Operations & Claims Manager

3 weeks ago


Johannesburg, South Africa HR Studio Full time

**We're looking for**

An experienced and highly motivated Operations & Claims Manager who will play a key part in supporting day-to-day operational activities, solving challenging business problems, and managing clients' insurance claims from start to finish.

**Who are you?**
- You have the ability to manage your own time and responsibilities effectively
- You have the ability to drive high-impact decisions and challenge the status quo
- You are a self-starter, high achiever, and passionate about making a positive impact on the world

**What's the role?**

**You will be responsible for**:

- Enhanced long-term insurance claim management, encompassing the following comprehensive services:

- Streamlined claims processing for efficiency and accuracy
- Thorough investigation & evaluation to ensure fair and prompt claim resolution
- Robust documentation and recordkeeping for meticulous record management
- Rigorous determination of claim eligibility for prompt and accurate claims assessment
- Managing the claims framework
- Enabling the day-to-day delivery of the company's objectives
- Enhancing and optimizing current workflows while ideating new processes to drive efficiency
- Collaborating with all business units to achieve optimal operational outcomes
- Efficiently managing client queries and resolving client issues
- Providing cross-functional support to all relevant teams in the company and service providers
- Becoming a product of the company and system specialist to perform administrative duties to assist with internal and external service providers' needs
- Ideating and formulating plans to automate manual processes

**Boxes to tick**
- Matric
- Relevant tertiary qualification
- Minimum 5 years of claims experience at a long-term insurance company



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