Head: Claims

1 week ago

Midrand, South Africa Sanlam Full time

**Who are we?**

MiWay is a direct financial services company. We are passionate about service excellence, convenience and offering our clients superior value products. Our Vision is to be a world-class direct financial services business that offers a complete array of services under one convenient umbrella - all managed online.

We are passionate about our people. We are positive that with the right people on board, we will continue to grow and give our clients the freedom to do things their way - free from worry and most importantly at peace with all the “what-ifs” of the world.

**What will you do?**
- Up for a new challenge, feel you can make a difference?- The Claims Department is looking for an enthusiastic individual to head up the Claims & Legal team to oversee the effective operations within the Broker/Direct/Digital Claims environment for Personal and Business Insurance. This individual will further manage Partner Relations and to improve on the loss ratio initiatives.**Areas of Responsibility within Claim and Legal**
- Managing average claims cost and total claims value chain
- Ensure efficient call centre service levels
- Ensure service delivery to clients and brokers are within acceptable ranges
- Manage MANEX efficiently
- Reporting on the Broker Claims department from an operational aspect
- Reporting on the Direct Claims department from an operational aspect
- Formulate department strategy
- Continues improvement and efficiencies
- Decisions relating to day-to-day operations within the Claims & Legal department
- Maintain and improve relationships with company’s Service Providers, e.g. Car Hire, Towing, Salvage etc
- Ensure adherence to regulatory requirements
- Redefining processes and procedures to optimise claims and legal efficiencies
- Tracking & monitoring of TCF (Treat Client Fairly) principles & outcomes
- Decisions related to budget expenditure for claims falling outside standard process
- Operational decisions will be made independently and governed by policy and procedures within predetermined mandate

**Minimum Qualification Required**
- Grade 12 (Essential)
- Related tertiary qualification in related field (Essential)
- Related legal qualification (Essential)

**Minimum Experience Required**
- Minimum 10 years Call centre & legal Management experience essential in short term insurance
- Minimum 10 years Claims Management experience essential in short term insurance
- Minimum 5 years Broker claims experience essential in short term insurance
- Minimum 5 years Commercial claims experience
- Minimum 5 years investigative, risk and fraud experience
- Experience in budgeting and finance management including staff remuneration, Loss Ratio / Risk Management / Contingency planning / Business continuity
- Competencies- Ability to lead a significant team of insurance specialists
- Relationships and networking
- Problem solving
- Strong implementation ability
- Managing and coping with stress and set backs
- Deciding and initiating action
- Ability to present and communicate at MANCO / Executive level
- Delivering results and target orientation
- Structured planner with good organisational abilities
- Self-motivated/self-starter
- Confident to influence and gain commitment
- Negotiation skills
- Customer focus
- Fluent in more than one language (English a must, Afrikaans and Vernacular an advantage)

**Knowledge and Skills**
- Driving business unit efficiency and target achievement- Manage partnerships and communication- Strategic and Operational Call Centre control and reporting- Budgeting, expense management and audits- Management of employees**Personal Attributes**
- Builds effective teams - Contributing strategically- Decision quality - Contributing strategically- Directs work - Contributing strategically- Business insight - Contributing strategically**Build a successful career with us**
- 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. Through its five business clusters - Sanlam Fintech, Sanlam Life and Savings, Sanlam Investment Group, Sanlam Allianz, Santam, as well as MiWay and the Group Office - the group provides many opportunities for growth and development.**Core Competencies**
- Cultivates innovation - Contributing strategically- Customer focus - Contributing strategically- Drives results - Contributing strategically- Collaborates - Contributing strategically- Being resilient - Contributing strategically**Turnaround time**Our commitment to transformation**

At MiWay we believe in cultivating a positive and dynamic working environment that gives you freedom and opportunity to succeed. MiWay is committed to transformation and embracing diversity. This is what drives us to achieve a multicultural workplace with employment equity as a key goal to create an inclusive

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