Job Description

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