Claims Technical Advice Manager

1 week ago


Pretoria, South Africa Santam Full time

OPPORTUNITY

Santam has a position available as the Claims Technical Advice Manager within the Claims Technical Advice department. Claims Technical Advice operates within the Quality and Knowledge Management which is part and parcel of Claims Services. We are looking for a highly professional and driven individual to assume the role of leading the claims technical advice activities of the Santam Group, based in Centurion Pretoria. The position reports to the Head: Quality and Knowledge Management. Contribute towards Santam profitability and growth by influencing the quality and standard of claims handling. WHAT WILL MAKE YOU SUCCESSFUL IN THIS ROLE

Driving the claims strategy by exploring and implementing effective operational processes and ensuring an alignment between the claims business needs and the rest of the stakeholders. Research and empower claims teams with knowledge to be able to handle claims indemnification effectively.
Contribute to the overall claims’ strategy through building sustainable relationships with the stakeholders and providing customer focused solutions through knowledge sharing methodologies and claims technical advice.
Transferring knowledge through workshops and publication of claims bulletins within the Commercial and Personal lines.
Ensure sufficient controls to ensure that a request for advice on a claim is being handled timeously and in adherence to turn
around time.
Increase collaboration with different stakeholders (product development, broker distribution, intermediary administration, risk services, training, quality assessment)
Ensure there is minimum interruption to finalisation of claims and present legally sound recommendations to more senior staff.
Promote uniformity of policy interpretation and claims handling within claims services to ensure adherence to the regulations with claims teams (Insurance Act, Short-term Insurance Act, FAIS Act, POPIA, FICA Bill). Interpretation and analysis of Claims data to manage knowledge gaps for effective claims decisions.
Ability for effective team management and contribute to the creation of a learning and knowledge sharing culture using latest knowledge management platforms.
Ensuring skills sharing amongst the team Coaching and supporting of the team. Ensure team effectiveness and value to the organization.
Build and maintain a resilient and agile team.
Encourage continuous learning and development of the team QUALIFICATIONS AND EXPERIENCE

Legal qualification (LLB).
Insurance related qualification (COP; ICIBS; HCII). - an advantage
Experience in leading a team.
Knowledge management principals an advantage
5-8 years’ experience in operational claims & underwriting environment
Excellent knowledge of claims policies and governance
Experience in a legal environment (Law of Contract, Law of Evidence & Delict). SKILLS

Product knowledge (Commercial and Personal lines);
Strong relationship building skills
Assertive
Excellent communication skills
Strong industry acumen
Analytical skills
Negotiation
Ability to pay attention to detail
Ability to lead and manage people
Legal interpretation skills
Execution of strategy KNOWLEDGE

WHO WE ARE

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 centered on our delivery of Insurance Good and Proper. We’re about people. People drive our business so it follows that we want to recruit the best people possible whether they work for us permanently or for a short time as temporary employees.
At Santam we are committed to transformation and embracing diversity. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society. In achieving our employment equity goals we give preference to applicants from the designated groups in alignment with the Divisions Employment Equity targets.



  • Pretoria, South Africa Santam Full time

    OPPORTUNITY Santam is recruiting for the position of Claims Technical Advice Specialist within the Claims Technical Advice department. Claims Technical Advice operates within the Quality and Knowledge Management which is part and parcel of Claims Services. We are looking for a highly professional and driven individual to assume the role of support to the...

  • Claims consultant

    2 weeks ago


    Pretoria, Gauteng, South Africa Hollard Insurance Full time

    Job PurposeThis Claims Consultant role will be responsible for managing Branch claims assigned, within the branch mandate, within the set standards required by the company thus contributing to the productivity of the claims department. Maintaining the standards of the claims department thus enhancing the image of Hollard, as well as ensuring technical...

  • Claims Manager

    2 weeks ago


    Pretoria, South Africa Medical Protection Society Full time

    Job Introduction Our Claims Managers are key to ensuring that any claims brought against our members are managed efficiently, with the best interests of our members and the member fund at heart. You will support the provision of excellent claims handling services for members which is trusted and valued and provides fair treatment outcomes, by managing a...


  • Pretoria, South Africa Medical Protection Society Full time

    Job Introduction Our Claims Managers are key to ensuring that any claims brought against our members are managed efficiently, with the best interests of our members and the member fund at heart. You will support the provision of excellent claims handling services for members which is trusted and valued and provides fair treatment outcomes, by managing a...

  • Claims Consultant

    4 weeks ago


    Pretoria, South Africa South Africa'S Favourite Insurance Company Full time

    Job Advert SummaryJob Purpose The Claims Consultant is responsible for managing claims allocated to the branch, in alignment with branch mandates and company standards. This role plays a key part in ensuring the efficiency and effectiveness of the claims department by upholding technical excellence and service quality. The incumbent will contribute to the...


  • Pretoria, South Africa Bryte Insurance Full time

    Serve as the primary liaison between Bryte, and their clients or potential clients. To develop customer specific value-added services (in conjunction with the Claims Operations and work as a customer champion ensuring that the role is conducted in the most effective, efficient way whilst delivering a customer centric claim. service in a manner which supports...

  • Claims Navigator

    3 weeks ago


    Pretoria, South Africa People Dimension Full time

    Duties & Responsibilities Key roles and responsibilities: Claims Processing: Register claims, confirm documentation, and assist claimants through the process. Guidance & Support: Provide clear information on policy terms, benefits, and procedures. Coordination: Act as the central point of contact between internal teams and external organizations. Issue...


  • Pretoria, South Africa Hollard Insurance Full time

    Job Purpose The Senior Claims Consultant is responsible for managing claims allocated to the branch, in alignment with branch mandates and company standards. This role plays a key part in ensuring the efficiency and effectiveness of the claims department by upholding technical excellence and service quality. The incumbent will contribute to the growth and...

  • Claims Navigator

    3 weeks ago


    Pretoria, South Africa People Dimension Full time

    Duties & ResponsibilitiesKey roles and responsibilities:Claims Processing: Register claims, confirm documentation, and assist claimants through the process.Guidance & Support: Provide clear information on policy terms, benefits, and procedures.Coordination: Act as the central point of contact between internal teams and external organizations.Issue...

  • Claims Consultant

    4 weeks ago


    Pretoria, South Africa Hollard Full time

    Job Purpose The Claims Consultant is responsible for managing claims allocated to the branch, in alignment with branch mandates and company standards. This role plays a key part in ensuring the efficiency and effectiveness of the claims department by upholding technical excellence and service quality. The incumbent will contribute to the growth and...