Senior Claims Investigation Manager

Found in: Talent ZA 2A C2 - 3 weeks ago


Johannesburg, South Africa Headhunters Full time
Requirements:
  • Completed Tertiary Qualification.
  • Minimum of 5 to 10 years' experience in a similar or related role.
  • Previous people management experience (Leadership Roles) - advantageous.
  • Registration as a representative with the FSCA in terms of the FAIS Act advantageous.
  • Strong proficiency in Microsoft Excel and Internet navigation.
  • Manage a high volume of claim reviews in a fast-paced environment.
  • Ability to teach and coach junior team members.
  • Time management
  • Results driven - history of consistently meeting targets.
  • Ability to work under pressure.
  • Analytical, negotiation, decision-making and problem-solving skills.
  • Effective communication skills, both oral and written.
  • Ability to work independently and as a member of a team.
  • Strong process improvement and data analytics skills.
  • Enjoy working within a team environment.

Responsibilities and expectations but not limited to:
  • Technical expert whose primary focus is driving a team 5 desktop investigators (technicians) to achieve the required result.
  • Oversight and management of the team.
  • Conduct regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation techniques.
  • Ensure team members achieve set targets and maintain quality standards through monitoring and course correction of daily performance.
  • Provide effective leadership to create a team committed to the overall vision of the company.
  • Perform performance management, offering continuous feedback to employees on strengths and development areas.
  • Responsible for capacity planning of the team.
  • Motivate and inspire team members, fostering consistent high performance.
  • Recommend and implement best practices to ensure adherence to company policies and insurance industry regulations throughout the claims investigation process.
  • Maintain a strong professional knowledge of claims regulatory and legal environments.
  • Serve as a claims technical resource, providing guidance and support to desktop claim investigators.
  • Coach or train less experienced desktop claim investigators and contribute to shaping training for the claims teams.
  • Provide insights and enhancements to the claims process.

Please note should you not receive a response within two weeks of applying you may assume that your application was unsuccessful.

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