Disability Claims Consultant (Medical)

at  Sanlam

Qualifications and experience

• 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 Outloo

Skills and knowledge

• 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 competenc

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.

KEY RESPONSIBILITIES

• 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

Qualifications and experience

• 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

Skills and knowledge

• 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

Personal attributes

• 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

Core competencies

• 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.