Claims Team Leader (Finance/Insurance)

AtripleA recruitment & temps; Sandton; On-site; ZAR 420,000 - 620,000; Full time

Job summary

A recruitment agency is seeking a Claims Team Leader in Sandton to oversee claims processing and staff supervision. The ideal candidate will have at least 4-6 years of administration experience, and 2-3 years of supervisory experience, along with strong customer service and management skills. Responsibilities include managing daily claims, preparing reports, and ensuring compliance with internal processes. This position requires strong organizational abilities and the capability to handle responsibilities effectively under pressure.

Qualifications

• Minimum 4-6 years Administration Experience.
• Minimum 2-3 years Supervisory Experience.
• Accounting knowledge will be an advantage.
• Minimum 4–6 years administration experience.
• Min 2–3 years supervisory experience.
• Accounting experience will be an advantage.
• Strong Excel and computer skills.

Responsibilities

• Allocate daily incoming mail and ensure claims are attended to timeously.
• Manage team performance and monitor deliverables.
• Prepare regular client, claims experience, and regulatory reports.
• Manage and develop the Claims team, including coaching and performance reviews.
• Handle client queries and maintain SLA adherence.
• Ensure accurate data recording and reconciliation of cash calls where applicable.

Skills

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

Education

Matric Certificate

RE 5

Diploma/ Degree / any Post-Matric Qualification

Tools

Excel Knowledge

Computer skills

Job description

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 [e-mail]

ATripleA Recruitment and Temps

www.aaaa.co.za