Manager: Claims Technical Advice

3 weeks ago

Pretoria, South Africa Sanlam Full time

CAREER OPPORTUNITY

Santam has a position available as the Manager: Claims Technical Advice 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 team, based in Centurion Pretoria. The position reports to the Head: Quality and Knowledge Management.

JOB DESCRIPTION

The position will be mainly responsible for:

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. 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) 

Accountable for claims technical advice within the claims business and ability to apply insurance law principles in claims handing. Must have the ability to interpret policy wording relating to claims handling on request to ensure accuracy of claims decisions. 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.

QUALIFICATIONS AND EXPERIENCE

• Legal qualification (LLB).
• Insurance related qualification (COP; ICIBS; HCII).
• Leadership and management qualifications.
• Knowledge management related qualification or knowledge 
• 5-8 years in operational (claims) & underwriting 
• 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

Ability to lead a team of specialist and apply legal principles of interpretation amidst the growing regulatory requirements that require compliance with application of fairness and equity (TCF), while balancing the company's ability to remain profitable and sustainable in tight economic environment. Keeping up to date with the latest forms of sharing knowledge utilising technology. Getting the staff members engaged and having a resilient mind set. Creating a balance between protecting consumers, managing risk, and stimulating innovation

RECOMMENDATIONS DESCRIPTION

• Drives results
• Ability to work with people from different backgrounds.
• Ability to be innovative and be resilient.
• Ability to lead with empathy.
• Good interpersonal competency.
• Good communication skills.
• Ability to think broadly and strategically

ABOUT THE COMPANY

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 rapidlymoving 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 centred on ourdelivery of Insurance Good and Proper. We’re about people. People drive our business so itfollows that we want to recruit the best people possible whether they work for us permanently orfor a short time as temporary employees.
At Santam we are committed to transformation and embracing diversity. This commitment is whatdrives us to achieve a diverse workplace with employment equity as a key goal to create aninclusive workforce, representative of the demographics of our society. In achieving ouremployment equity goals we give preference to applicants from the designated groups inalignment with the Divisions Employment Equity targets.

Qualified applicants are invited to submit their cover letter, CV, and salary requirements in MSWord format online at / careers. Should you be aware of a qualified individual,please pass this vacancy on to them.

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