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
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
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.
Personal Attributes
Team player
Building and maintaining relationships with external and internal clients
Excellent communication skills.
Excellent problem solving and decision making skills
Excellent client service ethics
Ability to use initiative
Good presentation skills
Excellent planning and organizational skills
Ability to work to strict deadlines
Ability to perform under pressure
Results driven
Demonstration of living the company values – Care, Collaboration, Intolerance of Mediocrity,
Courage to be bold
