Long-term Insurance Dispute Resolution Technical Lead | Sandton

The Recruitment Council; Sandton; On-site; ZAR 300,000 - 600,000; Full time

Job summary

An established industry player is seeking a seasoned professional to represent its long-term insurance division. This pivotal role involves engaging with Ombudsman offices and regulatory authorities, focusing on alternative dispute resolution and legal guidance. The successful candidate will enhance client service, ensure compliance, and foster positive industry relationships. With a commitment to professional development and collaboration, this position offers a unique opportunity to drive improvements and contribute to a culture of excellence within the organization. If you are passionate about making a difference in the insurance landscape, this role is for you.

Qualifications

• 5+ years in long-term insurance dispute resolution focusing on Ombudsman liaison.
• Admitted Attorney with RE 5 Certification required.

Responsibilities

• Support culture-building initiatives and engage in staff activities.
• Ensure compliance and effective responses to client complaints.

Skills

Dispute Resolution

Regulatory Compliance

Client Relationship Management

Risk Management

Documentation Skills

Education

Matric / Grade 12 / National Senior Certificate

Advanced Diploma/National First Degree

Admitted Attorney

RE 5 Certification

Job description

Ourclient is seeking a seasoned professional to act as a senior representative for our client’s long-term insurance division, engaging with various Ombudsman offices and regulatory authorities. This role focuses on alternative dispute resolution, providing expert guidance on legal and risk management matters to internal stakeholders. The successful candidate will play a key role in ensuring effective, compliant responses to client concerns and maintaining positive industry relationships.

Key Responsibilities:

• Actively support our client’s culture-building and transformation initiatives, including staff engagement activities and surveys.
• Participate in corporate social responsibility programs to advance business objectives.
• Identify and recommend process, system, and policy improvements, supporting the rollout of new practices.
• Ensure all complaints are accurately logged in the CRM database, providing a clear reference for tracking and resolution.
• Maintain thorough documentation for each complaint by recording physical and electronic copies as needed.
• Drive improvements in client service by identifying process gaps and ensuring regulatory compliance.
• Work closely with business units to provide timely and satisfactory responses to complaints, monitoring progress to ensure optimal outcomes.
• Mitigate reputational and financial risks by addressing service gaps and compliance issues.
• Stay informed of relevant legislative updates and industry changes to ensure compliance and effectiveness in the role.
• Foster a growth-oriented environment by engaging in professional development and training to enhance skills and career growth.
• Share insights and knowledge with team members, maintaining a collaborative and informed workplace.
• Respond promptly to client and regulatory queries, ensuring accurate documentation, timely responses, and well-negotiated recommendations.
• Support claims processing by delivering necessary documentation and evidence for client claims.
• Develop and sustain effective relationships through workshops, forums, and regular updates on regulatory requirements.
• Engage proactively with the Ombudsman and regulatory bodies, ensuring timely and thorough responses to complaints to prevent penalties.
• Convey Ombudsman recommendations to the relevant business units, coordinating with unit managers to drive appropriate action.

Qualifications:

• Matric / Grade 12 / National Senior Certificate
• Advanced Diploma/National First Degree
• Admitted Attorney
• RE 5 Certification

Experience Required:

• A minimum of 5 years’ experience in long-term insurance dispute resolution with a focus on Ombudsman liaison and regulatory compliance.