Health and Life Claims Team Leader

11 hours ago

Johannesburg, South Africa Kaelo Full time

Company Description

Kaelo provides **essential healthcare solutions** ensuring the **physical and psychosocial wellbeing** of **all South Africans** towards **lasting social change**.

**Job Description**:
Health and Life Claims Team Leader manages both the authorisation of claims and has specialised knowledge of the claim’s environment. There is a strong focus on accurately and efficiently resolving the claim received whilst ensuring exceptional customer service and satisfaction. The claims team leader has the responsibility of ensuring that the claims team carry out their responsibility while keeping the team motivated and efficient. The claims team leader works closely with the Health Operations Manager

**KEY OUTCOMES**

Determines claims operational strategies by conducting:

- Assessments
- Performance Review
- Capacity Planning
- Productivity Quality
- Customer service standards

Maintains and improves claims operations by monitoring system performance.

Accomplishes people objectives by recruiting, selecting, training, assigning, couching, counselling and disciplining employees.

Pre-pare claims performance report by collecting, analysing, and summarising data and trends.

**Reporting and Managing Key Team Deliverables**

Monitoring of the daily dashboard to ensure adherence to SLA.

Monitoring the teams accurate and efficient processing of claims

Contribute towards continuous improvement and innovation at process and procedure level.

To ensure that all claims processing and queries are attended to accurately and within the agreed turnaround time.

Monitoring of daily performance statistics and workforce management

Daily claims focus and work allocation.

Assist clients with escalated queries and provide suitable query resolution.

Accurate completion of people management tasks daily

Ongoing feedback to clients

**People and Team Management**

People and team management

Ensuring participative leadership and strong communication within the team

Collaboration with all business areas

Coaching and peer to peer learning

**Knowledge and Quality Management**

Developing of all employees and ensuring smooth onboarding for new employees.

Review, maintenance and improvement of all processes and document management

Quality assurance and trending

Contribute toward risk management.

**Qualifications**:
**SPECIAL REQUIREMENTS**

Communication skills

Analytical ability

Time management

Customer focus

Ability to adapt to an ever-changing environment.

Cope well under pressure

**PERSON DETAILS: WORK EXPERIENCE**

**REQUIRED**

Insurance industry experience

2+ years claims experience.

FAIS (minimum 120 credits)

1+ years management experience

**PREFERRED**

2+ years Health Insurance Experience

2+ years Life Insurance Experience

**EDUCATION: QUALIFICATIONS: ACCREDITATIONS WITH PROFESSIONAL BODY**

**REQUIRED**

Grade 12 - Matric

**PREFERRED**

RE5 Accreditation would be advantageous.

**TECHNICAL SKILLS OR KNOWLEDGE**

**REQUIRED**

Computer literate, including Microsoft Office

MIP

Putty

Fresh Works (advantageous)

Additional Information

**Accountability**

**Action orientated**

**Communication**

**Business writing and presentation skills**

**Problem solving skills**

**Creative thinking**

**Strong relationship skills**

**Growth and development mind-set**

**Planning and organisation**

**Resilient and adaptive**

**Systems thinking and connecting ability**

**Professional and brand conscious**

Should you progress in the interview process, we may request special person information* from you. We strive to only gather this information during the offer stage and use encryption based software to protect this information.

  • Life Claims Assessor

    1 week ago

    Johannesburg, South Africa Energy at Work Projects Full time

    Insurance company is seeking to hire a Life Claims Assessor. **Responsibilities** - Obtain claim documents - Prepare claims forms and related documents and review them for completeness. - Assessment of, death, disability, critical illness, and salary protection claims - Review information regarding the policy information and/or sale to approve or decline...

  • Team Leader Claims Short Term Insurance

    7 months ago

    Johannesburg, South Africa Absa Bank Limited Full time

    Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job Summary Short...

  • Health Service Centre Team Leader

    7 months ago

    Johannesburg, South Africa Kaelo Full time

    Company Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and...

  • Life Data Team Leader

    7 months ago

    Johannesburg, South Africa Munich Re Full time

    Life Data Team Leader Career Level 4 **Company** Munich Re **Location** Johannesburg, South Africa **Munich Reinsurance Company of Africa Limited (MRoA) has been operating in South Africa for 50 years, although the Munich Re (Group) was active on the Continent via Munich Re in Munich for some years prior to commencing the Southern African operation in...

  • Insurance Claims Assessor

    5 months ago

    Johannesburg, South Africa 3sixty Life Full time

    Are you passionate about making a difference in the insurance industry? Do you have the skills and experience to contribute to a leading company under curatorship? If so, 3Sixty Life is looking for you! We are currently hiring for several key positions and are excited to welcome talented professionals to our team. Claims Assessor **Requirements**: -...

  • Team Leader

    7 months ago

    Johannesburg, South Africa FirstRand Full time

    Job Description To supervise and co-ordinate daily activities amongst a team in order to achieve a smooth workflow Hello Future Claims Team Leader! Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen. As part of our talent team in FR...

  • Team Manager Claims Assessment

    7 months ago

    Johannesburg, South Africa PPS Recruitment Full time

    **Job Advert Summary**: A leadership role in the Life Operations team reporting to the Claims Manager. This role is responsible for managing a team responsible for assessing Sickness, Permanent Incapacity and Disability Claims as well as Case/Claims Management of ongoing claims. Ensure best practice and supporting the company in meeting its...

  • Claims Assessor

    7 months ago

    Johannesburg, South Africa African Unity Life Ltd Full time

    An authorised financial service provider, operating within the long-term insurance industry in South Africa, requires the services of a **Claims Assessor.** This is a 12-month fixed term contract. **Tasks and responsibilities will include but not be limited to**: **Key Responsibilities**: - (The primary tasks, functions and deliverables of the role)_ -...

  • Claims Consultant

    7 months ago

    Johannesburg, South Africa Munich Re Full time

    Claims Consultant Career Level 3 **Company** Munich Re **Location** Johannesburg, South Africa **Your Business Unit**: Our Life Claims Management team mitigates risk at claim stage. We collaborate across the various Life business units, including Underwriting, Product & Pricing, Chief Medical Office and Marketing. **Your Team**: Our Life Claims...

  • Life Data Team Leader

    7 months ago

    City of Johannesburg, Gauteng, South Africa Antal International Full time

    **LIFE DATA TEAM LEADER** **About the Role**: A leading reinsurer based in Johannesburg is looking for a Life Data Team Leader with a minimum experience of 8 years in SQL server coding and SQL server database administration and 3 years’ experience in a lead position, managing a team of people. The incumbent objective is to deliver quality data services to...

  • Team Leader: Claims

    7 months ago

    Johannesburg, South Africa Nedbank Full time

    **Job Classification** - Job Family- Administration, Operations and Facilities - Career Stream- Operations - Leadership Pipeline- Manage Others - FAIS Affected**Job Purpose** - To manage and lead a team of personal claims consultants in order to facilitate the processing of claims to drive a positive client experience.**Responsibilities**: - Minimise...

  • Claims Approver

    7 months ago

    Johannesburg, South Africa African Unity Life Ltd Full time

    An authorised financial service provider, operating within the long-term insurance industry in South Africa, requires the services of a **Claims Approver.** This is a 12-month fixed term contract. **Tasks and responsibilities will include but not be limited to**: **Key Responsibilities**: - (The primary tasks, functions and deliverables of the role)_ -...

  • Operational Manager

    4 days ago

    Johannesburg, South Africa Munich Re Full time

    **Operational Manager - Life Claims Management**:Career Level 4 **Location**Johannesburg, South Africa Munich Reinsurance Company of Africa Limited (MRoA) has been operating in South Africa for over 50 years, although the Munich Re (Group) was active on the Continent via Munich Re in Munich for some years prior to commencing the Southern African operation...

  • HOC Team Leader

    1 month ago

    Johannesburg, South Africa Energy At Work Full time

    Type: Contract Industry: Insurance About Us: We are committed to providing exceptional insurance solutions and support to our clients. We pride ourselves on delivering personalized services that help homeowners recover quickly and effectively in the event of a claim. We are seeking a motivated and experienced Homeowners Claims Team Leader to lead our...

  • HOC Team Leader

    1 month ago

    Johannesburg, South Africa Energy At Work Full time

    Type: Contract Industry: InsuranceAbout Us:We are committed to providing exceptional insurance solutions and support to our clients. We pride ourselves on delivering personalized services that help homeowners recover quickly and effectively in the event of a claim. We are seeking a motivated and experienced Homeowners Claims Team Leader to lead our claims...

  • Health Claims Specialist

    7 months ago

    Johannesburg, South Africa Kaelo Full time

    Company Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and...

  • Team Leader: Life Valuations

    1 week ago

    Johannesburg, South Africa Munich Re Full time

    **Team Leader: Life Valuations**:Career Level (4) **Location**Johannesburg, South Africa As the world's leading reinsurance company with 40,000 employees at over 50 locations in all parts of the world, Munich Re introduces a paradigm shift in the way you think about insurance. **By turning uncertainty into manageable risk we enable fundamental...

  • Health Claims Administrator

    3 months ago

    Johannesburg, South Africa Kaelo Full time

    **Company Description** About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money...

  • Health Claims Administrator

    7 months ago

    Johannesburg, South Africa Kaelo Full time

    Company Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and...

  • Team Leader: Claims

    2 months ago

    Johannesburg, South Africa Nedbank Full time

    **Job Classification** **Requisition - 136657** - Melissa Cloete**Cluster**: - Nedbank Wealth Cluster - Nedbank Insurance Division - Claims**Location** - Johannesburg**Closing Date** - 11 November 2024**Please Note - Preference will be given to Applicants from Underrepresented Groups** - Job Family- Administration, Operations and Facilities - Career...