Team Leader: Insurance Claims Assessment

Capitec Bank; Bellville; On-site; ZAR 500,000 - 700,000; Full time

Job summary

A prominent South African bank is seeking an experienced Claims Manager to lead a team of assessors. You will ensure timely claims processing, maintain operational standards, and foster team performance in line with industry regulations. Candidates must have at least 3 years of leadership experience in claims assessment within the insurance sector, alongside a National Certificate. Join a dynamic team dedicated to outstanding client service.

Qualifications

• Minimum of 3 years functional/practical experience in credit life insurance, funeral and or life insurance claims assessment or administration environment in leadership role is essential.
• Long-term Insurance industry knowledge.
• Leadership Principles.
• Client Service.

Responsibilities

• Manage and lead a team of claims assessors to deliver on operational objectives.
• Ensure that claims are assessed within agreed turnaround times.
• Oversee claims QA sampling and provide feedback.
• Identify and implement continuous improvement policies and processes.

Skills

Attention to Detail

Computer Literacy (MS Word, MS Excel, MS Outlook)

Interpersonal & Relationship management Skills

Leadership Skills

Numerical Reasoning skills

Education

Grade 12 National Certificate / Vocational

Job description

Overview

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We're on the lookout for energetic, self-motivated individuals who share our passion for service in the banking industry. To be part of the journey, follow the steps below:

1. To see what life at Capitec is all about and complete a short assessment, pleaseClick here!

2. Once you have completed the above finalize your application by clicking apply below

Purpose

To manage and lead a team of claims assessors to optimally deliver on set organisational, departmental, and operational objectives, ensuring that an client experience is achieved in accordance with all set policies, regulatory requirements, and operational processes, standards, frameworks and set by Capitec Life

Qualifications (Minimum)

• Grade 12 National Certificate / Vocational

Experience

• Minimum of 3 years functional/practical experience in credit life insurance, funeral and or life insurance claims assessment or administration environment in leadership role is essential.
• Long-term Insurance industry knowledge
• Leadership Principles
• Client Service

Knowledge

• Long-term Insurance industry knowledge
• Leadership Principles
• Client Service

Key Performance Areas

• Team Leadership and Performance Management
• Ensure that claims are assessed within agreed turnaround times following Capitec Life's rules, policies and procedures
• Ensure team members meet daily or weekly productivity targets
• Investigate escalations, complaints, and enquiries thoroughly, providing accurate responses within agreed turnaround times.
• Build and Maintain effective relationships with all Stakeholder
• To lead meetings with the team to discuss objectives, performance, and queries
• Assist with complex claims andrecruitment of the team members

• Results and Quality Management
• Oversee claims QA sampling, conduct regular assessments, provide feedback to team members, and ensure remedial actions are taken as needed.

• Reporting
• Provide timely and accurate reports to management and stakeholders to track progress and address any issues.

• Continuous Improvement
• Identify, develop, enhance, and implement policies, processes and procedures that are relevant to the claims team.

Skills

• Attention to Detail
• Computer Literacy (MS Word, MS Excel, MS Outlook)
• Interpersonal & Relationship management Skills
• Leadership Skills
• Numerical Reasoning skills

Conditions of Employment

• Clear criminal and credit record

Capitec is committed to diversity and, where feasible, all appointments will support the achievement of our employment equity goals.