Disability Claims Assessor

Job Summary

NBC Holdings is a leading force in the South African employee benefits arena, providing a comprehensive range of employee benefits, products and services to our valued clients.

We are looking for a Disability Claims Assessor to ensure the effective validation and assessment of disability claims in line with client SLAs.

Key Responsibilities

Client Service:

• Maintain relationships with clients
• Follow-up with clients
• Adherence to turnaround times

Knowledge and Skill:

• Ability to work under tremendous pressure
• Highly organised
• Professional and ethical behaviour
• Attention to detail and high level of accuracy
• Must be able to work within deadline, pressured environment
• Excellent communication skills
• Customer service orientated
• Dependable and reliable – Team player
• Sense of urgency
• Ability to function independently
• Patience and empathy
• Flexibility
• Knowledge of NBC products and services, systems and processes

Maintain Relationships with Clients:

• Contribution towards client satisfaction and retention
• Maintain good relationships with clients and ensure client complaints are kept to a minimum
• Interacts enthusiastically and assertively and is well received by clients
• Communicates professionally, clearly and persuasively
• Able to deal calmly, professionally and assertively with difficult people
• Provides information confidently and displays an in-depth knowledge of the subject

Follow-up with Clients:

• Ensure timeous follow-up with internal and external clients.
• Timeous follow-up with stakeholders and clients (internal and external)

Adherence to turn around times:

• Claims Assessment management reports indicating adherence to timeframes
• Claims Assessors Productivity report/s
• Examples of documents related to timelines: Assessment reports completed and sent to team within the defined timelines

Lower Direct Costs:

• Invoices are prepared and sent to clients timeously
• Contribution towards the financial success of NBC
• Implement cost containment/savings within the Branch/Division

Own IDP and attend Training:

• Take responsibility for own IDP
• Attend and successfully complete all the required training as per Management/NBC
• Observes own work following the training session to determine level of comprehension and application of the learnt activities

Productivity:

• Reports prepared in line with SLA reporting guidelines
• Adherence to the NBC record Control procedures
• Review of quality standards based on quality assurance conducted
• Compliance to the Customer Complaints Management procedures
• Quality of recommendations on assessment reports
• Prepare Assessment reports and send to clients/stakeholders timeously
• Checking reports prepared for Trustee/LAC/RAC and Sub-committee meetings.
• Demonstration of knowledge and understanding of legislation, Fund benefits policies and protocols
• Prepare accurate reports (i.e. disability assessments, trends analysis & ad hoc client reports) timeously as per agreed timeframes
• Action Items processed and distributed as per SLA/NBC standards
• Manage the internal and external marketing objectives according to NBC standards
• Adherence to company rules, policies and procedures

Requirements

Experience:

• Minimum of 1 – 2 years working experience as a Disability Claims Assessor within the Employee Benefits Industry
• Minimum of 1 – 2 years Clinical experience, including involvement in functional capacity evaluations / case management
• Knowledge of Employee Benefits Industry, Disability products and policies
• Report writing skills

Qualifications:

• Bachelor of Occupational Therapy/Bachelor of Physiotherapy/ Bachelor/Diploma in Nursing

Skills and Behavioural Attributes:

• Attention to detail and high level of accuracy
• Ability to work under pressure
• Self-starter & excellent organising skills
• Good verbal, written and communications skills
• Committed and reliable with integrity
• Telephone etiquette and client liaison

Remuneration & Benefits

• Market Related
• Medical Aid
• Provident Fund
• Group Life