach.
• Seeks and receives the advice and input of others
• Seeks involvement in projects of varying subject matter
• Participate in personal and professional development activities, training, and courses
• Additional ad hoc preparations for Audits (Internal and External), Compliance audits and TC

Personal Attributes

The successful candidate must demonstrate the following competencies:

• High Sense of urgency and understanding of efficient and effective client service
• High EQ
• Self-starter with a high attention to detail and be able to multi-task
• Good at follow-through
• Exceptional ability to communicate written and verbally
• Problem solving and solution focused
• Analytical – interpretation
• Building relationships
• Coping with pressure (deadlines)
• Time-Management and Organizational Skills
• Must be team orientated, willing to assist other team members in the office
• Compassion: a successful candidate 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
• Action orientated
• Takes initiative
• Decision making
• Ability to work independently and within a team environment
• Problem solving

Education and Experience

• Allied Professional degree through a registered University
• Qualification – Applicants must have a bachelor’s degree in occupational therapy, Physiotherapy or Speech Therapy or related professions, ideally with experience in VocationalAssessments
• Additional courses recommended but not required: Diploma in Vocational Rehabilitation
• 2 - 5 years of clinical experience
• 2 - 5 years insurance experience
• Experience in the insurance or wellness industries is preferred but not required.
• Computer literate and proficient in Microsoft Office and Excel.

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.