Claims Manager

Claims Manager

Our client a dynamic and vibrant player in South Africa’s financial services industry is looking for an experienced Claims Manager to join their remarkable team.

Minimum requirements:

Grade 12 (Essential)

Relevant tertiary qualification (OT/ Nursing/ Physiotherapy would be advantageous)

Claims management experience in individual life and group risk (Essential)

Minimum 3 years management experience within the long-term insurance industry

Minimum 2-3 years’ experience as a group risk/ Individual life assessor

Proven experience in running a successful customer team that adds customer value and alignment to the company goals and strategic objectives (Essential)

MS Office and PC literate

Ability to facilitate executive and senior-level executive engagements (Essential)

Sound Business and Operational knowledge of the Insurance industry

Good knowledge of the business administration platforms

Familiar with Compliance Processes and Procedures in the Insurance Industry

our Outputs (include but is not limited to):

Provide optimal staff capacity with correct skills.

Contain and improve cost effectiveness of functions provided

Implementation of agreed initiatives to improve operational efficiency and customer

experience

Ensure that the various SLAs are adhered to and delivered at agreed quality standards, set

targets to facilitate continuous improvement of both SLA and quality standards

Monitor external perception rating and ensure that the scores are within the agreed targets

Identifying and reporting on service failures and errors

Ensure and assist with training and development of junior and middle management

Contribute to the various cross functional forums to help improve efficiencies in other areas

Ensuring that all correspondence is professional and in line with standards and protocols of

the organisation

Help manage and determine the budget of the business area

Interact with executive management in other business areas to ensure clear communication

and service delivery to other business functions

Help formulate strategy of business area

Knowledge:

Life insurance business processes and claims

MS Office and PC literate

Team Player

Customer Champion

Relationship management

You can take ownership and accountability

You can multi-task

You have negotiation skills

Excellent verbal and written communication skills

You can operate effectively under pressure

You have an analytical mind and above average problem-solving techniques

You have good time management skills

You are proactive and innovative

You have problem-solving skills