Date: 18-May-2021
Location: South Africa
Company: Sanlam Group
Who are we?
Sanlam Corporate Cluster comprises of the two existing businesses – Sanlam Employee Benefits (SEB) and Sanlam Health Management (SHM) and the soon to be established Sanlam Corporate Solutions. These businesses enhance our corporate business offering through providing integrated solutions for corporate clients both in South Africa and across the African continent by providing tailored solutions to targeted corporates. SEB CORE specializes in retirement fund administration to institutional retirement funds spread over a number of industries and services from large single employer run stand-alone funds to multi-employer umbrella funds. This business unit is also responsible for ongoing client servicing ranging from board of Trustees, Employers, Intermediaries and Employees. It is also responsible for the IT deliverables and digital strategy for Sanlam Employee Benefits.
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.
What will you do?
Under general direction and within company guidelines will research, collate, record and examine complex claims to make long term claim settlement determinations. Within approved guidelines will approve claims. Will source inputs from Claims Consultant where necessary.
Key Responsibilities
Manage and own a portfolio of clients.
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 professionals,
service providers and intermediaries.
Support the actuarial team and offer input on claims issues and product development.
Provide input in terms of strategy for the team.
Provide input and assist with education and training, internally and externally.
Administration such as recordkeeping, summarizing information, communication to clients and
updating systems.
Represent the company at all times
Travel as is required
Qualification and Experience
3-5 years’ experience in disability claims assessment, functional impairment and fitness for work
assessment
Experience in Case Management
Computer literate with proficiency in Microsoft Office (Word, Excel and PowerPoint)
Qualification and Registration as an Occupational Therapist/Physiotherapist/Nursing Sister is a
minimum requirement.
Understanding of medical conditions and their implications on functional ability and work
competence.
Product knowledge and understanding of the Group Risk and/ or Retirement Fund Industry.
Good working knowledge of Excel, PowerPoint, Word and Outlook
Knowledge and Skills
Analysis, assessment and management of clinical outcomes and risk
Management of scheme service level agreements
Best practice clinical processes and management
Coaching and mentoring others on Case Management
Risk Management
