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Johannesburg: Long-term Insurance Dispute Resolution Technical Lead posted by The Recruitment Council

Johannesburg: Long-term Insurance Dispute Resolution Technical Lead posted by The Recruitment Council

Posted on 2025-05-01 00:00:00

Employer The Recruitment Council
Category Other Professions
Location Gauteng  / Johannesburg

Job Summary

Job Description: Long-term Insurance Dispute Resolution Technical Lead Position Overview: The Long-term Insurance Dispute Resolution Technical Lead is a key role responsible for managing the dispute resolution process related to long-term insurance. This position involves representing the organization in interactions with various Ombudsman offices and regulatory bodies, ensuring compliance and effective handling of complaints. Key Responsibilities: Dispute Management: Oversee the recording and tracking of all complaints in the Client Relationship Management (CRM) database, ensuring all details are accurately documented for reference. Documentation Handling: Ensure that all relevant documents, including physical copies and supporting materials, are properly uploaded and maintained for each complaint. Process Improvement: Identify opportunities for enhancing client service and operational processes by analyzing service gaps and compliance issues, and recommending actionable solutions. Stakeholder Liaison: Maintain communication with relevant business units to ensure timely and satisfactory responses to complaints, while monitoring the progress of each case. Risk Mitigation: Proactively highlight any reputational or financial risks associated with service gaps or non-compliance, and develop strategies to address these issues. Regulatory Compliance: Stay informed about changes in insurance legislation and industry standards, participating in ongoing education and training to maintain expertise. Knowledge Sharing: Foster a culture of knowledge sharing by keeping the team updated on regulatory changes and best practices within the industry. Client Communication: Ensure that clients receive timely updates and responses regarding their complaints, and provide necessary documentation to support claims processing. Relationship Building: Establish and maintain effective relationships with both internal teams and external stakeholders through workshops and discussion forums. Reporting: Respond promptly to inquiries from the Ombudsman and regulatory bodies, ensuring that all resolutions are completed within stipulated deadlines. Requirements: Essential Qualifications: Matric / Grade 12 / National Senior Certificate Advanced Diplomas/National 1st Degrees Preferred Qualification: Admitted Attorney Preferred Certifications: RE 5 Certification Experience: Minimum of 5 years experience as a Long-term Insurance Ombudsman Liaison specialist with a focus on dispute resolution.

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