Head of Claims Operations

confidential; Johannesburg; Presencial; ZAR 1.200.000 - 2.100.000; Tempo integral

Resumo da vaga

Confidential is seeking an experienced executive to lead Claims Operations strategy and execution within the health insurance sector. The role oversees the full claims lifecycle, driving strategic alignment and operational excellence across large teams.

The ideal candidate has 10+ years in health insurance or medical scheme claims and 5+ years in senior leadership, with proven success managing large operational groups and delivering results.

Qualificações

• Bachelor's degree in Business Management, Insurance, Finance, Operations Management, Risk Management, or related field.
• Postgraduate degree in Business Management, Operations, or Risk is advantageous.
• ACII or equivalent insurance qualification, Lean Six Sigma, or BPM certifications are advantageous.

Responsabilidades

• Strategic & operational leadership to formulate and execute a cutting-edge claims operations strategy aligned with business objectives.
• Oversee the end-to-end claims lifecycle with emphasis on efficiency and alignment to strategic goals.

Formação

Bachelor’s degree in Business Management/Insurance/Finance/Operations Management/Risk Management

Postgraduate degree in Business Management/Operations/Risk (Advantageous)

ACII or equivalent insurance qualification (Advantageous)

Lean Six Sigma (Advantageous)

Business Process Management (BPM) certifications (Advantageous)

Descrição da vaga

Strategic & Operational Leadership Strategy Execution: Formulate and execute a cutting-edge Claims Operations strategy aligned with overall business objectives. Functional Management: Oversee the end-to-end claims lifecycle, ensuring total alignment...

• Formal Education: Bachelor’s degree in Business Management, Insurance, Finance, Operations Management, Risk Management, or a related field.
• Advanced Studies (Advantageous): Postgraduate degree in Business Management, Operations, or Risk.
• Professional Certifications (Advantageous): ACII (or equivalent insurance qualification), Lean Six Sigma, or Business Process Management (BPM) certifications.

• Industry Tenure: 10+ years of deep experience within Health Insurance or Medical Scheme Claims.
• Leadership Track Record: 5+ years in a senior management or executive leadership role, with proven experience managing large-scale operational teams