Healthcare/Insurance
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Job Purpose
To manage incapacity and PILIR applications within client portfolio, perform disability / incapacity assessments and consult to clients with regards to disability, incapacity and absenteeism
Required
BSC Occupational Therapy / BSC Physiotherapy (or equivalent Bachelor’s degree)
Above 3 years’ experience in the insurance or health risk management industry and 2 years clinical experience
Must be registered with HPCSA
Knowledge and skills:
Extensive practical experience on Microsoft Office (Outlook, Word, Excel, PowerPoint)
Extensive clinical knowledge and application in assessments
Knowledge of Labour relations Act, BCEA
Vocational rehabilitation knowledge
Key performance areas:
1. Manage the disability, ill health and incapacity claims, within your clients portfolio
Perform disability / incapacity assessments
Liaise with the relevant medical specialists
Liaise with the client – HR, Management team and EXCO where need be
Compile reports to clients, weekly, monthly, quarterly and annually
Present to clients at trustee meetings, panel meetings or managerial meetings
Assess PILIR applications
Completed disability / incapacity assessments and decisions provided to the insurer and client Reports received by client on status of claims.
2. Consulting
Consult with corporate clients on absenteeism, disability, ill health and incapacity
Implement interventions to manage health risks
Documented consultations with clients and outcomes thereof
3. Supervision
Supervise associate disability consultants assessments and client
Develop relationship with team that will foster a good working environment
Manage client portfolio of the team supervising with Team
Manager Assume team manager role in the absence of the team manager
4. Client Management
Ensure client satisfaction
Conduct training sessions and presentations to clients
Compile Trustee reports and present to Trustees
Compile and perform fund analysis
Monthly status reporting
Reports compiled within agreed timelines and submitted
5. Case Management
Ensure claims (incapacity and disability) allocated meet the required standard
Manage client queries
Ensure effective communication with role players involved in the claims process
Positive feedback from clients
Improved adherence to processes by all role players
6. Further Education:
Engage in professional and other developmental activities, as they arise e.g. CPD sessions etc.
