Claims Quality Consultant

2 weeks ago


Pretoria, Gauteng, South Africa Sanlam Limited Full time

Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Create Alert Select how often (in days) to receive an alert: Location: Roodepoort, Gauteng, South Africa CAREER OPPORTUNITYSantam Claims has a position available for a Claims Quality Consultant within Tailored Claims Solutions team, based in Constantia Kloof, Weltervreden Park, JohannesburgJOB DESCRIPTIONThe Claims Quality Consultant monitors and analyses the interactions of agents and customers to provide feedback to the employees and managers on adherence to policies, procedures and customer experience whilst maintaining relationships with business partners.

The Claims Quality Consultant identifies opportunities for assessments and coaching of staff for training or process improvement while facilitating employee development.

The Quality consultant will execute audit assessments of both live and historical interactions, Process improvement initiatives, Qualitative and quantitative reporting (Daily, weekly, and monthly performance, trend analysis and calibration) will also form an integral part of the job requirement.


KEY RESPONSIBILITIES

  • Plan and assist in conducting of regular quality and risk review procedures
  • Accurate measurement of calls, emails and data quality
  • Identify improvement opportunities
  • Provide feedback to individuals and leaders
  • Implement improvement opportunities
  • Keep up to date on internal and external developments and practices to ensure their input and advice is appropriate and forward looking
  • Help to ensure that claims area operates in accordance with relevant regulatory and legal requirements and works to ensure that awareness of such requirements is raised and promoted throughout this area.
  • Collaborate on initiatives / projects
  • Evaluating and measuring customer experience and other performance outcomes.
  • Design and develop QA templates
  • Responsible for revising Standard Operating procedures for the business unitQUALIFICATIONS & EXPERIENCE
  • Matric/Grade 12
  • Must be computer literate (MS Word, MS Excel and MS Power Point – Intermediate level)
  • Relevant NQF 4-FAIS 30 credits an advantage
  • Relevant Level 5- ETDP 50 Credits an advantage
  • 5 years experience in the short-term insurance claims environment (experience with High-Networth customer base will be advantageous)
  • Insurance related training experience
  • Good understanding of Motor and Non Motor claims
  • Good verbal and written skills
  • Report writing
  • Working knowledge of the auditing processes
  • Coaching experience
  • Customer Centricity experience.

KNOWLEDGE AND SKILLS

  • Detail orientated
  • Organisational awareness
  • Process improvement skills
  • Interpersonal sensitivity
  • Experience in high volume processes management
  • Must have people management skills
  • Negotiation skills
  • Well-developed administrative capabilities
  • Personal & Commercial policy knowledge
  • Knowledge of motor and non-motor claims process
  • Ability to work under pressureCOMPETENCIESABOUT THE COMPANYSantam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is centred on our delivery of insurance good and proper.

Qualified applicants are invited to submit their cover letter, CV and salary requirements in MS Word format online at Please indicate the position for which you are applying.

Should you be aware of a qualified individual, please pass this vacancy on to them.
Please note this appointment will be made in line with the Santam Employment Equity targets. People with disabilities are welcome to apply.#J-18808-Ljbffr

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