Claims Manager

5 days ago


Sandton, South Africa Sanlam Full time

Who we are
Safrican is a respected life insurer with a footprint in South Africa and a subsidiary in Eswatini. Safrican has over 2 million principle lives covered and more than 7 million lives assured, The Company has grown from strength to strength since 2004.

Job Purpose
To ensure that valid claims are paid correctly and on time as well as efficient and effective management of the claims department. Ensuring that controls and procedures are in place to deliver on our service levels at all times.

Formal Qualifications
- Grade 12
- 3 year administrative diploma/degree in insurance

Working Requirements and Knowledge
- Extensive knowledge and experience in the long-term insurance / financial services administration industry
- 5 - 10 years’ experience as a Manager in the long-term insurance claims environment
- Computer Literacy (MS Office package)
- Proven people management experience in a larger corporate client centric environment with the ability to manage performance, identify training gaps and implement measures to enhance quality levels.
- System and product knowledge
- Process management and standards alignment
- Ability to communicate in one or more Africa languages will be an advantage.
- Good understanding of Treating Customers Fairly principles and practices.

Key Responsibilities
- Proactive management of the claims department to ensure that claims are paid correctly and on time to meet the agreed upon service levels.
- To manage claims processes and procedures.
- Making sure that claims are dealt with according to financial services industry regulations and policy terms and conditions.
- Working on complex or fraudulent cases that need experience and specialist knowledge.
- Ensure that controls to eliminate fraud are in place at all times.
- Effective business relationship management with key clients such as brokers, administrators, etc.
- Managing and coaching your team (efficient management of the department’s performance & ensuring that staff is available at all times).
- Promote the principles and practices to ensure the achievement of Treating Customers Fairly (TCF) outcomes.
- Drive and manage the implementation of TCF principles and practices within the department.
- Promote the wellbeing of the claims department (individually and collectively).
- Ensure continuous improvement in all areas in the department to ensure efficient administration
- Taking responsibility for the department’s productivity.
- Prepare for and manage the audit process of the department, including external service providers & to comply with all the audit requirements.
- Dealing with customer complaints and appeals accordingly.
- Maintaining quality and customer service standards.
- Prepare and present management information and reports.

Behavioural Competencies, Skills and attributes
- The ability to lead and motivate a team
- An understanding of systems work methods, procedures and operations
- Energetic with an ability to learn quickly
- Ability to perform under pressure in a deadline driven environment
- Communicating effectively
- Customer focus
- Resilient
- Accuracy and attention to detail
- A calm and assertive manner when dealing with complaints
- The ability to analyse and interpret information
- Good administrative skills
- Drives results

Our commitment to transformation
Safrican is committed to achieving transformation and embraces diversity. This commitment is what drives us to achieve a diverse, inclusive and equitable workplace as we believe that these are key components to ensuring a thriving and sustainable business in South Africa. Safrican Employment Equity plan and targets will be considered as part of the selection process.


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