Claims Manager (Insurance)

AtripleA recruitment & temps; Johannesburg; On-site; ZAR 600,000 - 800,000; Full time

Job summary

An insurance sector client in Johannesburg is looking for an experienced Claims Manager to provide exceptional customer service and manage claims effectively. Responsibilities include overseeing claims quality, expense management, and team leadership. The ideal candidate will have at least 15 years of insurance experience, strong management skills, and proficiency in claims administration systems. This role promises to develop your leadership capabilities in a dynamic environment.

Qualifications

• 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.

Responsibilities

• Provide exceptional customer service.
• Monitor quality of claims through sample auditing.
• Manage claims cost and expenses effectively.
• Review vendor service in line with agreements.
• Improve average cost per claim.
• Control leakage across the claims value chain.
• Ensure compliance to company policies and relevant legislation.
• Lead and manage teams effectively.

Skills

Excellent communication skills (verbal and written)

Analysis

Attention to detail

Commitment to excellence

Effective delegation and leadership

Developing organisational talent

Planning and organising

Teamwork

Ability to work under pressure

Positive attitude

Education

B Degree or equivalent

Job description

Our client in the Insurance Industry is looking to hire a Claims Manager.

Duties and 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.
• Ensure consistent compliance to company policies and procedures corporate governance and relevant legislation 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.

Skills

• Excellent communication skills (verbal and written)
• Analysis
• Attention to detail.
• Commitment to excellence
• Effective delegation and leadership
• Developing organisational talent
• Planning and organising
• Teamwork
• Ability to work under pressure.
• Positive attitude

Send your CV and latest pay slip to [e-mail]

ATripleA Recruitment and Temps

www.aaaa.co.za