Claims Manager

Found in: Talent ZA C2 - 2 weeks ago

Johannesburg, South Africa Salt Employee Benefits Full time

The Claims Manager is responsible for the overall management of the claims department. The duties include, managing, planning, monitoring and reporting. Providing assistance to Client Services, the Call Centre, Claims team, employers and external service providers. The Claims Manager reports to the Snr Manager PSSPF.

Areas of Responsibilities

  • Meet production standards in terms of quantity and quality.
  • Liaise with employers and service providers both written and verbal.
  • Devote the whole of your time, attention and abilities during working hours to the discharge of your duties with strict accuracy.
  • Ensure email communication, whether internal or external is dealt with professionally and within the service level agreement.
  • Coordinate and monitor all claims related activities which includes payment of claims, reporting, data maintenance and client enquiries.
  • Ensure all funds comply and is administered according to the rules, policies, legislation, administration procedures and the service level agreements applicable to each fund.
  • Identify, develop, enhance and implement policies and procedures that are relevant to the claims department.
  • Follow up on audit findings and recommendations.
  • Compile job descriptions for all levels within the claims department.
  • Set and agree performance areas with staff and manage employee performance.
  • Delegate work to staff.
  • Coordinate departmental leave.
  • Compile accurate reports required by management in the required format.
  • Any other duties as determined by the Senior Manager: PSSPF Claims.

Record Keeping and Filing

  • Keep all email correspondence for future reference

Query resolution

  • Attend to all email and telephonic enquiries both internal and external.
  • Assist Client Services, the Call Centre, Claims team, employers and external service providers to resolve queries.
  • Follow through and provide client with on-going feedback until enquiry is resolved.
  • Support a positive and responsive climate for client enquiry resolution.
  • Action all escalated enquiries within 24 - 72 hours.
  • Report any irregularities to the Senior Manager: PSSPF Claims.
  • Monitor escalations and complaints and recommend preventative measures.

Team Support

  • Accept accountability and take responsibility for any work done or allocated.
  • Display a willing and helpful attitude.
  • Select, assign, lead and manage people
  • Train, mentor and coach staff.
  • Maintain staff relations.

Relationship Management

  • Build and maintain relationships at all levels with service providers and internal departments to enhance organizational effectiveness and efficiency.
  • Use your best endeavors to properly conduct, improve, extend, develop, promote, protect and preserve the business interests, reputation and goodwill of the company

Time Management

  • Excellent time management.
  • Must be available to work overtime when the need arises.
  • Flexible and ability to work under pressure and multitask.

Education, Language & Qualifications

  • Matric certificate with maths.
  • Good command of English.
  • FICA awareness training.

Essential Knowledge, skills and Experience

  • At least 6 years employee benefits / retirement fund administration experience specifically in a similar role processing retirement fund claims and dealing with employers and external providers.
  • A solid knowledge of pension fund legislation, regulations and guidelines.
  • Everest experience will be advantageous.
  • Knowledge and understanding of unitization.
  • Good knowledge of Microsoft Outlook, Word and Excel.
  • Excellent numerical skills with attention to detail and accuracy.
  • Methodical and meticulous.
  • Good verbal and written communication skills.
  • A self-starter who can work independently with minimal support but who can also work in a team environment.

  • Claims Manager

    5 days ago

    Johannesburg, South Africa Michelle Taylor Recruitment Full time

    Well established Logistics / Transport company seeking a Claims Manager. Experience required: - Matric - Relevant qualification will be advantageous - 5 years experience in **Claims, Logistics preferably Vehicle Carriers

  • Claims Operations Manager

    2 weeks ago

    Johannesburg, South Africa Ultra Personnel Full time

    Matric Certificate with Mathematics Regulatory Exam and Higher Certificate in Short term Insurance - NQF 5 Degree in Law or Risk Management or similar is preferred Leadership / Management Development Certification is preferred Class of Business certification (Personal Lines & Commercial Lines) Must be compliant with FAIS Fit and Proper requirements with...

  • Claims Negotiator

    2 hours ago

    Johannesburg, South Africa Belmar Personnel Full time

    **Randburg** **Purpose of the Job** To process and negotiate claims in the Claims department. **Job responsibilities (include but not limited to)** Maintain Best Practices at all times. Identify problems/contentious/large claims and report to Claims Manager Identify potential E&O exposure and notification to Claims Manager Ability to negotiate with...

  • Case / Claim Manager

    5 days ago

    Johannesburg, South Africa AS White Global Full time

    **Case Manager / Claim Specialist (based in Australia)** - Our Australia client is looking for Case Manager to be based onsite in New South Wales, Australia. - Working hours: Monday to Friday, normal office hours - Salary: Negotiable - according to Australia pay band **Job description**: - Provide early, timely and personal customer focused and empathetic...

  • Claims Administrator

    5 days ago

    Johannesburg, South Africa RAD Resources Full time

    Opportunity for a at Johannesburg North Insurance Brokerage. Play a crucial role in restoring our clients to their pre-loss status. Be the driving force behind efficient claims management, ensuring adherence to the companies service standards and swift turnaround times. Make a difference by helping clients navigate the complexities of the claims process and...

  • Operational Manager: Claims

    5 days ago

    Johannesburg, South Africa PPS Recruitment Full time

    **Job Advert Summary**: This is a senior position reporting to the CFO. This role will oversee the claims department responsible for the assessment and processing of Death, Sickness, Critical Illness and Hospital claims. If you have extensive experience in claims assessment in a life company, self-driven, confident to handle complex claims issues, possess...

  • Motor Claims Manager

    22 hours ago

    Johannesburg, South Africa Network Building and Talent Acquisition Full time

    **Key Responsibilities**: Claims Team Leadership: Lead, mentor, and coach a team of claims professionals, ensuring they provide high-quality service and meet performance targets. Claims Outcomes: Oversee and ensure accurate and efficient processing of motor insurance claims. Policy Compliance: Ensure that all claims are processed in accordance with company...

  • Manager: Claims

    22 hours ago

    Johannesburg, South Africa Absa Bank Limited Full time

    Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job Summary Short...

  • Claims Administrator

    Found in: Talent ZA 2A C2 - 2 weeks ago

    Johannesburg, South Africa Rad Resources Full time

    Claims Administration (motor and non-motor) of the allocated portfolio.Motor claims General Administrative TasksTake all the relevant details when the client phones Check premium payment and cover immediately. If premium not paid or there is no cover, clarify with the A.E. or Member immediately before advising the client. Register claim on CIMS System upon...

  • Claims Specialist

    Found in: beBee S ZA - 4 weeks ago

    Johannesburg, South Africa Jobking Full time

    CLAIMS SPECIALIST: NON-LIFE CLAIMS (LEVEL C1) Munich Reinsurance Company of Africa Limited (MRoA) has been operating in South Africa for 50 years, although the Munich Re (Group) was active on the Continent via Munich Re in Munich for some years prior to commencing the Southern African operation in Johannesburg in 1968. The Head Office of MRoA is in...

  • Claims Specialist

    Found in: beBee S ZA - 2 weeks ago

    Johannesburg, South Africa Jobking Full time

    CLAIMS SPECIALIST: NON-LIFE CLAIMS (LEVEL C1) Munich Reinsurance Company of Africa Limited (MRoA) has been operating in South Africa for 50 years, although the Munich Re (Group) was active on the Continent via Munich Re in Munich for some years prior to commencing the Southern African operation in Johannesburg in 1968. The Head Office of MRoA is in...

  • Claims Handler

    2 days ago

    Johannesburg, South Africa HeadHunters Full time

    **Reference** - PE002217/MT**Location** - Gauteng, JHB - Northern Suburbs**Salary Interval** - Monthly**Package** - R23000 - R25000 / None-negotiable**Description** **Our client, an national authorised financial services provider based in Johannesburg is currently looking to employ a Claims Handler.** **They are looking for a Claims Handler who will assist...

  • Claims Specialist

    Found in: beBee jobs ZA - 7 days ago

    Johannesburg, Gauteng, South Africa Jobking Full time

    CLAIMS SPECIALIST:NON-LIFE CLAIMS (LEVEL C1)Munich Reinsurance Company of Africa Limited (MRoA) has been operating in South Africa for 50 years, although the Munich Re (Group) was active on the Continent via Munich Re in Munich for some years prior to commencing the Southern African operation in Johannesburg in 1968. The Head Office of MRoA is in...

  • Senior Claims Investigation Manager

    Found in: Whatjobs ZA C2 - 4 days ago

    Johannesburg, South Africa Headhunters Full time

    Requirements: Completed Tertiary Qualification. Minimum of 5 to 10 years' experience in a similar or related role. Previous people management experience (Leadership Roles) - advantageous. Registration as a representative with the FSCA in terms of the FAIS Act advantageous. Strong proficiency in Microsoft Excel and Internet navigation. Manage a high volume...

  • Senior Claims Investigation Manager

    Found in: Talent ZA 2A C2 - 2 weeks ago

    Johannesburg, South Africa Headhunters Full time

    Requirements:Completed Tertiary Qualification.Minimum of 5 to 10 years' experience in a similar or related role.Previous people management experience (Leadership Roles) - advantageous.Registration as a representative with the FSCA in terms of the FAIS Act advantageous.Strong proficiency in Microsoft Excel and Internet navigation.Manage a high volume of...

  • Senior Claims Investigation Manager

    Found in: Adzuna ZA B C2 - 7 days ago

    Johannesburg, South Africa Adzuna ZA B C2 Full time

    Requirements:Completed Tertiary Qualification.Minimum of 5 to 10 years' experience in a similar or related role.Previous people management experience (Leadership Roles) - advantageous.Registration as a representative with the FSCA in terms of the FAIS Act advantageous.Strong proficiency in Microsoft Excel and Internet navigation.Manage a high volume of...

  • Head of Claims

    5 days ago

    Johannesburg, South Africa Absa Bank Limited Full time

    Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job...

  • Senior Manager

    Found in: Talent ZA C2 - 2 weeks ago

    Johannesburg, South Africa Salt Employee Benefits Full time

    Purpose of Role:The incumbent will be responsible for working with the Head Admin to provide strategic direction and input re. The Claims function of SEB in line with client needs and working closely with the Executives and IT to implement and drive strategic changes. To manage a large team of client services administrators for a portfolio of funds. Lead the...

  • Consultant - Claims Advocacy

    5 days ago

    Johannesburg, South Africa Marsh Full time

    Provides coverage and claims strategy advice to clients on claims with no major coverage issues in order to assist with claims preparation Identifies appropriate policies and/or coverage's on less complex coverage issues and analyses notification against the same in order to provide solutions to clients against future risks. Facilitates claims process...

  • Administrator: Claims

    2 weeks ago

    Johannesburg, South Africa Absa Bank Limited Full time

    Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job Summary To...