Team Manager

**Job Details**:
**Title: Team Leader - Short Term and Life Claims**

**Location: Pretoria East**

**Permanent: Yes**

**Full time: Yes**

**Industry: Insurance**

**Salary / CTC: R 30 000 - R 45 000**

**Reports to: Claims Manager**

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The Short Term and Life Claims Team Leader is responsible for leading and managing a team of claims professionals handling both short-term and life insurance claims. The role involves overseeing the end-to-end claims process, ensuring timely and accurate claims adjudication, providing guidance and support to team members, and fostering a culture of continuous improvement and client-centricity.

**Roles and Responsibilities**:
**Managing the team**:

- Lead, mentor, and motivate a team of claims professionals handling short-term and life insurance claims.
- Provide ongoing coaching, feedback, and performance evaluations to team members to ensure high performance and professional development.
- Foster a collaborative and supportive team environment conducive to achieving departmental goals and objectives.

**Claims management**:

- Oversee the end-to-end claims process for both short-term and life insurance claims, ensuring adherence to company policies, procedures, and regulatory requirements.
- Review and approve complex or escalated claims, providing guidance and assistance to team members as needed.
- Monitor claims metrics and performance indicators to identify trends, address issues, and implement process improvements to enhance efficiency and client satisfaction.

**Customer Service Excellence**:

- Champion a client-centric approach to claims management, prioritising prompt and empathetic resolution of client inquiries and concerns.
- Collaborate with other departments, such as Client Services and Underwriting, to streamline processes and enhance the overall client experience.
- Address escalated client complaints or inquiries in a timely and professional manner, striving to exceed client expectations and uphold the company's reputation for excellence.

**Training and Development**:

- Facilitate cross-training opportunities to promote versatility and proficiency across different types of claims.

**Quality Assurance and Compliance**:
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- Conduct regular audits and quality reviews of claims files to ensure accuracy, consistency, and compliance with company standards and regulatory requirements.
- Identify areas for improvement and implement corrective actions or process enhancements to mitigate risks and strengthen controls.
- Collaborate with the Compliance and Legal department to address regulatory inquiries, audits, or investigations related to claims** **management**.**

**Qualifications**:
**Minimum Qualifications**
- Matric
- RE5
- Full FAIS qualification

**Minimum Experience**
- 5 Years of experience in a claims management role within the insurance industry, with demonstrated expertise in handling both short-term and life insurance claims.
- Must have short term claims experience in building insurance and home content insurance.

**Knowledge**
- Thorough understanding of insurance principles, policies, and regulations governing short-term and life insurance claims.

**Personal Attributes**
- Strong leadership and team-building skills, with a focus on fostering a positive and inclusive work environment.
- Client-centric approach, with a genuine passion for delivering exceptional service and building lasting relationships with clients and stakeholders.
- Strong analytical and problem-solving skills, with the ability to assess complex claims situations and make sound decisions.
- Results-oriented mindset, with a commitment to achieving departmental goals and driving continuous improvement.
- Integrity, professionalism, and a commitment to upholding ethical standards and compliance with regulatory requirements.
- Adaptability and resilience in managing competing priorities and navigating challenges in a dynamic insurance environment.
- Excellent communication and interpersonal skills, with the ability to effectively collaborate with cross-functional teams and interact with customers and stakeholders at all levels.