Team Manager: Claims Administration

2 weeks ago

Johannesburg, South Africa PPS Recruitment Full time

**Job Advert Summary**:
A leadership role, reporting to the Senior Operations Manager. This role will be responsible to ensure that the reporting staff members understands and satisfies the customer requirements and will be responsible to create a culture of service. All Claims documents, Queries, and financial assessments to be accurately done and within SLA.

The focus is to deliver high standards of service to customers by making the most effective and efficient use of operations staff and technology resources. To meet these responsibilities, the team manager must be a combination of expert service provider, coach, trainer, mentor, motivator, and manager.

**Minimum Requirements**:
**Education**:

- Bachelor's degree in business administration or a related field
- Honours Degree will be advantageous

***Experience**:

- 7+ years Back Office/Customer service experience
- 4 -5 years claims administration experience
- 5 + years management /supervisor experience
- Industry experience will be advantageous

**Knowledge and Skills**:

- Strong communication skills (written & verbal).
- Strong networking and relationship building (Internal & external).
- Service driven, with a focus on accuracy and quality of information delivered within service levels.
- Strong attention to detail.
- A strong work ethic and a drive to exceed expectations.
- Strong analytic and problem-solving skills.
- Adaptability to different stakeholders, audiences, and environments.

**Competencies**:

- People Management.
- Adapting and responding to change.
- Commercial Acumen.
- Persuading and Influencing.
- Deciding and Initiating Action.
- Collaboration.

**Duties and Responsibilities**:
**People Management**
- Provide team leadership (setting individual objectives, managing performance, developing, and motivating staff, provision of formal and informal feedback and appraisal) to ensure that the highest level of performance is achieved and by monitoring, and managing the Service Level Agreement.
- Create a healthy and enabling organizational culture and climate, so that all employees can perform to their full potential and overall business performance is maximized.
- Creates an environment where people are encouraged to take ownership and use their initiative to find the best way of implementing plans.
- Conduct effective resource planning to maximize the productivity of resources (people, technology etc.)
- Hire, coach and provide training to personnel to maintain high customer service standards.
- Responsible for ensuring the administrators have the knowledge and skills to answer customers’ inquiries, requests for support or problems quickly and effectively (first time resolution). Validate that training programs are adequate to provide the individual with solid product and service knowledge, as well as customer handling skills.
- Administrator Performance: The performance of individuals is essential to the success of a Claims Admin team. Team managers are responsible for recruiting, training, managing, and monitoring agents so that they have the skills and knowledge to meet the service standards consistently.

**Process optimization and efficiencies**
- Duties include working with cross-functional teams to **deliver** exceptional service to all intermediaries/customers according to the published service levels and quality standards.
- The role will act as a brand manager for intermediary’s interactions.
- **Cultivate a performance driven team collaborating** with support
- and other operational teams
- Resource Balancing: The manager is responsible for using those **resources efficiently and cost-effectively**.

**Stakeholder Management**
- Cultivate a performance driven team collaborating with support
- and other operational teams.
- Build and maintain relationships with internal and external clients and stakeholders.
- Collaborate effectively with peers to achieve business results.

***Risk and Compliance (Reporting)**
- Compiling monthly departmental reports to expose operational opportunities and risk management in the back office.
- Identify trends in customer request & complaints and train consequences thereof into the team.

  • Claims Administrator

    6 days ago

    Johannesburg, South Africa National Risk Managers (Pty) Ltd Full time

    Join Our Exclusive Talent Pool! We believe in nurturing talent and providing a platform for growth. As we expand our horizons, we are building a talent pool of passionate Claims Administrators who share our commitment to excellence. **Job Summary** Administer payments of Health claims **Key Responsible Areas** - Process hospital admission and related...

  • Claims Administrator

    4 weeks ago

    Johannesburg, South Africa HR Xchange Full time

    This **established** and fast-**growing** **Logistics** service provider with branches across South Africa offers a **supportive culture** with great opportunities for **growth** and **development**. *** As a **Claims Administrator**, you will be responsible for **managing** and **administering** **claims**, **maintaining** customer **databases**, and...

  • F507 - Claims Administrator

    1 day ago

    Johannesburg, South Africa LTVplus Full time

    **Description** We are looking for a Claims Administrator to assist the CFO and Claims Managers with ensuring the estimate and payment processes are completed in a timely and accurate manner. The Claims Administrator position is an important and integral part of our company’s operation and will help maintain our repair order files to guarantee our...

  • Health Claims Administrator

    4 weeks ago

    Johannesburg, South Africa Kaelo Full time

    Company Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and...

  • Administrator: Claims

    4 weeks ago

    Johannesburg, South Africa Absa Bank Limited Full time

    Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job Summary To...

  • Administrator: Claims

    4 weeks ago

    Johannesburg, South Africa Absa Bank Limited Full time

    Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job Summary To...

  • Claims Administration Clerk

    4 weeks ago

    Johannesburg, South Africa Sanlam Full time

    **CAREER OPPORTUNITY** - Santam’s Claim department has a position available for an Administrative Clerk based in Hill on Empire, Johannesburg.**JOB DESCRIPTION** - The Admin clerk is responsible for the registration of new claims. This position entails ensuring accurate registration of claims within the agreed service level agreement and general...

  • Administrator: Claims Europcar Bruma

    4 weeks ago

    Johannesburg, South Africa Motus Corporation Full time

    **Position Overview**: The purpose of the position is to ensure accurate investigation of claims, providing meaningful feedback, timeous invoicing and adherence to performance and customer service standards, this also includes weekly and monthly claims reporting. **Specific Role Responsibilities**: **Job Outputs**: - Receive and invoice damage and theft...

  • Claims Administrator

    4 weeks ago

    Johannesburg, South Africa Salt Employee Benefits Full time

    The Claims Administrator is responsible for the accurate processing of the claims, within the agreed service level agreement between SALTEB and the Fund and meeting production standards. The duties includes requesting information and responding to enquiries.Areas of ResponsibilityEnsure that all quality assurance related activities as set out in the Quality...

  • Claims Manager

    4 weeks ago

    Johannesburg, South Africa Salt Employee Benefits Full time

    The Claims Manager is responsible for the overall management of the claims department. The duties include, managing, planning, monitoring and reporting. Providing assistance to Client Services, the Call Centre, Claims team, employers and external service providers. The Claims Manager reports to the Snr Manager PSSPF.Areas of ResponsibilitiesMeet production...

  • Claims Manager

    4 weeks ago

    Johannesburg, South Africa Insphired Recruitment Solutions Full time

    Our client in the Insurance industry is currently looking for a **Claims Manager** in Park Town, Johannesburg. **Responsibilities**: - Day to day management of staff. - Delegate and distribute workload as required. - Appraise and review performance targets/progress. - Staff recruitment and selection. - Manage efficiencies in department. - Claims strategy -...

  • Operations & Claims Manager

    4 weeks ago

    Johannesburg, South Africa HR Studio Full time

    **We're looking for** An experienced and highly motivated Operations & Claims Manager who will play a key part in supporting day-to-day operational activities, solving challenging business problems, and managing clients' insurance claims from start to finish. **Who are you?** - You have the ability to manage your own time and responsibilities effectively -...

  • Senior Manager

    4 weeks ago

    Johannesburg, South Africa Salt Employee Benefits Full time

    Purpose of Role:The incumbent will be responsible for working with the Head Admin to provide strategic direction and input re. The Claims function of SEB in line with client needs and working closely with the Executives and IT to implement and drive strategic changes. To manage a large team of client services administrators for a portfolio of funds. Lead the...

  • Claims Administrator

    4 weeks ago

    Johannesburg, South Africa Salt Employee Benefits Full time

    The Claims Administrator is responsible for the accurate processing of the deaths and disabilities’ claims, within the agreed service level agreement between SALTEB and the Fund and meeting production standards. The duties includes requesting information and responding to enquiries.Areas of ResponsibilityEnsure that all quality assurance related activities...

  • National Claims Manager

    6 days ago

    Johannesburg, South Africa Sanlam Full time

    **Who are we?** Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is...

  • Claims Manager/risk Manager

    4 weeks ago

    Johannesburg, South Africa Exclusively Remote Full time

    Risk Manager specializing in the Healthcare Industry. This RM will be overseeing a team for claims management and claims consulting. Employee will have oversight of Risk Management policies and procedures and streamline the implementation and training of company employees. Employee should be knowledgeable in investigating and evaluating claims, determining...

  • Claims Administrator

    4 weeks ago

    Johannesburg, South Africa Cletech Recruitment Full time

    Responsible for: - Process claims and payments accurately - Handling of queries - Monthly reporting to line management - Maintain and building external business relationships - Status reports - Follow up with suppliers, negotiate costs

  • Senior Claims Administrator

    4 weeks ago

    Johannesburg, South Africa Featherway Recruiting Full time

    PREFERENCES: - A minimum of 5 years claims experience on binder and non binder. - RE5 (Not compulsory) - Class of Business - Commercial Lines (Not compulsory) - Full qualifications NQF4 (with relevant FAIS credits) (Not compulsory) - Preferred system experience - TIAL (Not compulsory) **Responsibilities**: - Receive and finalise claims instructions from...

  • SAP Claims Management

    4 weeks ago

    Johannesburg, South Africa Unique Personnel Full time

    **Job Number** - 71116 **Job Type** - Permanent **Job Title** - SAP Claims Management **Computer Skills** - Claims management,Communication,Problem solving,Project management,Training,Data Management,Technical **Industry** - Computer - IT **City** - Johannesburg **Province** - Gauteng - Collaborate with clients to understand their business processes,...

  • Claims Clerk

    4 weeks ago

    Johannesburg, South Africa RTT Full time

    **The Role** **Skills and Experience** Minimum**: *** - Proven work experience as a Claioms Clerk - Highly effective Administrative skills and techniques - Knowledge of warehouse software packages and MS Office proficiency - Ability to input, retrieve and analyse data - Hands-on commitment to getting the job done - Excellent communication and interpersonal...