Sanlam
Disability Claims Consultant (Medical) WC - Bellville
This job is now closed
Job Description
- Req#: 23256
- Assess medical and contractual validity of disability claims
- Proactive case management of income disability claims in terms of the business strategy
- Communicate and liaise with internal and external clients, claimants, medical professions, service providers and intermediaries
- Support the actuarial team and offer input on claims issues
- Administration such as recordkeeping, summarising information, communication to clients and updating systems
- B.Sc. Occupational Therapy or Physiotherapy of qualified Nursing Sister with relevant registration
- At least 3 years experience in disability claims assessment (employee benefits or individual life)
- Computer proficient with Microsoft Office Excel, Word, Powerpoint, Word and Outlook
- Excellent interpersonal skills
- Good verbal and written communication skills
- Well executed report writing ability
- Ability to find solutions related to the probable cause
- Comprehensive understanding of occupational risk and demands
- Understanding of medical conditions and their implications on functional ability and work competence
- Flexible and Adaptable - Rebounds from setbacks and adversity when facing difficult situations.
- Courage - Steps up to address difficult issues, saying what needs to be said.
- Manages Complexity - Demonstrated ability and proven record in making complex decisions.
- Ensures Accountability - Holds self and others accountable to meet commitments.
- Plans and Aligns - Plans and prioritises work to meet commitments aligned to organisational goals
- Cultivates Innovation by creating new and better ways for the organisation to be successful.
- Client Focus - Building strong customer relationships and delivering customer-centric solutions.
- Drives Results - Consistently achieving results and meets deadlines, even under tough circumstances.
- Collaborates - Building partnerships and working collaboratively with others to meet shared objectives.
- Resilience - Rebounding from setbacks and adversity when facing difficult situations.
About Sanlam Corporate
Our vision is to be the preferred partner to the Corporate and Public Sector by providing an awesome client experience and comprehensive solutions that enable the financial resilience and prosperity of those entities and their employees. We believe in creating and cultivating a positive, energised working environment that gives every individual the opportunity to achieve success, embracing diversity and committed to transformation. We do this through living our values of having the courage to be bold, care, collaboration and an intolerance for mediocrity. We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future – your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth.
The overall purpose of the role
Assessing disability claims for validity taking into account the medical/clinical information, the job requirements and the policy contract. Case managing claimants through interaction with stakeholders aimed at facilitating successful return to work. Working closely with the administrative team and collaborating with internal stakeholders to ensure excellent client service.
What will you do?
Key responsibilities:
What will make you successful in this role?
Qualifications and Experience:
Knowledge and Skills
Personal Qualities
Core Competencies
Build a successful career with us
We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future – your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth. Through its four business clusters – Sanlam Life and Savings, Sanlam Investment Group, Sanlam Emerging Markets, Santam, as well as MiWay and the Group Office – the group provides many opportunities for growth and development.
Turnaround time
Our commitment to transformation
The Sanlam Group is committed to transformation and embracing diversity and our employment equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society as well as people with disabilities.
About the company
As one of the largest financial services groups in South Africa, Sanlam provides insurance, investment, financial planning & retirement advice to individuals, businesses & institutions.
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