To apply, click on the link at the end of the posts and all the best with your applications.

Hospital Benefit Specialist – Gauteng

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 Care

Discovery Care, a subsidiary of Discovery Health, comprises of several specialized clinical areas with segmented teams. The Chronic and PMB Management team handles the processing of Chronic and Prescribed Minimum Benefit requests and manages escalated clinical queries. The HIV/Oncology and In-Hospital Case Management teams review clinical cases specific to their areas of expertise. The High Touch team provides hands-on services and resolves escalated queries for sensitive cases. Additionally, the Hospital Benefit Specialists, as part of field force, are responsible for real-time risk management and the Care Coordination Services manages the Managed Care programs.

Key Purpose:

The successful applicant will be responsible for but not limited to the following job functions:

Assessing the case in relation to the following:

• Members clinical history
• Members benefit structure
• Clinical Information and coding supplied
• Level of care provided
• Appropriateness of the facility
• Appropriateness of the treating doctor
• Appropriateness of treatment
• Managing the benefit for the member and the risk for the relevant scheme through a thorough process to approve or decline Funding to ensure that the member gets the appropriate level of care
• Discharge planning by providing the member with alternatives to receive treatment (This includes Hospital @ Home, Homecare etc.)

Effective and accurate communication to all stakeholders:

• Case update to the provider
• Funding decisions and benefit confirmation to the members
• Request for additional information from the treating doctor or practice manager
• Engaging with Patient Services Manager and hospital staff
• Handling escalations from Providers and internal stakeholders
• Preparing and presenting complex case to clinical review
• Trend Analysis of inefficiencies and proposals to correct
• Appropriate internal case referrals for clinical management

Operational Targets:

• Attend to patients on daily report
• Review all low acuity admission requests
• Quality of processes

Competencies:

The successful candidate must demonstrate the following competencies:

Role Specific Behaviours
☒Ensures accountability.☒Action oriented☒Manages ambiguity.☐Attracts top talent.☒Business insight☒Collaborates☒Communicates effectively.☒Manages complexity.☒Manages conflict.☒Courage☒Customer focus☒Decision quality☐Develops talent	☐Values differences☐Directs work.☐Drives engagement☐Financial acumen☐Global perspective☒Cultivates innovation.☒Interpersonal savvy☒Builds networks.☒Nimble learning☒Organizational savvy☒Persuades☒Plans and aligns.☒Being resilient	☒Resourcefulness☐Drives results☒Demonstrates self-awareness.☒Self-development☒Situational adaptability☐Balances stakeholders☐Strategic mindset☐Builds effective teams.☐Tech savvy☐Instils trust.☐Drives vision and purpose☐Optimizes work processes

Education and Experience:

The following requirements are essential:

• Matric
• Must be a Registered Nurse
• Valid SANC Registration
• 3 years Clinical experience in a private hospital setting (ICU, Trauma/Casualty, Medical/General ward preferable)
• 2 years Managed health care experience 
• Microsoft Office (Specifically Excel experience)
• Valid Driver’s License and own transport ( working hours are between 08:30 -17:00 & travel up to 50KM may be required)
• Effective Communication Skills (Verbal & Written)
• Telephone Etiquette
• Active Listening Skills

The following requirements are advantageous:

• 1 – 2 years ICU experience

• Knowledge of DH SOP’s and Process experience (internal only)
• Provider payment arrangements (internal Only)
• Clinical coding knowledge of ICD-10 and/or CCSA

Personal Attributes or Competency Profile
The Discovery Person	Values DrivenOptimisticLearns on the FlyResilientInstils TrustPeople SavvyDrives ResultsProblem Solver

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.

Java Developer (Senior)-Talent Pool

About Vitality RSA Systems

Discovery Vitality RSA Systems is a dynamic and energetic environment which encourages an ownership attitude.  The environment provides innovative systems development, architecture, support and infrastructure to our internal clients. This environment thrives on customer engagement and customer experience as well as mutually beneficial relationships with our business units and other key stakeholders. It is important for our employees to provide a world class service to our internal and external clients, thereby ensuring long and sustainable relationships.

Key Purpose

Designs, develops, and implements Java applications to support business requirements. Follows approved life cycle methodologies, creates design documents, writes code and performs unit and functional testing of software. Contributes to the overall architecture and standards of the group, acts as an SME and plays a software governance role.

Areas of responsibility may include but not limited to

• Work closely with business analysts to analyse and understand the business requirements and business case, in order to produce simple, cost effective and innovative solution designs.

• Implement the designed solutions in the required development language (typically Java) in accordance with the Vitality Group standards, processes, tools and frameworks.
• Testing the quality of produced software thoroughly through participation in code reviews, the use of static code analysis tools, creation and execution of unit tests, functional regression tests, load tests and stress tests and evaluating the results of performance metrics collected on the software.
• Participate in feasibility studies, proof of concepts, JAD sessions, estimation and costing sessions, evaluate and review programming methods, tools and standards, etc.
• Maintain the system in production and provide support in the form of query resolution and defect fixes.
• Prepare the necessary technical documentation including payload definitions, class diagrams, activity diagrams, ERDs, operational and support documentation, etc.
• Driving the skills development of team members, coaching of team members for performance and coaching on career development, recruitment, staff training, performance management, etc.

Personal Attributes and Skills

• Customer-service orientation
• Concern for order
• Self-control
• Flexibility
• High standards for delivery
• Professionalism
• Teamwork and co-operation
• Self-driven
• Proactive
• Overtime will be required from time to time.
• Standby will be required on a rotational cycle

Education and Experience

• A diploma or degree in IT would be advantageous
• 6 or more years of experience within a similar role
• Learning orientation, structured and analytical problem solving, prioritization, planning and organizing; coaching and mentoring (essential)
• Knowledge of Java, Object Orientation, Spring, Hibernate, Junit, SOA, SOAP, REST, Microservices, Docker, Data Modelling, UML, SQL, Architectural Styles (essential)
• Knowledge of Kafka, Zookeeper, Zuul, Eureka, Obsidian, Elasticsearch, Kibana, Fluentd (advantageous)

Administrator – 6 Month Contract

Business Unit: Discovery Central Services
Function: Administration and Office Support
Date: 17 Apr 2025
Job Profile Title

Compliance Support Administrator | Staff 6 Month Fixed Term Contract

Discovery Track

Specialist Track

Discovery Job Level

Staff

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

Job Description

The FAIS Centre of Excellence is a compliance function within Group Compliance that provides compliance oversight and advice to Discovery FSPs, Key Individual and Representatives.

The purpose of this role in the FAIS Centre of Excellence is to provide administrative support to the compliance department and business as well as creating and maintaining the Representative Registers for all Discovery FSP’s.

Key Outputs / Job Responsibilities may include but are not limited to:
Conducting Pre-Employment for representatives
Compiling Viabilities for representatives after all required documentation has been received
Analysing feedback received for Credit, Criminal, Sequestration, Qualification, World Sanction, Trust Index, Raptor, Debarment, Paradigm, CMS and FSCA checks
Liaising with various external vendors regarding Credit / Qualification checks (MIE & FSCA)
Communicating to business and provide feedback on Pre-Employment
Attending to general queries and provide feedback to business
Adding of representatives at the FSCA and on Digiboard (Onboarding)
Removing of representatives at the FSCA and Digiboard (Resignations)
Adding and removing of categories on Digiboard and at the FSCA
Requesting to open/close/suspend commission code for Reps according to registrations at FSCA
Checking and processing Supervision Sign offs
Supervision updates
Analysis and updating of all competency requirements on representatives
Conduct investigations related to representatives’ profiles and provide feedback to Business
Transfers
Personal updates
Updating of CMS accreditation
Send and follow up exemption applications to the FSCA
Ensure information and documentation on Digiboard is updated including debarment notifications, annual attestations etc
Manage and maintain work pool to prevent cases from going out of SLA

Job / Role Requirements

Work Experience

Required

Working experience in a financial services compliance role and understanding of legislation is preferable

Education / Qualifications / Accreditations with Professional Body

Required

Law Degree

Preferred (would be advantageous)

RE 5

Technical Skills or Knowledge

Gained through formal/informal education or experience and involves the application of techniques or methodologies. Define the level of skill required for the role

Required

Skills

*Level: Basic, Intermediate, Advanced, Expert

Strong listening and communication skills
Work independently and as part of a team when required
Support management in achievement of team objectives as well as the Centre of Excellence’s objectives
Efficient time management skills, including quick turnaround time on work
Attention to detail
Knowledge of Business Procedures, Rules, Processes and Controls
Accountability
Pro-active
Problem solving
Discerning
Advanced

Junior Data Scientist

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

About (Risk Intelligence)

The Risk Intelligence team is responsible for the measurement and reporting of clinical experience for each of our client schemes, providing actuarial analytic support for managed care interventions, healthcare quality public reporting initiatives, provider contracting, and clinical profile reports of clinician utilisation patterns and adherence to evidence based clinical process measures.

Key Purpose

In this role you will be involved in creating opportunities that delight our customers by leveraging Discovery’s vast clinical, demographic, and operational data. The successful applicant will be working within a highly specialized and growing team investigating ways to optimize and improve client services for Discovery’s client schemes. The successful candidate must be motivated, productive and work well within a team.

Areas of responsibility may include but not limited to

• Connecting with a multitude of stakeholders to understand the data in a healthcare and operational context
• Mining large datasets to find new insights to inform operational efficiency and ‘member- delight’ interaction strategies
• You will be expected to deliver clear and reliable results on tight and high-pressured deadlines at times
• Use data to provide insights with predictive modelling, visualisations, advanced SQL scripts
• Present data and model findings in a way that provides actionable insights to business users

Personal Attributes and Skills

• Experience in programming languages such as R, Python, Scala
• Expert in data manipulation skills including SQL to extract, transform and load data
• Experience in interactive data exploration and data-driven story telling
• Strong analytical and statistical knowledge
• Ability to formulate problem statements and develop a plan for tackling the problem
• Strong ability to communicate findings and recommendations from data (visual, verbal and written)
• Self-starter
• Willingness to learn and grow exponentially
• A restless curiosity towards data and uncovering unknown correlations
• Ability to work cohesively in a team environment and balance multiple priorities
• A team player who can work alone when required and without supervision
• High level of attention to detail, resilience, enthusiasm, energy, and drive
• Positive, can-do attitude

Education and Experience

• Honours or Master’s degree in either Statistics, or Applied Mathematics
• Honours or Master’s degree in Computer Science with experience in statistical modelling, data mining and machine learning
• Other analytical qualifications will also be considered if accompanied by the relevant experience
• Analytical work experience in the financial or health services industry (advantageous)

Non Motor Moderator – Buildings

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 Insure

Discovery Insure is committed to creating a nation of great drivers through our innovative Shared-value Insurance model. Discovery Insure is South Africa’s fastest growing short-term insurance company with comprehensive products that provide protection against current and emerging risks facing clients in the motor and home insurance sectors. Vitality Drive, an internationally-recognised and award-winning programme, is a key differentiator in the market that incentivises and rewards clients for driving well. The Vitality Drive programme has been scaled to local and international markets which now include Europe and the Middle East. The company employs over 1 000 people who are committed to putting our customers and financial advisers first by providing unique and innovative solutions and cover.

Key Purpose

The purpose of the role is to determine the quantum and merit of non-motor claims by moderating the claim, performing investigations and verifying the description of the event with the loss to ensure the most fair and accurate settlement amount of the claim.

Areas of responsibility may include but are not limited to

• Checking completeness and correctness of non-motor assessments
• Identifying what is required and outstanding from assessor / client
• Verifying and correcting all assessing fees against approved / reasonable rates guidelines
• Verifying and correcting all replacement values to ensure best possible cost
• Managing relationships with internal and external stakeholders
• Ensuring maximum possible savings are achieved on all claims moderated
• Reporting on all moderated claims to show savings achieved
• Identifying and escalating matters to claims and procurements teams where necessary
• Identifying opportunities in the non-motor environment that will improve costs and efficiencies

Skills

• Computer literate (MS Word, Power Point, Excel, Outlook)
• Investigative skills
• High attention to detail
• In depth claims and assessing knowledge
• Buildings and contents assessing knowledge
• Data analysis and reporting
• Relationship building skills
• Negotiating skills
• Leadership skills

Education and Experience

Education:

• Matric (Grade 12) with Mathematics
• Short-term insurance qualification
• A B-degree or studying towards such a degree
• Certified Fraud Examiner qualification – Advantageous
• Post graduate insurance qualification – Advantageous

 Minimum Experience:              

• Minimum 5 years short term insurance experience
• Minimum 5 years specialist non-motor buildings digital / field moderation/assessing
• Claims assessment management experience
• Fraud experience in short term insurance  – 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.

Java Developer (Intermediate)

Java Developer

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 Application Platform Services

Working in a high performance organization that prides itself in attracting the finest talent, we challenge ourselves to find solutions that make a difference in the world. Our environment is always buzzing with energy and smart, motivated people working on finding the best way to move forward.

The Application Platform Services team works on dynamic new projects and product enhancements within the web and mobile platforms in order to improve business inefficiencies, gain competitive advantage on our products and ultimately to provide better service to our clients. Using knowledge of the organization’s technology infrastructure and specific software applications, Application Platform Services helps the business to address changes through technologies.

Key Purpose

Within the Application Platform Services system area, the Java Developer must work together with Business Analyst, UX & Content Teams, System Architect and managers to understand the overall business need and the requirements, design the system solution using various approaches and technologies, implement the designed solution in the system with high quality source codes.

The Java Developer will support the projects throughout the project life-cycle, including requirements, design, implementation, release and post release support.

The Java Developer in the Application Platform Services area must be technically able support and maintain the deployed applications on dev, test and production environments.

Areas of responsibility may include but not limited to

• Develop, test, and maintain the deployed application software with high quality
• Analyse, maintain and enhance existing application and troubleshoot issues with efficiency
• Perform accurate development estimation
• Produce technical specifications and designs.
• Analytical and problem solving skills
• Self-starter who takes ownership, is accountable, and is able to work under minimum supervision
• Excellent written and verbal communication skills
• Can help with quality assurance and provide comments
• Present to senior stakeholders
• Offer support and guidance to peers
• Perform analysis at a strategic level and understand principles of business, technical and enterprise architecture

Personal Attributes and Skills

• Passionate about technology and development.
• Results oriented with the ability to work under pressure and juggle multiple concurrent projects with changing priorities and deadlines
• Analytical thinking
• Personal organisation and time management skills
• Technical and business writing skills
• Presentation and facilitation skills
• Communication skills (written, verbal/presenting and listening)
• Stress management
• Customer focused
• Results oriented
• Able to resolve conflict
• Creative
• Innovative
• Self-driven
• Attention to detail
• Ability to build relationships with people from all different backgrounds and at different job levels

Education and Experience

• Minimum
  • Matric/Grade 12 and formal Java qualifications.
  • 3 years Java systems development experience
  • Java EE knowledge and experience
  • Experience with SOAP and REST services
  • Unit testing and mocking frameworks
  • Source control, experience with GIT
  • Experience with industry standard Application Servers (preferably WebLogic)
  • Knowledge of OO design principles and development patterns

• Preferred
  • IT related Degree or Diploma (BSc/BTech or similar).
  • Angular Framework
  • Spring Framework
  • SQL and ORM experience
  • Presentation layer development (HTML5, CSS, JavaScript, jQuery, GWT, Spring MVC)
  • Experience using formal modelling languages (UML, etc) and modelling tools (Enterprise Architect, Visual Paradigm etc.)
  • Exposure to Agile principles and methodologies, including Continuous Integration and Test Driven Development

• Advantageous
  • Honours degree
  • DevOps/Continuous integration
  • Exposure to the Atlassian tool suite (Jira, Confluence, Bamboo and Bitbucket)

Head of Healthy Company

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.

 

Key Purpose of the role

Healthy Company is a product of Discovery Corporate and Employee Benefits. It is an Employee Assistance Programme (EAP) offered to corporate clients as an employee benefit to improve the health and wellness of employees through a dedicated team of coaches responsible for providing support, counselling and query resolution to members, as well as proactively initiating outreach to members to increase engagement in the programme.

This position is primarily responsible for the growth of the business, servicing and retention of existing corporate clients by conceptualizing and driving strategies focused on unlocking, coordinating and embedding solutions. Key for this role is to entrench the product, optimize and maximize relationships across the value chain through effective and efficient systems, process and infrastructure. Brings thought leadership to the industry that sets Healthy Company apart in the market

Areas of responsibility may include but not limited to

• Responsible for growing the Healthy Company business
• Lead the design and execution of strategies that enable growth for the Healthy Company Product
• Ensure delivery of exceptional experiences for all stakeholder groupings, such as the design of member, employer, and adviser centric processes.
• Shape and create industry leading experiences across every touch point for all stakeholders.
• Support ideation, strategy, and implementation concepts across various Customer Experience (CX) and implantation initiatives that support growth and retention objectives.
• Bring strong, customer cantered design skills and business knowledge to translate ambiguous and conceptual ideas into exceptional design solutions at scale.
• In conjunction with responsible Executive, continuously ensure that systems, service and supporting infrastructure remains fail proof and fit for purpose.
• Ensure continuous review of service and systems infrastructural landscape to manage risk for the differences business within each segment.
• Continuously unlock opportunities for operational and service efficiency and excellence, leading to sustainability – entrench a culture of continuous improvement.
• Actively support client implementations and product adoption across products within the Healthy Company portfolio.
• Leads and manages a high-performing team focused on unlocking, delivery and embedding of exceptional client and adviser experiences.
• Collaborate with business/segment executives and other critical stakeholders in the continuous ideation of value-adding client and adviser propositions.
• Lead and support Key Account Managers for the different segments in the execution of their duties.
• Regulatory, legal and compliance oversight for all Healthy Company Products. This includes representation at key forums (CCF, TCF, FSCA forums). This includes leading the audit support and binder reviews.
• Implementation and management of Distribution Partner strategies.
• Management and oversight of product cost centres and budgets.
• Working with the Partner team on management of the Partnerships (like PHS) across Finance, Regulatory, Operations and Systems streams.
• Support the RFP and Tender processes for Healthy Company.
• Manage relationships and contracts with Third Party Providers.

 

Personal Attributes and Skills     

The successful candidate must demonstrate the following competencies:

• Values Driven
• Optimistic
• Learns on the Fly
• Resilient
• Instils Trust
• People Savvy
• Drives Results
• Exceptional analytical, problem solving and research skills
• Strong business acumen with an ability to lead a business
• Sales and growth orientation
• Creative thinking and the ability to operationalise innovation
• The ability to influence and negotiate with impact across divisions and teams at all levels, and with external parties
• Reliability and dependability – can be counted on
• Sophisticated written and verbal communication skills for executive-level internal and external delivery
• A commitment to excellence
• An ability to deal with ambiguity and continuous change

 

Education and Experience

A minimum of 5 years Health insurance and Health Care experience.A minimum of 5 years of formal work experience, with operations leadership, systems implementation and leading delivery of key business projects that shift the landscape.Proven track record in stakeholder management (internal and external) and exceptional business delivery.5 – 7 years Discovery Health Experience (Advantageous).More than 5 years – Key account management (Preferred).A completed 3-year Business degree or the equivalent at an accredited institution.

Compliance Officer

Job Specifications

Compliance Officer – Corporate Compliance (Central Functions)

The successful candidate will carry out the day-to-day Compliance Risk Management duties to ensure that the company complies with the regulatory requirements and internal policies that impact it, including in relation to information technology, governance and security.

Job description

Key Output

• Provide support and technical guidance on legislative compliance matters aligned to the Group Compliance Framework.
• Analyse current and forthcoming regulatory developments, proposals, best practices and legislation to proactively identify compliance impact, provide meaningful detailed analysis and facilitate implementation.
• Participate in the maintenance of the regulatory universe
• Facilitate the development and ongoing maintenance of the Compliance Risk Management Plans and Regulatory Impact Assessments for the Discovery Central Functions
• Conduct compliance monitoring reviews and provide recommendations for improvement.
• Review and provide input into policies to ensure compliance by Discovery Central Functions.
• Compile compliance reports
• Conduct detailed research on developments globally that may have an impact of Discovery Central Functions.
• Keep abreast of industry regulations, standards and best practices to proactively address compliance issues.
• Assist management to influence proposed legislative changes and projects initiated by the industry bodies or directly by Regulatory Authorities.
• Provide input into training and awareness initiatives.
• Relationship management and interaction with internal and external stakeholders.

NB: The role is not limited to the key outputs mentioned above.

Competencies

• Communicate clearly and concisely.
• Flexible approach and a team player.
• Good people skills as well as being able to communicate well in all aspects of the company.
• Takes initiative and works under own direction.
• Upholds ethics and values and demonstrates high levels of integrity.
• Engages professionally.
• Methodically plans and organises tasks.
• Adapts and responds positively to change.
• Ability to multitask and handle stress.
• Strong MS office skills.

Minimum Qualifications and Experience

• Bachelor’s degree in Legal, IT, Commerce, or related field.
• Minimum 3 years’ experience in IT Compliance or Corporate or Regulatory Risk Management
• Solid exposure to IT related legislation.

Advantageous Qualifications and experience

• Certificate in Compliance Management will be advantageous

Claims Assessor (Cape Town)

Key Purpose

To investigate and validate motor claims to determine validity based on the Discovery Insure contract. To correctly quantify and validate losses and serve as a mediator between clients and/or brokers. Provide feedback and support to claims consultants and foster good relationships between brokers and clients.

Areas of responsibility may include but not limited to

• Motor claims investigation and validation, including settlement, rejection and repair within service level agreement.
• Turn-around time and predetermined mandates.
• Loss adjustment by correctly quantifying losses and/or verifying claimed amounts. Mediation between Insure client and/or broker.
• Reporting on all assessed claims and making recommendations.
• Analyse client behaviour to determine legitimacy of claims.
• Investigate and report on fraudulent claims.
• Perform administrative tasks and meet strict deadlines.
• Make recommendations to prevent fraud.
• Analyse, collecting, evaluating and handling of evidence.
• Claims forum presenting of claims.

Education and Experience

• Matric (Essential)
• 5 years’ minimum short term insurance claims experience (Essential)
• 5 years’ short-term insurance motor/non-motor claims validations and investigations experience (Essential)
• Interviewing techniques (Essential)
• Investigation terminology (Essential)
• Tertiary qualification relating to investigations and interviewing e.g. Certified Fraud Examiner (Advantageous)
• Hold a valid driver licence
• Willing to travel

Key Purpose

To investigate and validate motor claims to determine validity based on the Discovery Insure contract. To correctly quantify and validate losses and serve as a mediator between clients and/or brokers. Provide feedback and support to claims consultants and foster good relationships between brokers and clients.

Areas of responsibility may include but not limited to

• Motor claims investigation and validation, including settlement, rejection and repair within service level agreement.
• Turn-around time and predetermined mandates.
• Loss adjustment by correctly quantifying losses and/or verifying claimed amounts. Mediation between Insure client and/or broker.
• Reporting on all assessed claims and making recommendations.
• Analyse client behaviour to determine legitimacy of claims.
• Investigate and report on fraudulent claims.
• Perform administrative tasks and meet strict deadlines.
• Make recommendations to prevent fraud.
• Analyse, collecting, evaluating and handling of evidence.
• Claims forum presenting of claims.

Education and Experience

• Matric (Essential)
• 5 years’ minimum short term insurance claims experience (Essential)
• 5 years’ short-term insurance motor/non-motor claims validations and investigations experience (Essential)
• Interviewing techniques (Essential)
• Investigation terminology (Essential)
• Tertiary qualification relating to investigations and interviewing e.g. Certified Fraud Examiner (Advantageous)
• Hold a valid driver licence
• Willing to travel

Desktop Assessor

Key Purpose

To investigate and validate non-motor claims to determine validity based on the Discovery Insure contract.

Areas of responsibility may include but not limited to

• Motor and Non-Motor validation within predetermined mandates.
• Accurate compiling of reports with findings and recommendations for line management to make an informed decision
• Quantify Non- Motor losses accurately and facilitate the process between the broker and/or client.
• Attending weekly claims forum meetings.
• Liaise with Service Providers and provide back office support to claims consultants.

Personal Attributes and Skills

• Analytical
• Negotiation
• Conflict handling
• Communication (written and verbal)
• MS office           
• Investigation and interviewing

Education and Experience

• Matric (Essential)
• Minimum of 3 years’ motor and/or non-motor short term insurance experience (Essential)
• Minimum of 1 year claims motor and/or non-motor short term insurance investigation experience outside of Discovery Insure (Essential)
• Degree (advantageous)
• Successfully completed or currently busy with the Insure in-house Assessor Development programme (Essential)

Click here to apply

We wish you all the best with your applications