Complex Claims Manager

6 months ago


Sandton, South Africa Kamo Placement Full time

Gauteng, Sandton
- Annually Cost To Company (Market related, Negotiable)

The Complex Claims Manager will effectively manage claims experience within the governance framework, lead and manage complex Claims controllers and ultimately ensuring the attainment of the company objectives internally and externally

**JOB DESCRIPTION**
- Participate in the setting up of divisional strategy in alignment with the overall company strategy.
- Analyse the sufficiency of processes and procedures and advise accordingly.
- Drive the department to achieve the customer centricity objectives.
- Map the entire customer journey and touch points and identify opportunities to proactively intervene on the client’s behalf.
- Proactive engagement with stakeholders (Agent Companies and brokers) to facilitate areas of improvement in the claims process and ensure implementation to improve customer experience and efficient claims handling.
- Manage and provide direction and guidance to the team on complex or technical claims matters.
- Identify the shortcomings of systems, processes and procedures and recommend suitable improvements to the systems and thereafter,
- implementing changes to improve customer service.
- Conduct market research to ensure company meets market standards.
- Ensure that annual performance objectives are contracted and adhered to by staff.
- Manage team performance, ensuring that non-performance is dealt with accordingly.
- Ensure that working environment contributes improving staff morale and increased productivity.
- Manage the departmental budget, ensuring expenditure within set parameters.
- Manage claims and related service cost through use of business intelligence and claims best practice

**JOB REQUIREMENTS**

**Minimum Qualifications**:

- Relevant professional qualification or B Degree
- RE5, preferably RE1
- Insurance related qualification

**Minimum Experience**:

- Five to Seven (5-7 )relevant years’ experience in a similar environment, dealing with large/ complex claims and management of staff.
- Please note that preference will be given to people with disabilities.

For more information please contact:

- Nthabiseng Sitai


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