Job Description
About the Role
Our client in the insurance sector is seeking a Senior Manager: IL Claims Administration to monitor the management of individual life claims administration. The successful candidate will be responsible for overseeing the efficient and effective administration of claims, as well as aligning Branch Office procedures with Head Office procedures.
Key Responsibilities
• Monitor management of claims administration on individual life policies
• Design and develop standard operating procedures
• Oversee the management of efficient and effective administration of claims
• Align Branch Office procedures with Head Office procedures
• Monitor processes and procedures for the detection of fraud activities on claims
• Provide inputs to forensics, IT department and external fraud forum
• Decide and discuss dispute claims
• Decide on ex-gratia payments in agreement with Senior Executive Manager
• Monitor payment turn-around time of finalized
• Sign-off finalized approved claims payments
• Co-ordinate complaints resolution and compliance
• Provide inputs into strategy
• Management of implementation of claims workflow and audits
• Conduct claims audits at branches to comply with claims rules and procedures
• Manage implementation of processes that are followed and completed for audits
• Monitor completion and updates of loss/near loss register
• Provide feedback on processes to auditors
• Provide feedback to auditors on steps taken to ensure claims are paid correctly
• Provide feedback to Risk Manager
• Design and develop processes for unclaimed assets
• Align unclaimed assets with claims rules and process
• Obtain an external service provider to trace the policy holders
• Attend the unclaimed asset committee meetings
• Chair unclaimed assets committee and align with requirements
• Report on IL Claims Administration
Requirements
• Degree: Risk Management/Business Management/relevant
• RE1 & RE 5
• Registration as a Key Individual
• 60 or 120 credits on NQF level 5 (Depending on the date of appointment in the industry)
• 5 Years’ Experience in long term insurance claims
• At least 5-8 years in Management
Qualifications
No formal education/certifications mentioned.
Salary & Benefits
Salary: R900 000 (negotiable)
How to Apply
Click the green “Go Apply” button below to apply directly online with the employer.
About Other Insurance Jobs in Gauteng
The Other Insurance (OI) industry is a significant sector in Gauteng, South Africa, offering a range of career opportunities for professionals with the right skills and experience. Typically, OI roles are in demand across various industries, including financial services, technology, and manufacturing, as companies seek to manage and mitigate risks associated with their operations.
Generally, OI specialists in Gauteng can expect salaries that vary widely depending on factors such as level of experience, company size, and industry sector. While broad salary ranges cannot be provided due to the variable nature of these factors, it is common for experienced OI professionals to earn between R600 000 and R1 200 000 per annum, while entry-level roles may start at around R300 000 to R500 000 per annum. However, salaries can fluctuate depending on individual circumstances.
Common skills required for OI roles in Gauteng include expertise in financial management, risk analysis, data interpretation, communication, and project management. Other essential skills often include proficiency in insurance software, analytical thinking, problem-solving, and the ability to work under pressure. Many OI professionals also hold relevant certifications or degrees in fields such as actuarial science, business administration, or economics.
The financial services sector is a significant employer of OI professionals in Gauteng, with other industries such as technology and manufacturing also commonly hiring for these roles. Other sectors that may employ OI specialists include healthcare, construction, and logistics. In terms of career development, many OI professionals in Gauteng progress to senior roles within their current organisations or move into related fields such as risk management, auditing, or claims handling.
For those seeking a career in OI, it is essential to develop a broad range of skills and experience, often through formal education and training. Many OI professionals in Gauteng have pursued certifications such as the Fellow of the Institute of Actuaries (FIA) or the Chartered Insurance Practitioner (CIP). Building strong relationships with clients, colleagues, and stakeholders is also crucial for success in this field.
This information provides general career guidance. Actual salaries and requirements vary by employer.
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