Location: Sandton

Our Client, a specialist life insurer group who provide insurance solutions to organized, structured and legally constituted groups, has an opportunity for a Claims Team Leader to join their team.

Key Responsibilities:

Claims Management:
• Allocation of daily incoming mail
• Ensuring delegated daily claims are attended to timeously
• Checking and assessment of all Claims (Group Life Assurance; Credit Life; Hospital; Dread Disease and Funeral claims) in accordance to Internal processes and procedures
• Assessments and authorization of claims to be in line with the delegation of authority (as amended from time to time)
• Repudiate claims that do not qualify in terms of the Policy terms and conditions
• Ensure accurate recording of all claims on the Administration system
• Ensuring that claim payments are made within the agreed SLA and approval is in line with the relevant Policy terms and conditions
• Fraud detection and prevention
• Checking cash call requests (where Reinsurance is applicable)
• Check and ensure accuracy of Monthly Reconciliation of cash calls submitted and paid
• Attend to client’s queries and complaints (as guided by the Internal Procedure)

Supervision of Staff:
• Ensure that Performance Contracts are in place
• Manage team performance
• Monitoring of daily and monthly deliverables
• Staff Supervision
• Facilitating on the job training where necessary
• Coaching and monitoring staff

Reporting:
• Weekly and monthly reports on claims
• Prepare regularly client reports
• Prepare claims experience reports
• Regulatory reports

Others:
• Ensure adherence to internal processes
• Ensure effective client communication
• Identifying areas of improvement and providing recommendations to Management
• Any other allocated Projects/Assignments
• To provide the necessary support to the Claims Manager

Key Requirements:
• Matric Certificate
• RE 5
• Diploma/ Degree / any Post-Matric Qualification (Will be an Advantage)
• Min 4-6 years Administration Experience
• Min 2-3 years Supervisory Experience
• Accounting (Will be an advantage)
• Excel Knowledge
• Computer skills

Other Attributes:
• Strong customer service skills
• People skills
• Good time management
• Ability to work accurately under pressure
• Result orientated person
• Ability to work within a team and independently
• Demonstrate personal and professional development

Send your CV and latest pay slip to

ATripleA Recruitment and Temps

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