Senior Administrator: Claims

17 hours ago


Pretoria, South Africa Sanlam Full time

About Sanlam Corporate
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 believe in creating and cultivating a positive, energised working environment that gives every individual the opportunity to achieve success, embracing diversity and committed to transformation. 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 great things. We pride ourselves in helping our employees to realise their worth. Overall purpose of the role
Management and oversight of a group of disability claims specialist. The role will involve monitoring and facilitating the daily operational activities of your team, work and volume management, ensuring that SLA is met and that client queries are handled efficiently and effectively. Close collaboration with the assessment team, internal and external stakeholders will be essential to ensure excellent client service. Key Responsibilities (continues)

**Manage daily operations**: Checking and signoff of claims as per the approval framework, letters and other relevant work items. Effective management of the ‘day to day’ workflow of the team. Effective management of all escalated items on a daily basis. Effective management of “ad hoc” requests by clients or management. Effective supervision of team in general. Handling problems and high-level enquiries with regards to claims and risk products. Support team with difficult queries and tasks. Provide professional support to both internal & external clients. Ensure that the completed claim documentation meets the required audit standards, and complies with Legislation. Provide input to team’s reports and discussions.
Key Responsibilities (continues)

**Getting Results through others**: Promote a high standard of internal & external client service. Ensure that SLAs are met at all times. Assist team members in their training & development needs. Assist in performance & individual development plans. Share own experience and transfer skills & knowledge with team. Mentoring & coaching of team so that they can perform to their full potential. Ensure achievement of set goals. Facilitate continuous improvements to ensure operational efficiency. Deliver, maintain and enhance work standards in terms of quality and quantity. Accountable for team’s time, tasks and outputs. Create a positive work environment & ensure that all team members perform in accordance with the company Values. Key Responsibilities (continues)

**Ensure great customer service**: Ensure that your team is highly service orientated and responsive to client needs. Accountable for service delivery through own efforts and efforts of others.

**Create a climate of optimal performance**: Manage interpersonal relationships and optimize diversity and synergies with other stakeholders and teams in SGR and the broader business environment. Develop skills and competencies of staff though knowledge sharing and coaching. Qualification and Experience Minimum Matric 5 - 6 years’ experience in a Group Risk: Disability assessment environment will be a requirement. Some experience as team leader recommended
Previous team leader experience will be an advantage Knowledge and Skills Sound knowledge of disability claim 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 Strong leadership characteristics Client Service Orientated Action & Result Orientated Goal Driven Must be able to work under pressure Must be able to delegate Adaptability Turnaround ti



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