Claims Administrator Jobs in Sandton | Apply For Discovery Ltd. Vacancies 2023 in Gauteng

Website Discovery Ltd.

  • Hiring Organisation: Discovery Ltd. Careers
  • Vacant Position: Claims Administrator
  • Job Location: Sandton, Gauteng
  • Required Qualification: Matric
  • Stipend: R353,880 per year

Discovery Ltd. has released a Claims Administrator job notification at Their Official Careers website. Apply For Vacancies in Discovery Ltd. as a Claims Administrator Job Role Which is Available For Sandton, Gauteng Location. To Comply with The position candidate need to have the required qualification as mentioned in the description of the official job portal. Apply as soon as possible before the job gets expired. For more government and private job vacancies in across South Africa Click Here.

Job Description:

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 to not only achieve financial success, but to ignite positive and meaningful change within our society.
About Discovery Employee Benefits
Discovery 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 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.


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.


To Apply Online

First click on the apply now button given below. you will be redirected to the official job portal on company website at there read the official job description provided by the officials of the organization. after reading the job information fill the online job application form carefully then submit the job application form.

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