Senior Technical Specialist

2 weeks ago

Bellville, South Africa Sanlam Full time

About Sanlam Corporate
Sanlam Corporate forms part of Sanlam Life and Savings Cluster which offers retail and corporate life insurance, health and investment products in South Africa. Our vision is to be the preferred partner to Corporate and Public Sector by providing an awesome client experience and comprehensive solutions that enable the financial resilience and prosperity of those entities and their employees. We tap into over 100 years of expertise to provide cost-effective Employee Benefits and Healthcare Solutions that enable financial confidence for our members. We enable our clients to make better retirement and risk decisions today through determined and passionate thought leadership and best-in-class people, innovative products and proven processes all designed to help people live a better life tomorrow.

We believe in creating and cultivating a positive, energised working environment that gives every individual the opportunity to achieve success by embracing diversity and growing our talent. We do this through living our values of having the courage to be bold, care, collaboration and an intolerance for mediocrity. We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future-your career, your personal development and of achieving awesome things. We pride ourselves in helping our employees to realise their worth and live with confidence. Overall purpose of the role
The role encompasses the checking, approval and sign-off of approved disability claims according to the approval framework, as well as involvement in audit activities. Adherence to service levels to ensure the timeous payment of disability claims. Close collaboration with the assessment team, internal and external stakeholders will be essential to ensure excellent client service. What will you do?

**Key responsibilities**:
Supervision of and sign off on correctness of Specialists’ calculations, letters and other documents related to approved disability claims.
Adhere to service level agreements (internal and external).
Adhere to internal controls and procedures in place.
Professional verbal and written communication and reporting to clients (internal and external) where required.
Investigate, resolve and respond to ad-hoc operational requirements, internal and external (verbal and in writing).
Identify and inform management of any issues (escalation).
Foster and maintain the relationship with internal departments e.g. Internal auditors Fund accounting, Legal.
Provide Administration team leaders with input on the team members’ training needs on business processes and systems.
Identify system, process and training gaps.
Provide input to team’s reports and discussions.
Checking quality of completed work and monthly reporting on errors made (feedback to team leaders).
Checking and signoff of all claims, letters, journals & other work items.
Ensure that the completed claim documentation meets the required audit standards and complies with legislation.
Knowledge sharing and team assistance.
Assist with daily, monthly and adhoc approvals and reporting. What will make you successful in this role?

**Qualifications and Experience**: Matric with Mathematics and/or Accounting. Thorough understanding and compliance with the Policyholder Protection Rules, Treating Customers Fairly, Protection of Personal Information, Long term insurance Act and Pension/Provident Fund acts. Thorough understanding of Sanlam Group Risk processes and policy. 5 or more years’ experience within a claims administrative role. Strong attention to detail. Good communication skills. Knowledge and Skills Sound knowledge of disability claims processes and procedures. Sound knowledge of products, processes, and services of Sanlam Employee Benefits. Computer literacy (MS Office suite). Understanding of rules and policy regulations with regards to schemes and funds. Technical knowledge of SGR environment (Risk) is a requirement. Knowledge of Sanlam’s Risk Business processes (Death, Disability, Tenders, Revisions, Scheme Implementation, Medical Underwriting and general administration). Reporting Core Competencies Cultiv a tes Innovation by creating new and better ways for the organisation to be successful. Client Focus - Building strong customer relationships and delivering customer-centric solutions. Drives Results - Consistently achieving results, even under tough circumstances. Collaborates - Building partnerships and working collaboratively with others to meet shared objectives. Resilience - Rebounding from setbacks and adversity when facing difficult situations. Personal Qualities Excellent planning and organizational skills Excellent communication skills (verbal & written) Excellent problem solving, numerical and analytical skills Sound problem solving and decision-making skills Sense of accuracy Client Service Orientated Action & Result Orientated Goal Driven Must be able to work under pressure Must be ab

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