Johannesburg: Claims Manager (Insurance) posted by AtripleA recruitment & temps

About the Role

Our client in the Insurance Industry is seeking an experienced Claims Manager to join their team. The successful candidate will be responsible for providing exceptional customer service, managing claims costs and expenses, and ensuring compliance with company policies and procedures.

Key Responsibilities

• Provide exceptional customer service.

• Effective customer focus, service, and query resolution.

• Monitor and manage the quality of the claims handled by conducting sample auditing on an ongoing basis.

• Claims cost & expense management.

• Review the service provided by different vendors and repairers in conjunction with agreed vendor contracts with specific regard to cost containment, quality of workmanship and service delivery.

• Recommend improvements to reduce average cost per claim in all Lines of Business.

• Effective control and monitoring of leakage across the claims value chain and report thereon.

• Effective quality control and audits on leakage.

• Effective reporting and analysis.

• Ensure all information and standards are adhered to with regards financial transactions.

• Review all QA and Operational reports as and when required and provide feedback and/or action plans to address issues.

• Identify, and combat fraud.

• Adhere to internal policies, processes, and procedures with a clear understanding of Company’s Claims handling strategy and implementation thereof.

• Effective people management and team leadership – lead by living the Company values.

• Create an environment that fosters teamwork and co-operation amongst team members.

• Ensure appropriate staffing and action accordingly.

• Translating strategic priorities into operational reality to yield measurable and sustainable results.

• Utilising financial data to analyse the business unit – loss ratios trends, incurred severity & frequency, etc.

• To have an intuitive feel for the commercial aspects of a business, an insight into revenue, cost and business models and data analytics to ensure sustainable growth.

• Effective Salvage & Recoveries management.

• Effective management of Large & Complex claims.

Requirements

• AIISA

• B Degree or equivalent

• Preferred affiliations an added advantage

• Experience, knowledge, and attributes

• 15 years minimum insurance experience (claims, underwriting, sales and compliance environments)

• 7 – 10 years management and leadership experience in a similar environment

• High degree of proficiency with insurance claims administration and business intelligence systems is essential.

Qualifications

No formal qualifications mentioned.