Job Purpose
To manage disability claims within client portfolio, perform disability assessments and consult to clients with regards to disability, incapacity and absenteeism.
Requirements: Education and Experience
BSc Occupational Therapist / BSc Physiotherapist (or equivalent Bachelor’s degree)
2 – 3 years clinical experience
Experience in the health risk management or insurance industry preferable
Must be registered with HPCSA
Knowledge and skills
Strong decision-making skills
Strong problem-solving skills
Good communication skills, both written and verbal
Be able to cope in a high-pressured environment.
Business understanding
Business Acumen
Competencies: Business Skills: CLIENT MANAGEMENT
Ability to interact with Clients
Relationship building and stakeholder management
Client insight
Innovation Advice
EXECUTION EXCELLENCE
Strategic Innovative thinking and delivery
Ability to Think Big Picture (Strategic Thinking)
Results - Orientated
Client SLA management and delivery
Accountability
Operational excellence
Managing change
Creative Problem- Solver
Functional Skills
Professional
Hard-worker
Team-player
Logical
Good people skills
Report writing skills
Strong work ethic
Core skills
Build Emotional Connection to the Brand
Creative and innovative thinking
Initiative
Learning Agility
Key performance areas
Manage the disability, ill health and incapacity claims, within client portfolio:
Compile incapacity and ill health assessments
Liaise with the client
Compile reports to clients, weekly, monthly, quarterly and annually
Liaise with treating and independent medical professionals
Consulting
Consult with clients on absenteeism, disability, ill health and incapacity issues
Client Management
Ensure that the client is satisfied with the service received in terms of the claims management
Conduct training sessions and presentations to clients
Compile reports and present to clients
Compile and perform trend analysis
Ensure status report are accurate and are sent to client as required Case Management
Ensure claims (incapacity and disability) allocated meet the required standard
Deal with Client queries
Ensure effective communication with role players involved in the claims process
General
Assist in projects where required
Attend all meetings where required
Further Education
Engage in professional and other developmental activities, as they arise e.g. CPD sessions etc.
Technical
Extensive practical experience on Microsoft office (outlook, word, excel, powerpoint)
