Claims Manager

3 weeks ago

Centurion, South Africa The Talent Hive Full time

Deliver exceptional client service that exceeds customers’ expectations through proactive, innovative, and appropriate claims handling.
- Handling of performance related issues and disciplinary matters.
- Manage, support and developing a team of people to ensure service delivery and performance management applied consistently.
- Manage people related matters i.e., attendance, absence, and attrition (staff turnover) within the team to ensure service level contributions are met or exceeded.
- Weekly team meetings, participation on one-on-one discussion and other meetings required from time to time.
- Demonstrates an effective communication style, that motivates, across internal and external teams and individuals that may become involved with claim tasks.
- Identify, investigate, and resolve any challenges relating to claims being handled in line with claims policies and procedures such as SLAs and TAT.
- Meeting of set deadlines.
- Monitoring immediate first call resolution within the claims department.
- Management of outstanding claims monthly. (Outstanding listings)
- Authorise and validate claims that does not fall in the staff mandate.
- Ensure compliance in terms of "Under Supervision" and record keeping.
- Liaising, build excellent relationships and ensure accurate and timeous response to brokers and clients on queries.
- Monitor effective use of approved suppliers and adherence to contracted rates to improve loss ratios. - Auditing of claims within your team monthly
- Monitor equal distribution of claims.
- Analyse training needs: identify possible problem areas and change weakness into strength.
- Provide supporting reports and information to Claims Manager to compile feedback to Operational Managers
- Ensuring client satisfaction improvement: QA processes/CSI scores/Complaints Root Cause Analysis.
- Provide policy wording interpretation.
- Courteous and professional attendance to telephonic queries.
- Deliver strategic results in term of the companyVision and Mission.
- Align own behaviour with the organisation culture and values.
- Demonstrate commitment towards the team and participate in building team culture.
- Collaborate and work closely with all role-players thereby leveraging constructive team dynamics and innovation.
- Identify and recommend enhancements to processes.
- Monitoring of call pause procedures and availability within the department together with managing the contact centre.
- Proactively ensure the most effective use of time, resources, money, materials, or equipment in line with policies and procedures.
- Comply with corporate governance policies, procedures, and standards.
- Manage own development to increase own competencies.
- Must fully understand the Complaints Process and Procedures

**Minimum Requirements**:

- Matric is an essential requirement
- FAIS Credits (as per FAIS requirement)
- Must be Fit & Proper in terms of the FAIS Act
- Regulatory Exam: Representatives
- Must not be debarred with FSCA

Work Experience

**Minimum Requirements**:

- Minimum of 5 -10 years’ experience: Commercial lines claims experience with all types of Motor and Non-Motor claims in the short-term insurance industry.

**Applicants must have the following**:

- Clear ITC
- Clear criminal record
- Excellent previous employment references.

Client has decided to adopt the mandatory vaccination policy requiring its workforce to be fully vaccinated. All prospective employees are required to disclose their vaccination certificates or cards as part of the recruitment process.

Between 5 - 7 Years

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