Ip Claims Manager

4 months ago


Centurion, South Africa Momentum Life Full time

**Introduction**

The Life Insurance division within Momentum are looking for a dynamic individual to fulfil the role of an Income Protection Claims Manager. The role will be based in Centurion.

**Role Purpose**

To head up a team that provides market leading claims assessment capability for individual life insurance benefits (particularly income protection and combination (critical illness and disability) benefits) and embed a superior client experience solution within the Life Insurance division within Momentum.

**Requirements**:

- Degree in Health Sciences (e.g. Occupational Therapy, Physiology, Physiotherapy), or 15 years minimum experience in life insurance living benefit claims
- Relevant insurance knowledge, applicable regulatory requirements and legislations.
- 3-5 years experience in a management role

**Duties & Responsibilities**
- Area risk management
- Ensure the execution of the claims methodology across all individual living benefit lines.
- Keep up to date with industry developments to provide insight / ideas into the claims methodology, including:

- current best industry and company practices
- claims research
- technological enablers
To partner and collaborate with both internal and external stakeholders, not limited to product development, underwriting, legal, medical officers, reinsurance partners to improve income protection claims assessment and client experience.
- Ensure that the execution of the assessment methodology is in line with legislation and best practices within the financial management field in order to optimise the claims assessment and service offering and delivery.
- Familiar with the regulatory framework, insurance related court decisions and/or determinations by regulatory bodies, governing bodies etc. that could impact the way claims are processed or handled.
- Risk opportunity identification to prevent fraud and to deliver quality work.
- Assist with continuous improvement efforts by the identification of opportunities, management of risk, cost reduction, improvement on the quality of claims decisions, service and systems enhancement.
Providing insight, knowledge, assistance and provide testing support where necessary as part of the development and maintenance of all claims systems to improve quality and efficiency.
- Assist with the review of all claims policies, practices, forms and documentation to ensure that our risk management standards are met and drafting new policies and practices where necessary.
- Ensure delivery of timeous and consistent claims assessments by managing and maintaining workflow and service level standards and ultimate service to deliver to claimants.
- Excellent knowledge on all life products.
- Build and maintain relationships with internal stakeholders responsible for the primary client and advisor interactions.
- Embed a client service excellence culture which builds enduring relationships and allows team to provide exceptional client service.
- Incorporate internal assessment feedback into the enhancement of daily business processes and management operating systems.
- Act in a way that allows for a positive work climate and culture with fellow employees.

**SKILLS
- Embed a hassle-free claims experience through innovative process development and enhancement of the customer claims journey.
- Comprehensive understanding of the financial services sector, both in direct insurance and reinsurance.
- Strong relationship-building skills and leadership qualities.
- Operational management of the income protection claims team.
- Meticulous work ethic, able to juggle multiple tasks and deadline-driven.
- Excellent ability to adapt to new situations and changing business requirements.
- Assessments and specialising in life insurance claims, including income disability, lump sum disability, critical illness and case management for living benefits.
- Complete quality industry assessments within the required service levels.
- Within company guidelines, approves or declines claim submissions without supervision. Selects and accepts authorised risks on behalf of the company, evaluating proposals rather than mechanistic assessment.
- Under general direction, assess complex cases that involve risk.
- Provide guidance and assistance to claims consultants and assessors.
- Assist with the overall improvement of risk management within income protection claims team.

**Competencies**
- Business acumen
- Client / Stakeholder commitment
- Assertiveness
- Drive for results
- Collaboration and teamwork
- Impact and influence
- Results and solution focused
- Self-awareness and insight
- Diversity and inclusiveness
- Operational management


  • Claims Team Manager

    4 months ago


    Centurion, South Africa CLC Full time

    **Job Purpose** Responsible to assist with the daily running and management of the Division through the effective use of resources. Ensuring that SLA’s are met per Binder Agreements. The purpose is the effective management of claims consultants. Ensure efficient service levels to internal and external clients by providing customer service and preparing...

  • Claims Assessor

    1 week ago


    Centurion, Gauteng, South Africa MMI Holdings Ltd Full time

    {"Role Purpose": "Assess, review and manage living benefit claims, in accordance with relevant legislation and company policy, adhering to service level agreements and meeting client and business expectations.", "Requirements": ["Grade 12 or equivalent qualification.", "Minimum of 1-2 years experience in processing claims.", "Experience in the assessing of...

  • Claims Assessor

    4 months ago


    Centurion, South Africa MMI Holdings Ltd Full time

    Closing Date2023/03/20Reference NumberMMH230301-6Job TitleClaims AssessorPosition TypePermanentRole FamilyClient ServicesClusterHealth SolutionsRemote OpportunitySome of the timeLocation - CountrySouth AfricaLocation - ProvinceGautengLocation - Town / CityCenturionIntroduction Metropolitan is one of the oldest financial services brands in South Africa. With...

  • Claims Assessor

    4 months ago


    Centurion, South Africa Momentum Life Full time

    **Introduction**Role Purpose** - To be part of a team that provides market leading claims assessment capability for living benefits (critical illness, income and disability benefits). This will include specialising in income disability, lump sum disability,critical illness and case management for living benefits, the completion of quality industry...


  • Centurion, South Africa Affirmative Portfolios Full time

    **Finance ~ Insurance** **Centurion** ***: **Manager: Actuarial Claims Risk - Centurion - Salary: R1 028 791.00 pa (Negotiable)** **Overview** - The - **Manager: Actuarial Claims Risk** is responsible to manage the provision of Actuarial Claims Risk support and advice to the Company business. **Qualifications** - Bachelor’s Degree/Advanced Diploma in...

  • Claims Assessor

    4 months ago


    Centurion, South Africa Momentum Life Full time

    **Introduction** The Retail Life Insurance department is looking for a self-driven, dynamic health professional who wants to grow their career in Claims Assessment. Myriad is Momentum's market-leading life insurance product, providing lifecover to clients in South Africa. Our Myriad product aim in partnering with our clients on their journey to success. We...


  • Centurion, South Africa Affirmative Portfolios Full time

    **Insurance ~ Risk Management** **Centurion** ***: **Position: Senior Manager: Claims Assurance - Centurion** **Location: Centurion** **Salary: R1,371,054.00pa CTC** **Overview**: **The Senior Manager: Claims Assurance** is responsible to over the provision of claims assurance function to ensure that company is protected from financial loss; reduction in...


  • Centurion, South Africa Ditshaba Full time

    **Purpose**: The Manager: Actuarial Claims Risk is responsible to manage the provision of Actuarial Claims Risk support and advice to the business **Qualifications and Experience** - Bachelor’s Degree/Advanced Diploma in Actuarial Science/Mathematics related qualification. - Qualified Associate/Fellow Actuary of (ASSA/IFoA/SoA/CAS) or any other...


  • Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** - Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards program), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations.- **Role Purpose** - Manage and lead a...


  • Centurion, South Africa Afrirent Auto Full time

    Afrirent Holdings is looking for a Fleet Claims Administrator to handle insurance claims with specific knowledge and expertise to navigate policies, and procedures (operational SLAs). **Main duties and responsibilities** - Conducts claim investigations to validate claims and claim information for correctness and completeness - Requests and verifies the...


  • Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** **Role Purpose** The purpose of this position is to determine the merit of segmented motor and non-motor claims by performing investigations, verifying the description of the event with the loss and make sure that all valid claims are being processed within SLA from the desk. You would also need to identify problematic claims (red flags)...


  • Centurion, South Africa CLC Full time

    **Key Areas of Responsibility** Including, but not limited to: - Handling of Glass Claims - Registration of Glass Claims - Confirmation of Cover - Cost of claims Check if cost is reasonable within the normal range, before authorising claim. Try and keep cost as low as possible. Industry standard for original, Shatterproof or Generic Glass per claim. Get...

  • Vaps Claims Consultant

    3 months ago


    Centurion, South Africa Customer Loyalty Consultants (Pty) Ltd Full time

    **Gauteng**, Centurion** **R12'000.00 - R15'000.00 (Negotiable)** We are recruiting for a dynamic VAPS Claims Consultant to join our Claims Team. The main job purpose is the effective handling and settlement of VAPS claims while ensuring efficient service levels to internal and external clients. These duties include accurate reserving of claims, reviewing...

  • Claims Consultant Temp

    3 months ago


    Centurion, South Africa PSG Insure Full time

    **Job description** The Claims Consultant is responsible for coordinating and overseeing, managing and negotiating the settlement of the claim. The consultant is accountable for finalising the claim end-to-end and must have knowledge of Commercial and Personal lines products and be able to process motor as well as non-motor claims **Responsibilities**: -...

  • Vaps Claims Consultant

    4 months ago


    Centurion, South Africa Customer Loyalty Consultants (Pty) Ltd Full time

    **Gauteng**, Centurion** **R12'000.00 - R15'000.00 Monthly (Negotiable)** We are recruiting for a dynamic VAPS Claims Consultant to join our Short-Term Insurance Claims Team. The VAPS Claims Consultant will mainly be responsible for effective claims handling and settlement of VAPS claims while ensuring efficient service levels to internal and external...

  • Team Manager: Claims

    5 months ago


    Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. **Role Purpose** **Requirements**: -...


  • Centurion, South Africa Momentum Corporate Full time

    **Introduction** **Role Purpose** Ensure the smooth running of the disability management administration function by efficient coordination of related tasks. To provide an effective and efficient service to clients and intermediaries by receiving, evaluating and responding to queries timeously. Accurately capture incoming correspondence and claims onto the...

  • Claims Assessor X2

    3 months ago


    Centurion, South Africa Health Solutions Full time

    **Introduction** Momentum Health Solutions, anentity of MomentumMetropolitan Holdings deliverssustainable, integrated healthsolutions that meet the needs ofclients in the different segmentsand maximise lifetime clientvalue. We build and maintain aculture of innovation, and createvalue through unique insights ofhow to achieve specificoutcomes by using a...

  • Claims Team Leader

    4 months ago


    Centurion, South Africa Customer Loyalty Consultants (Pty) Ltd Full time

    **Gauteng**, Centurion** **Monthly (Market related, Negotiable)** **Purpose** Responsible to assist with the daily running and management of the Division through the effective use of resources. Ensuring that SLA’s are met per Binder Agreements. The purpose is the effective management of claims consultants. Ensure efficient service levels to internal and...

  • Claims Assessor X2

    3 months ago


    Centurion, South Africa Health Solutions Full time

    **Introduction** Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by...