Purpose

• To provide specialist advise and support ensuring that claims are paid out as accurately and timeously as possible, through the execution of predefined objectives as per agreed standard operating procedures (SOPs).

Minimum Experience

• 2 – 3 years experience in a similar environment

Minimum Qualifications

• Occupational Therapy Degree 

Key Responsibilities:

• Apply relevant research methodologies, tools and techniques to effectively and purposefully gather information.
• Understand and apply existing best practice frameworks to assist in the implementation of identified subject matter processes and standards.
• Independently, fairly and effectively assess and manage risk claims within relevant authority limits.
• Provide specialist advice and support in area of accountability to ensure that identified solutions and recommendations are appropriate and effective.
• Process special claims as and when they occur and provide support to resolve relevant concerns related to claims.
• Accountable for the execution of specialised work including the improvement of quality, standards and outputs within defined work routines and operating procedures.
• Proactively solves problems, determines root-cause and applies solutions in line with guidelines and providing the necessary information to solve problems related to area of specialisation.