Merit Investigations Team Manager
3 weeks ago
Who are we?
MiWay is a direct financial services company. We are passionate about service excellence, convenience and offering our clients superior value products. Our Vision is to be a world-class direct financial services business that offers a complete array of services under one convenient umbrella – all managed online. We are positive that with the right people on board, we will continue to grow and give our clients the freedom to do things their way – free from worry and most importantly at peace with all the “what-ifs” of the world. Company values that every employee subscribes to are: Energy, Freedom, Accountability and Attitude. The ideal candidate is one who has the courage to be bold and subscribes to MiWay’s core values Do you have a positive attitude, love a challenge, treat your colleagues with respect and look for solutions, not problems? If yes, then MiWay is the place for you
Job Description
The purpose of the role will be to manage the team of Merit Claims Investigators responsible for investigation component of suspicious and potential fraudulent claims. Ensuring that all flagged and segmented Claims are comprehensively investigated to achieve conclusive results and coordinating all claims investigation efforts and all other relevant stakeholders e.g. Forensic Services, Insurance Crime Bureau (SAICB)
Key Responsibilities
• Manages and leads a team of Merit Claims Assessors
• Ensure on-going development of resource by mentoring, guidance and both formal and informal training.
• Ensuring effective management of high-quality standards.
• Reporting on effective management of claims.
• Drive customer centricity in line with MiWay core values.
• Prioritise, allocate, manage and monitor investigation of high merit risk claims.
• Effective merit claims investigation of appropriate quality.
• Consultation with clients, Third parties, Business and Business Partners on a continuous basis
Qualifications and Experience
• Matric/Grade 12
• Degree in Legal or Forensic Qualification will be advantageous.
• Advanced knowledge of short-term insurance industry
• Relevant experience in the investigation of fraudulent claims
• Minimum 4 years short-term insurance experience
• Minimum 3 years Claims investigations experience
• Supervisory/Management experience
• Solid understanding of TIA and MIA claims system and claims procedures: inclusive of claims, investigations and legal department processes
Skills
• Computer Literate (MS Office Package)
• Strong interviewing skills, capacity to influence and win confidence.
• Interpersonal skills (work in a team or independently)
• Problem solving abilities & abilities to make decisions.
• Strong analytical abilities and evaluate trends objectively.
Desired Skills
• Investigation of fraudulent claims
• Investigations
• Short term insurance industry
• Project Management
• Forensic Qualification
• Interviewing skills
• Conflict Management
• Analytical
Competencies Required
• Must be highly proficient in dealing with clients at all levels.
• Comprehensive knowledge of legal liability and state regulations
• Thorough knowledge of claims investigation techniques
• Excellent written and verbal communication skills
• Attention to detail.
• Supervisory skills
• Self-motivated, inspire others.
• Motivation and desire to excel.
• Problem solving skills and solution oriented.
• Flexibility
• Ability to multi-task and cope with pressure
• Performance management experience
• Commitment to personal and team goals
• Professionalism
• Ability to apply business rules and processes.
• Good interviewing skills
• Provide technical guidance to team members.
Knowledge and Skills
Drive leads and service targets
Coaching, quality and compliance
Reporting and communication
Management of employees
Personal Attributes
Decision quality - Contributing independently
Interpersonal savvy - Contributing independently
Plans and aligns - Contributing independently
Directs work - Contributing independently
Build a successful career with us
We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future – your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth. Through its five business clusters – Sanlam Fintech, Sanlam Life and Savings, Sanlam Investment Group, Sanlam Allianz, Santam, as well as MiWay and the Group Office – the group provides many opportunities for growth and development.
Core Competencies
Cultivates innovation - Contributing independently
Customer focus - Contributing independently
Drives results - Contributing independently
Collaborates - Contributing independently
Being resilient - Contributing independently
Turnaround time
The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of managers. Deadline to apply: 15 November 2024.
Our commitment to transformation
At MiWay we believe in cultivating a positive and dynamic working environment that gives you freedom and opportunity to succeed. MiWay is committed to transformation and embracing diversity. This is what drives us to achieve a multicultural workplace with employment equity as a key goal to create an inclusive workforce, reflective of the demographics of our society.
-
Merit Investigations Team Manager
3 weeks ago
Midrand, South Africa Sanlam Full time**Who are we?** - Job Description- The purpose of the role will be to manage the team of Merit Claims Investigators responsible for investigation component of suspicious and potential fraudulent claims. Ensuring that all flagged and segmented Claims are comprehensively investigated to achieve conclusive results and coordinating all claims investigation...
-
Merit Desktop Investigator
5 months ago
Midrand, South Africa MiWay Full timeWho are we? - Grade 12/Standard 10/NQF 4 Minimum Experience - Minimum 3 years investigations or merit investigations experience. Deliverables include but not limited to - Managing validations of claims for personal lines and commercial - Reaching company goals and targets set for the Investigations department - Knowledge of motorcycles will be...
-
Legal Liabilities Team Manager
6 months ago
Midrand, South Africa Sanlam Full time**Who are we?** - Minimum Qualifications Required- Grade 12/Standard 10/NQF 4 - Related tertiary qualification - Minimum Experience- Minimum 5 years’ experience in the STI environment - Minimum 5 years Liabilities and/or Recoveries experience, specific to Motor Vehicle Accidents - Deliverables include, but will not be limited to- Sound knowledge of Motor...
-
Business Claims Investigator
5 months ago
Midrand, South Africa Sanlam Full time**Who are we?** - Minimum Qualification Required- Grade 12/Standard 10/NQF 4 - Minimum Experience- Minimum 5 years short-term insurance experience - Minimum 5 years Claims experience - Minimum 3 years Claims Investigations experience - Solid understanding of claims systems and claims procedures: inclusive of claims, investigations, and legal department...
-
Senior Fraud Investigator
6 days ago
Midrand, Gauteng, South Africa Optimal Growth Technologies Full timeFraud Consultant Role at Optimal Growth TechnologiesWe are seeking a highly skilled and analytical Fraud Consultant to join our team at Optimal Growth Technologies. As a key member of our fraud department, you will play a critical role in assisting with the monitoring and investigation of fraud events.Job Description:The purpose of this role is to support...
-
Midrand, South Africa Bosch Group Full time**Company Description** Do you want beneficial technologies being shaped by your ideas? Whether in the areas of mobility solutions, consumer goods, industrial technology or energy and building technology - with us, you will have the chance to improve quality of life all across the globe. Welcome to Bosch! **Job Description** Driving Physical Security...
-
Claims Investigator
6 months ago
Midrand, South Africa Sanlam Full time**Who are we?** MiWay is a direct financial services company. We are passionate about service excellence, convenience and offering our clients superior value products. Our Vision is to be a world-class direct financial services business that offers a complete array of services under one convenient umbrella - all managed online. We are passionate about our...
-
Warehouse Supervisor
5 months ago
Midrand, South Africa Fidelity Services Group Full time**Vacancy**: Warehouse Supervisor **Region**: Commercial **Reporting to **:Warehouse Manager - Kasper Smith **Overall Purpose of the Job**: Manage and maintain inventory. Plan, organize, supervise and participate in the operations and activities of the Warehouse. Train, assign, supervise and evaluate assigned staff. **Minimum Qualifications and...
-
Midrand, South Africa Bosch Full timeJob Description Driving Physical Security Management System at local level within the framework of C/AUP governance on legal conditions (incl. site security process & consulting of local management) • Analysis of local physical security situation and necessary risk mitigation measures based on C/AUP Central Directives and input by local management /...
-
Midrand, South Africa Bosch Group Full timeJob DescriptionDriving Physical Security Management System at local level within the framework of C/AUP governance on legal conditions (incl. site security process & consulting of local management)• Analysis of local physical security situation and necessary risk mitigation measures based on C/AUP Central Directives and input by local management /...
-
Key Accounts: Statistical Analyst
2 months ago
Midrand, South Africa Combined Private Investigations Full time**Requirements**: - Matric or equivalent (NQF level 4) - Three years proven experience within a Financial, Key Accounts or Criminology department - Degree (NQF level 7) - Any degree (NQF level 7) in Business Management / Finance / Criminology - Adaptable, willingness to learn, innovative - Any knowledge / experience on Analyst’s Notebook / iBase as well...
-
Legal Recoveries Advisor
6 months ago
Midrand, South Africa Sanlam Full time**Who are we?** - Minimum Qualification Required- Grade 12/Standard 10/NQF 4 - Related tertiary qualification - Minimum Experience- Experience in a legal environment or position - Liabilities and/or Recoveries experience, specific to Motor Vehicle Accident - Deliverables include, but will not be limited to- Sound knowledge of Motor Vehicle Collisions and...
-
Claims Team Manager
5 months ago
Midrand, South Africa Sanlam Full time**Who are we?** - Minimum Qualification Required- Grade 12/Standard 10/NQF 4 - Minimum Experience- Minimum 5 years short term insurance experience - Minimum 3 years Claims experience - Supervisory/Management experience - Solid understanding of claims procedures - Competencies Required- Grade 12/Standard 10/NQF 4 - Must be highly proficient in dealing with...
-
Sales Team Manager
5 months ago
Midrand, South Africa MiWay Full timeWho are we? - Grade 12/Standard 10/NQF 4 - Completed FAIS credits - Regulatory Exam - (RE 5) - Relevant tertiary qualification (3 years qualification) - Advantageous Minimum Experience Required - 6 or more years insurance sales call centre experience - 3 or more years’ experience of general supervision of more junior colleagues (advantageous) - General...
-
Fttx Team Lead
5 months ago
Midrand, South Africa Jurumani Solutions Full timeJurumani offers an environment where creativity and the practice of building things is believed to be fundamentally useful to both the Client and Jurumani Solutions. Providing opportunity to focus on making products and business operating capabilities work, which means we often are more concerned with how systems align, orchestrate and integrate to achieve...
-
Team Leader
6 months ago
Midrand, South Africa ALSTOM Full time**Team Leader** **DESCRIPTION** At Alstom, our ambition is to be a global leader in the transportation sector, in the digital age. Leading the way to greener and smarter mobility worldwide, Alstom develops and markets integrated systems that provide the sustainable foundations for the future of transportation. Alstom offers a complete range of equipment...
-
Sales Team Manager: Outbound
5 months ago
Midrand, South Africa MiWay Full timeWho are we? - Grade 12/Standard 10/NQF 4 - Completed FAIS credits - Regulatory Exam - (RE 5) - Relevant tertiary qualification (3 years qualification) - Advantageous Minimum Experience Required - 6 or more years insurance sales call centre experience - 3 or more years’ experience of general supervision of more junior colleagues (advantageous) - General...
-
Call Centre Team Leader
5 months ago
Midrand, South Africa MiWay Full timeWho are we? - Grade 12/Standard 10/NQF 4 Minimum Experience Required - Minimum 5 years short-term insurance experience - Minimum 3 years Claims experience - 2 years Supervisory/Management experience - Solid understanding of the claims system and claims procedures: inclusive of claims, investigations, procurement and legal department processes - Motor and Non...
-
IT Manager
6 months ago
Midrand, South Africa Pronto Labour Team Full timeINFRASTRUCTURE TECHNOLOGY MANAGER (IT) - Qualification in IT - **Olifantsfontein,** (Midrand/Centurion area) Gauteng **IT MANAGER (Information Technoogy)** - MUST have IT Qualification - **MS Office**: - **ERP System exp SAP BPM**: - **Office 365** experience - Solid knowledge of **MPLS**: - Vlan configuration - DMZ's - Good understanding of...
-
Sales Team Manager: Lead Warming
5 months ago
Midrand, South Africa MiWay Full timeWho are we? - Grade 12/Standard 10/NQF 4 - Completed FAIS credits - Regulatory Exam - (RE 5) - Relevant tertiary qualification (3 years qualification) - Advantageous Minimum Experience Required - 6 or more years insurance sales call centre experience - 3 or more years’ experience of general supervision of more junior colleagues (advantageous) - General...