Team Leader

7 months ago

Pretoria, South Africa Talent Evolution Full time

Responsible for leading and managing a team of claims professionals handling both short-term and life insurance claims. The role involves overseeing the end-to-end claims process, ensuring timely and accurate claims adjudication, providing guidance and support to team members, and fostering a culture of continuous improvement and client-centricity.

**Responsibilities**
**Managing the team**:

- Lead, mentor, and motivate a team of claims professionals handling short-term and life insurance claims.
- Provide ongoing coaching, feedback, and performance evaluations to team members to ensure high performance and professional development.
- Foster a collaborative and supportive team environment conducive to achieving departmental goals and objectives.

**Claims management**:

- Oversee the end-to-end claims process for both short-term and life insurance claims, ensuring adherence to company policies, procedures, and regulatory requirements.
- Review and approve complex or escalated claims, providing guidance and assistance to team members as needed.
- Monitor claims metrics and performance indicators to identify trends, address issues, and implement process improvements to enhance efficiency and client satisfaction.

**Customer Service Excellence**:

- Champion a client-centric approach to claims management, prioritising prompt and empathetic resolution of client inquiries and concerns.
- Collaborate with other departments, such as Client Services and Underwriting, to streamline processes and enhance the overall client experience.
- Address escalated client complaints or inquiries in a timely and professional manner, striving to exceed client expectations and uphold the company's reputation for excellence.

**Training and Development**:

- Facilitate cross-training opportunities to promote versatility and proficiency across different types of claims.

**Quality Assurance and Compliance**:

- Conduct regular audits and quality reviews of claims files to ensure accuracy, consistency, and compliance with company standards and regulatory requirements.
- Identify areas for improvement and implement corrective actions or process enhancements to mitigate risks and strengthen controls.
- Collaborate with the Compliance and Legal department to address regulatory inquiries, audits, or investigations related to claims management.
- For more information please contact:
**Elsabe Olckers

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