Team Lead : Claims - Australia

Telesure Investment Holdings (Tih); Johannesburg; On-site; ZAR 300 000 - 400 000; Full time

Job summary

A financial services company in Johannesburg seeks a Claims Manager to lead a team of Claims Consultants. The role involves developing the team, ensuring high service standards, and managing claims processes. Candidates should have strong claims administration experience and knowledge of compliance. Join us to provide exceptional service and safeguard a brighter future for customers.

Qualifications

• 2 or more years claims administration and validation experience in a claims department within the short-term insurance industry.
• 1 or more years experience in a claims decision-making role within a claims department.
• 1 or more years experience working with internal claims operating systems.

Responsibilities

• Develop, coach and motivate a team of Claims Consultants.
• Lead and monitor the team to ensure high service standards.
• Monitor and support the management of a portfolio of claims.

Skills

Team development skills

Claims administration

Compliance awareness

Education

Matric (General Education)

Job description

Job Purpose

At Auto & General we value a culture of high performance with high Integrity, we call this 'The Auto & General Way'. We believe that our organisational values are key to deliver on our purpose of 'Giving customers smarter solutions to safeguard a brighter future'.

Responsibilities

• Develop, coach and motivate a team of Claims Consultants to meet and exceed agreed objectives within the required framework.
• Lead and monitor the team to execute a high standard of service and process adherence.
• Monitor and support the management of a portfolio of claims, including workload prioritization and allocation, claim review and authorization, technical product and system support, and performance reporting.
• Provide detailed input into ongoing process, system development, product opportunities and process enhancement.
• Provide input into staffing requirements and recruitment.
• Monitor daily BAU performance against expectations, targets and improvement.
• Identify and report potential risks or inadequate controls related to compliance or operational risks.
• Champion a culture of risk and compliance across the division.
• Maintain awareness, understanding and compliance with company policies and procedures, including the on‑time completion of mandatory training.

Key Outcomes

• Improved claim processing cost.
• Exceptional levels of service delivery for each and every customer.
• High and sustainable standards of quality results.
• Highly engaged, capable and professional team aligned to the company values.
• Highly effective working relationships with key stakeholders (internal & external).
• Relentless pursuit of target achievement and above.

Education & Experience

• Matric (General Education).
• 2 or more years claims administration and validation experience in a claims department within the short‑term insurance industry (Essential).
• 1 or more years experience in a claims decision‑making role within a claims department within the short‑term insurance industry (Advantageous).
• 1 or more years experience working with internal claims operating systems (Advantageous).

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