Disability Claims Manager

2 weeks ago

Cape Town, South Africa Momentum Corporate Full time

**Introduction**

**Disclaimer**
- As an applicant, please verify the legitimacy of this job advert on our company career page.

**Role Purpose**
- Supervises individuals within a team and ensures claims assessments are done according to company policy and fulfills a coaching/mentoring role to team members.

**Requirements**:
**Qualifications and Experience**
- At least 5 years of insurance Disability Management experience.
- Minimum 1-year clinical assessment and/or adult rehabilitation experience.
- Understanding and knowledge of Group Insurance Industry.
- Bachelor of Occupational Therapy / Bachelor of Physiotherapy / Bachelor of Nursing Science.

**Duties & Responsibilities**

**Strategic and Operational Leadership**:

- Participate and lead strategic projects.
- Participate and lead in operational excellence initiatives and projects (including and not limited to, forensic investigations, early intervention, case management and rehabilitation process).
- Strong focus on business process improvement.
- Ensure all risks are mitigated and escalated where necessary.
- Adhere to organisational best practice, compliance and legislative requirements.
- Adhere to policies and procedures and take corrective action where necessary.

**Team Management and Development**:

- Drive day to day deliverables of team; ensuring quality and ensuring meeting of standards.
- Monthly one-on-ones and performance feedback sessions with all team members.
- Strong focus on self and team development and training.
- Ensure adherence to performance excellence principles through systematic drafting and reporting of team member performance, supporting continuous improvement and accountability.
- Participate in the induction of new staff members.
- Workflow / workload monitoring.

**Client and Stakeholder Engagement**:

- Build and maintain relationships with new and existing external clients such as medical practitioners, organized labour, board of trustees and intermediaries etc.
- Liaising and collaborating with internal teams within FundsAtWork and Group Insurance as well as the greater Momentum Group.
- Assisting team members with presentations to new and existing clients.
- Participating in and supporting the sales team with new business pitch preparations and presentations where necessary.

**Claims Management and Service delivery**:

- Ensure effective claims management service delivery and support i.e. assessments, reassessments and complaints and disputes.
- Managing of the claims management information system, i.e. data integrity.
- Plan, processes and services, schedule and co-ordinate to achieve efficiency and quality standards.
- Any other ad-hoc initiatives and projects in respect of efficient claims management.

**Competencies**

**Core Interpersonal and Communication Skills**:

- Good interactive skills.
- Excellent interpersonal skills.
- Presentation and facilitation skills.
- Assertive communication skills.
- Negotiation and mediation skills.

**Cognitive and Problem-Solving Skills**:

- Good problem solving and analytical skills.
- Multitasking skills.
- Adaptability.

**Personal Attributes and Work Ethic**:

- Self-driven and motivated.
- Leads by positive example.
- Resilience.
- Ability to work under pressure and excellent time management skills.
- Living the Momentum Group values.

**Technical and Professional Competence**:

- Excellent clinical reasoning
- Proficient in all relevant Microsoft Applications e.g. Outlook, Word, Teams, PowerPoint, OneDrive, Power BI etc.

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