Specialised Claims

-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

To effectively manage the specialized claims (investigations) department. This includes but is not limited to the management of processes, procedures, systems, and leading of people to minimize claims leakages.
Requirements
- Minimum of 5 years' experience in the Insurance Industry, 2 of which should be on Management Level
- 3 years insurance investigations experience
- Knowledge of Insurance Law will be advantageous
- An Investigation qualification/ certificate will be an added advantage
Duties & Responsibilities

**OPERATIONAL MANAGEMENT**
- Ensure that claims to be investigated are, identified, conducted, and reported on, in line with applicable policies, procedures and legislation
- Establish and maintain positive Stakeholder relations to foster good internal and industry partnerships
- Plan and continuously monitor and evaluate systems and procedures with the aim of improving quality of service to customers and all stakeholders
- Manage the preparation and presentation of departmental and group reports as required (weekly, monthly, quarterly.)
- Track the attainment of departmental strategic goals and take the necessary steps to achieve efficiencies
- Monitor and review performance data such of department
- Plan and execute budget controls in line with appropriate policies and procedures and for the benefit of the department and the organization at large
- Execute business decisions that are in line with the organizational values of Innovation, Accountability, Integrity, and Teamwork
- Handle client and broker complaints in an efficient, effective, and professional manner
- Be the custodian of Momentum Insure’s Claims Philosophy principles

**PEOPLE MANAGEMENT**
- Create a conducive working environment and a culture that aligns to the organizational values
- Ensure that all grievances and issues of noncompliance to operational and organizational policies and procedures, are dealt with speedily and decisively
- Maintain open communication at all levels, including but not exclusive to, one-on-one communication, team/departmental communication and as required to senior structures of the organization
- Plan staffing levels to ensure optimal levels of productivity and efficiencies
- Collaborate with the Human Capital department to ensure that recruitment processes are followed in accordance with the required policies, procedures, and legislative requirements
- Manage people performance and ensure that formal and informal feedback is provided on a regular basis to individual and teams and in line with the organization's performance policies and procedures
- Coach, mentor and ensure people development to maximize operational efficiencies and in line with People Development policies and applicable legislation
Competencies
- Negotiation skills
- Excellent communication skills (written and verbal)
- An enquiring mind
- Financial & Business acumen
- Assertive
- Interpersonal skills
- Analytical
- Problem Solving
- Solution Oriented
- Organized
- Information monitoring
- Data interpretation

Policy

We are committed to Employment Equity, diversity and inclusion when recruiting internally and externally. All appointments are made in alignment to our Employment Equity goals and we encourage people with disabilities to apply.