MMI Holdings Limited Jobs
Disability Claims Assessor (#24171) at Life Insurance CoE
MMI Holdings Limited (MMI) is a South African based financial services group listed on the South African stock exchange, the JSE.
The group operates in the market through multiple client-facing brands including insurance and investment brands Metropolitan and Momentum, South Africa’s number one cell captive insurer Guardrisk and wellness & rewards programme Multiply.
MMI operates in 14 countries, 12 in the African continent, United Kingdom and India through a direct presence, strategic partnerships and joint ventures. MMI’s purpose is to enhance the lifetime Financial Wellness of people, their communities and their businesses. Financial Wellness is a continuous process of planning and management for individuals, households and businesses, with the aim of affording expenses and achieving goals over one’s lifetime.
Our promise to our clients is to be their Financial Wellness partner over this life-long journey, using our expertise and solutions to help them develop and reach their goals. Visit us at www.mmiholdings.co.za ROLE PURPOSE Receives disability claims and assesses payment of benefits in accordance to the rules of the rules of the fund and in applying clinical expertise. REQUIREMENTS Develop effective relationships with stakeholders at all levels of the organisation, including 3rd parties and service providers. Monitor customer delivery constraints and escalate exceptions to management.
Ensure Service Level Agreements are met and exceeded. Identify risks to the company and escalate accordingly. Monitor claims received to ensure that duplication does not occur resulting in financial loss to the company.
Drive and support effective teamwork within the department. Engage in appropriate training interventions to promote own professional development.
Ensure to demonstrate the company's values on a daily basis. Adhere to organisational best practice and legislative requirements. Ensure effective claims management service delivery and support. Perform an efficient and accurate administrative function.
Identify and investigate all possible non-disclosure of pre-existing conditions. Validate all claims, and ensure they are correctly completed and indexed, and no duplication and whether pre-approval has been obtained. Adhere to policies and procedures and take corrective action where necessary. Ensure all risks are mitigated and escalated where necessary. WHAT YOU'LL NEED: Understanding of medical conditions and their implication on functional ability, especially relating to job requirements. Understanding and knowledge of the group insurance Industry. Appreciation of future trends within Employee Benefits. Knowledge of current legislation relevant to the industry. COMPETENCIES REQUIRED Action and results orientation Innovation Leveraging Technology Numeracy Reading and Comprehension Relationship Building Working in teams EXPERIENCE AND QUALIFICATIONS BOT (Bachelor of Arts Occupational Therapy) / BSc.OT degree or BSc Physiotherapy. Nursing Qualification. Registration with the HPCSA as OT, Physio or Nurse. Minimum 1 year relevant experience. LOCATION The above-mentioned position is currently available in our offices in Centurion. Please submit your application via our Careers page on www.mmiholdings.co.za To apply, please follow the official system application process and get in touch with the PeopleSoft Helpdesk (021 940 5169) if you need further assistance. Closing Date 30 January 2018 Contact Details Jacci Cloete Jacqueline.Cloete@mmiholdings.co.za(The purpose for this email address is solely for queries regarding the advertised position and no emailed CV's will be accepted. Only online applications submitted via our Careers page will be considered.) 0219404009 All positions will be filled in accordance with our Employment Equity plan. We also encourage people with disabilities to apply.
