Senior Claims Performance Coach & Training Lead

Momentum

Durban

On-site

ZAR 900,000 - 1,200,000

Full time

2 hours ago

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Job summary

Momentum is seeking an experienced Claims Operational Coach to develop and guide the claims handling team in achieving high performance, quality, and efficiency. You will oversee clinical risk management, provide technical training, and mentor staff to align business processes with service delivery objectives while maintaining rigorous quality assurance.

The role requires extensive knowledge of PMB legislation, scheme rules, and regulatory requirements, plus strong stakeholder engagement with

Qualifications

Matric and a relevant degree/diploma are advantageous.
Continuous professional development in Healthcare, Medical Aid Administration, or Leadership programmes advantageous.
Experience in a Medical Aid Claims environment is essential.

Responsibilities

Coach and mentor the Claims Team to improve productivity, quality and service delivery.
Lead claims-related training and ongoing knowledge sharing sessions.
Ensure quality assurance of claims processing and adherence to standards.
Drive process improvements to reduce turnaround times and increase accuracy.
Act as the QMS Champion for the Claims Department and ensure compliance.
Identify and address compliance risks and support audits and governance.