Team Lead: Claims Processing

Telesure Investment Holdings (TIH); Johannesburg; On-site; ZAR 35,000 - 50,000; Full time

Job summary

Telesure Investment Holdings (TIH) is looking for a leader to manage a team of Processing Claims Consultants in Johannesburg. You will be responsible for validating claims, ensuring team performance, and leading operational compliance.

The ideal candidate will have relevant qualifications including Matric/Grade 12 and a FAIS qualification. This role offers an opportunity for career growth while being part of a purpose-driven organization.

Responsibilities

• Lead a team of Processing Claims Consultants to validate claims effectively.
• Ensure team performance against targets and coach for improvement.
• Supervise operations and ensure compliance with policies.
• Collect and analyze claims processing data.
• Help manage internal client relationships.

Education

Matric /Grade 12/ SAQA Accredited Equivalent/ FAIS and Regulatory Exam 5 qualification

Job description

Join TIH, home to some of South Africa’s leading financial service providers, and grow your career while being part of an organisation with purpose.

Job Purpose

Lead a team of Processing Claims Consultants to ensure the effective validation of already-captured claims. Ensure individual contributors are performing against targets, while reviewing their performance and coaching them to do so in order to assist in achieving the required operational targets.

Responsibilities

• Leadership and Direction: Explain the local action plan to support team members in their understanding of what needs to be done and how this relates to the broader business plan and the organisation\'s strategy, mission and vision; motivate people to achieve local business goals.
• Performance Management: Respond to personal objectives and use performance management systems to improve personal performance. Monitor the performance of the team; allocate work and review completion, take appropriate corrective action to ensure timeliness and quality; contribute to formal individual performance management and appraisal.
• Operations Management: Supervise others working within established operational systems by ensuring quality decisions are made regarding the outcome of claims.
• Operational Compliance: Identify, within the team, instances of non-compliance with the organisation\'s policies and procedures and/or relevant regulatory codes and codes of conduct, reporting these and escalating issues as appropriate.
• Data Collection & Analysis: Collate and analyse claims processing data using pre-set tools, methods and formats. Involves working independently. This may involve identifying trends regarding the customer experience.
• Customer Management (Internal): Help senior colleagues manage client and customer relationships by using relevant client systems.
• Document Management: Create and ensure compliance with a company wide document management system.
• Administration: Produce, update and provide best practice support on a wide range of MS documents, databases and other departmental systems to support the work of more senior colleagues.
• Correspondence: Respond to escalated requests using telephonic conversation or emails (internal and external).

Qualifications

• Education: Matric /Grade 12/ SAQA Accredited Equivalent/ FAIS and Regulatory Exam 5 qualification (Essential)

Notes

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