Claims Supervisor

2 weeks ago

Johannesburg, Gauteng, South Africa SNG GrantThornton Full time

_Job Summary:
_
Supervise the claims management staff and all insurance and claims related administrative matters and capturing of all relevant information relating to all loss claims (insurable and uninsurable)

Ensure that all short term insurance claims are dealt with in accordance with prescribed insurance policies.


Ensure adherence to company policy and procedures for claims handling as well as validation and reporting of claims to ensure accuracy of information being reported including monthly bordereaux reports and clearing of GL accounts.


_Key Responsibilities:
_ Team Supervision and People management**- Take responsibility for all administrative functions in the Claims Handling Division through effective supervision of people

  • Train staff to comply with legal principles as well as company policies and procedures
  • Coordinate followups of all outstanding losses

Claims administration

  • Compile a register to reflect all losses that need to be reported in accordance with the Public Finance Management Act
  • Process and capture and confirm all new insurance
  • Assist with renewal of insurance process (annually or as required)

Monitoring, Audit and validation

  • Oversee insurance claims as submitted and received from claims handlers
  • Audit claim files to ensure compliance to policy and procedures at all times
  • Sign invoices/documentation in accordance with delegation of authority
  • Ensure that insurable and uninsurable losses are processed according to company policies and procedures

Payments and Recons

  • Implement and maintain systems of internal control that will ensure that end to end claims process and related transactions are performed efficiently and effectively
  • Conduct weekly/monthly audits on correctness (policies and claim types) of claims captured within approved time frames, goaheads given, open orders, outstanding payments of invoices/settlements
  • Ensure that all claims are being settled within prescribed period
  • Ensure all journals are captured on time and correctly and
  • Perform high level oversight to assure correctness
  • Ensure completeness of related reconciliations

Communication and reporting

  • Maintain effective communication channels with internal and external clients to expedite claims
  • Promote and facilitate a culture of quality output and efficiency within the claims administration environment

Professionalism

  • Establish a professional work environment to enhance dealings with internal and external customers such as (e.g. insurance companies), service providers and members of the public.

Decision making

  • Decision making to be done on all insurable incidents in accordance with the different insurance policies
  • Makes recommendations to decision makers in accordance with the Financial Delegation of Authority
  • Take decisions on problems presented by subordinates

_ Qualification:
_
Minimum (NQF Level 4).

A National Diploma (NQF Level 5 ) will be an advantage

Any further qualification in or studying towards a financial or insurance related field will also be an advantage.

Should be prepared to become a FAIS Key Individual and Representative and write the requisite exam

_ Experience:
_

  • Minimum of 5 years' experience within the risk management/insurance environment.
  • 1 year experience in a supervisory/ team lead role
  • Any insurancerelated or customer servicerelated experience will be an added advantage.

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