Head : Claims

2 weeks ago

Johannesburg, South Africa Old Mutual Full time
Job title : Head : Claims Job Location : Gauteng, Johannesburg Deadline : December 28, 2024 Quick Recommended Links
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Job Description

  • To develop and manage a strategy and operating model for the Claims function that supports the growth and development of the iWYZE business through the provision of a winning and fit-for-purpose claims framework.
  • Management of the Claims Department
  • Develop, plan for, implement and take accountability for the strategy and operating model of the Claims Department, partnering with the Executive: Operations in response to the business model and Mutual & Federal strategy.
  • Establish an aligned departmental Balanced Scorecard focused on the implementation, measuring and management of the departmental strategy. 
  • Determine the business value chain for the Claims Department and ensure that this value chain is aligned and integrated with the Operations Division value chain.
  • Drive the design and management of a winning and fit-for-purpose claims registration capability.
  • Drive the design and management of a winning and fit-for-purpose claims investigation and evaluation capability.
  • Drive the design and management of a winning and fit-for-purpose claims fulfilment and payment capability.
  • Drive the design and management of a winning and fit-for-purpose subrogation and salvage capability.
  • Drive the design and management of a winning and fit-for-purpose claims procurement capability.
  • Contribute towards productivity by managing claims spend in line with growth cost per claims
  • Optimise best-practice Service Delivery
  • Contribute to the development of a customer centric strategy in line with future customer needs and requirements to drive customer centricity
  • Craft service practices and standards that meet clients and own organisation's needs.
  • Ensure effective relationships and SLA management with internal and external stakeholders. 
  • Build and maintain excellent relationships between own team and key internal interest groups.
  • Contribute to a service culture which builds rewarding relationships, proposes innovations and allows others to provide exceptional client service.
  • Ensure professional services are provided; where expectations are managed in terms of outcomes.
  • Participate in the design and application of a stakeholder feedback capability 
  • Manage effective financial management, control and budget management
  • Ensure that the departmental operating framework and model is adequately budgeted for through the development and implementation of fit for purpose budgets.
  • Manage vendor relationships, and budgets associated with projects
  • Ensure effective financial management, control and corporate governance.
  • Drive Best-practice people practices and build strategic capacity.
  • Empower direct reports to achieve tactical excellence / best operating practice 
  • Optimise talent across departments (not just within)
  • Embed formal performance development and informal coaching in the department
  • Identify, attract, appoint, grow, engage, reward and retain top talent to drive strategic execution.
  • Identify, define, communicate and obtain buy-in for performance expectations through the implementation of the Mutual & Federal performance management system.
  • Coach direct reports on how to conduct meaningful performance development discussions with their direct reports and ensure that they conduct the process effectively
  • Establish and maintain a succession plan for the key roles in the area and review and approve succession plans for one level below
  • Develop, implement and manage a People Capability plan that ensures that the department has the human resources and skills required to deliver on the strategy for the short-, medium- and long-term.
  • Embed and demonstrate aligned values that drive and support the required behaviour to achieve the articulated vision and strategy.  
  • Demonstrate leadership behaviour of personal involvement, commitment and dedication to the business area in support of the organisation’s culture.
  • Communicate a meaningful strategic context to apply people best practice, fostering an environment of continuous learning and improvement.
  • Provide mechanisms and support to implement major changes to the function by acting as a change agent.
  • Manage poor performance constructively and decisively.
  • Create a collaborative environment which allows for employees within inter-related functional areas to work together thereby leveraging constructive team dynamics and innovation
  • Actively participate in own professional development and career path.

Required Qualifications and Experience:

  • Bachelor’s Degree in Business Administration, Law, Engineering, Actuarial or related field; advanced qualifications such as an MBA or relevant professional certification preferred.
  • Proven experience in claims management, ideally within the insurance industry, demonstrating a thorough understanding of all aspects of claims operations.
  • Strong leadership skills with experience in strategic planning and people management.

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