Overview
Job title: Operations Manager
Job Location: Gauteng, Centurion
Deadline: September 29, 2025
Main purpose of the job
- Develop functional unit business plans for both the life and non-life insurance business to contribute to the achievement of strategic objectives of the organisation.
- Oversee the effective functioning of claims management processes across all product lines to drive efficient client serving and customer centricity.
Key Performance Areas
Operations Management : Processes and Systems
- Lead the development, implementation and maintenance of a suitable policy administration systems and IT applications for all product lines, both life and non-life.
- Direct and manage the implementation of policy administration and ensure proper documentation and record keeping.
- Ensure that manual processes are appropriately automated and drive innovation and continuous improvement through collaboration and agile work practices.
- Maintain data in an acceptable format and ensure that it is disseminated to relevant departments on a timely basis.
- Identify solutions to enhance cost effectiveness and increase operational efficiency.
- Develop compeling business cases to support new initiatives at improving efficiencies.
- Manage system debit order collections, premium allocation, refunds and reconciliations.
- Manage the Sasria portfolio and ensure that relevant rates are embedded in the system.
- Manage regulatory reporting e.g. Conduct of Business Returns and Liquidity Reports etc.
- Develop, maintain and optimize end to end business processes and work flows.
- Ensure effective reporting on business performance and tailor reports using the latest tools and software e.g Power BI, Qlikview to drive business insights.
Claims Management
- Plan, lead and coordinate the claims function, fostering an environment of continuous improvement and excellence.
- Design processes and procedures to ensure effective claims processes and strategies to adherence to service level standards.
- Develop effective automated systems for handling claims, and lead procurement efforts for the acquisition of such systems within PFMA guidelines.
- Maintain claims register for all classes of business and ensure response is provided to claimants timely.
- Monitor and conduct regular audits on claims mandates to binder holders.
- Effect cost savings and management of claim assessment costs.
- Optimise the claims reporting process, finding innovative ways to make it easier for clients to lodge claims.
- Maintain and provide accurate claims data to the actuarial department for reserving purposes.
- Identifying claims trends and alerting underwriters where loss ratios are deteriorating.
- Perform monthly analysis and reporting of claims data to identify trends, fraud and possible problem areas.
- Handle all internal and external audit queries relating to claims.
- Maintain up-to-date knowledge of industry regulations and ensure compliance in all claims handling procedures.
- Deliver exceptional customer service by effectively communicating with all stakeholders and resolving claims expediently.
- Develop appropriate systems for handling and tracking complaints.
- Manage and resolve customer queries in line with the complaints management policy.
- Lead and create an organisation-wide customer orientation and develop the infrastructure for customer relationship building to place the customer at the center of the organisation.
- Ensuring that the objectives of TCF are consistently achieved within the team, that the achievement of such objectives can be evidenced.
- Bancassurance and Direct Channel Optimization
- Evaluate the current bancassurance and direct channel capabilities, identify gaps, and prioritise development activities.
- Optimise process and system integration relating to lead generation, quotation and policy conversions.
- Facilitate training of client facing staff on an ongoing basis to ensure a productive channel at all times.
- Monthly reporting to key stakeholders on channel performance.
- Lead and create an organisation-wide customer orientation and develop the infrastructure for customer relationship building to place the customer at the center of the organisation.
- Lead customer atisfaction surveys and implement remedial action.
Stakeholder management
- Design and implement a stakeholder management framework.
- Maintain relationships with stakeholders and business partners, e.g. procurement, and I.T
- Ensure that service level agreement with business partners are adhered to.
- Ensure that all work conforms to the quality requirements in terms of delivery.
- Initiate corrective actions where required to maintain quality standards.
- Ensure that all policies and procedures are maintained to enable compliance measurement.
- Develop and present a monthly stakeholder engagement report.
Departmental and People Management
- Performance Management
- Capacity Planning
- Financial Management
Preferred Minimum Education and Experience
- Honours BCom in Finance, Business Management, Risk Management and Insurance
- 8-10 years Insurance operations and claims experience
- 8-10 years Insurance operating system experience
Critical Competencies
- Developing systems and processes
- Claims management
- Quality Assurance
- Good underwriting principles
- Additional Requirements
- Extended hours as and when required.
- Travel as and when required.
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