<< Back to Careers Claims Team Leader (Finance/Insurance)

Sandton
Claims Team Leader (Finance/Insurance)
Market Related

Claims Team Leader (Finance/Insurance)

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 jom@aaaa.co.za

ATripleA Recruitment and Temps

www.aaaa.co.za

#atriplea #recruitment #vacancy #Claims #Team #Leader #Finance

Posted 2024-05-15

Please provide ALL the information requested below, to submit your CV:

Your first name:

Your surname:

Your email address

Attach the files below

Files must be:

Smaller than 3 megabytes each Either MS Word, PDF, Jpeg images or text (txt) files Attach your CV:

Attach a copy of your ID:

Attach a recent payslip:
I agree that AtripleA Recruitment & Temps may collect my personal information as submitted, and make use of this information as set out in the Privacy Policy