Claims Manager

Requirements

• 10 years' experience in short term insurance.
• Experience with forensic claims investigations.
• Key Impact Areas:
• Act as a claims technical advisor by educating the underwriters, client and staff about claims processes and procedures, to ensure that staff are equipped with the necessary experience to meet their clients' needs.
• Identify and implement claims initiatives whilst performing best practice research on industry trends, to ensure claims initiatives meet said best practice standards and the needs of the client.
• Verify claims processes do not impede / delay the processing of a claim and drive the improvement of any ineffective processes to ensure claims operational efficiency.
• Identify problem areas within the claims service value chain and devise suitable solutions to efficiently manage vendors and stakeholders.
• Monitor for fraudulent claims and lead the team to resolve any fraudulent claims identified to ensure the Bank does not process fraudulent claims.
• Behavioural Competencies:
• Interacting with People
• Managing Tasks
• Providing Insights
• Taking Action
• Upholding Standards
• Technical Competencies:
• Client Retention
• Client Servicing
• Client Value Propositions
• Insurance Principles
• Insurance Products & Services

Additional Information

To supervise and drive the management of claims area nationally, and to verify that the set key deliverables, such as cost containment and customer service levels, are met. To foster a dynamic Claims Fulfilment team and share the common goal of exceeding customer expectations, by keeping customers informed and timeously settling claims, whilst applying risk management principles. Bachelor of Commerce or related. Certificate of proficiency in Insurance.

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