Claims Relationship Manager

3 days ago


Johannesburg, Gauteng, South Africa Energy At Work Full time
Global leader urgently seeks to appoint a highly skilled and qualified Claims Relationship Manager. We are looking for an individual with demonstrated experience in either Marine or Mining Claims (or both).

Duties and Responsibilities:

Portfolio Management
  • Articulate the claims capabilities and operational proposition to clients and identify improvement opportunities.
  • Management of client portfolio - this includes all policies across marine and mining
  • Outstanding Claims - Do weekly outstanding claims monitoring to ensure claims are up to date and progress is made. Advance matters that are dormant or not progressing
Reports
  • Report mapping - ensure that all Client mapping in the Data Warehouse is accurate to include all claims across different client portfolios on different systems
  • Report set ups - agree type of reports as well as frequency of reports with the Client and ensure that scheduling is done correctly from the Data Warehouse
Aggregates
  • Aggregate management - monitor aggregate fund balances to ensure that the aggregates do not burn
  • Aggregate arrangements - agree specific aggregate processes with the client and implement accordingly (e.g. excess payments / claims within excess etc.)
  • Aggregate audits - notify Insurers when an aggregate reaches 80% to arrange for audits to be conducted. The sign-off of these audits must be done as quickly as possible to avoid any delays on claims that falls outside the Aggregate after it is depleted.
  • Claims Management Agreements - collect information and prepare the Claims Management Agreement via the Docusign Process
Fund Management
  • Ensure that funds are requested by Client Manager, deposited and that there are enough funds in the bank accounts for payments
  • Closing Bank Accounts
Client Support
  • Set up and attend client meetings as per the client's required frequency
  • Build client relationships through regular interaction with clients
  • Identify specific process needs and ensure implementation
New Business and Renewal
  • Assists with new business presentations (Powerpoint / Mock up Dashboards / Solutions etc.)
  • Attend new business presentations and present the Claims capabilities to the prospective clients
  • Assists with renewal presentations (Powerpoint / Dashboards / Solutions etc.)
Claims Advocacy
Assist with disputes and advise regarding:
  • Rejections
  • Complaints
  • Large and contentious losses
Minimum Requirements:

Qualifications
  • Grade 12. (Matric)
  • A relevant bachelors degree or
  • A relevant tertiary insurance related qualification.
  • Registration with the FSCA in terms of the FAIS ACT.
  • Registration as an associate with the IISA.
Knowledge
  • Technical/Professional knowledge of insurance principles practices and fields.
  • Have a solid understanding of risk analysis methodologies.
  • Have a good understanding of the applicable legislative environment governing the insurance industry.
Experience
  • A minimum of 5 10 years experience in a similar or related role.
  • Extensive Insurance experience
  • Proven experience in mining and marine claims


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