Senior Claims Investigation Manager
Found in: Talent ZA 2A C2 - 3 weeks ago
- 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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