Team Manager - Short Term and Life Claims

Job Details: Title: Team Leader – Short Term and Life Claims Location: Pretoria East Permanent: Yes Full time: Yes Industry: Insurance Salary / CTC: R 30 000 – R 45 000 Reports to: Claims Manager Job Description: The Short Term and Life Claims Team Leader is responsible for leading and managing a team of claims professionals handling both short-term and life insurance claims. The role involves overseeing the end-to-end claims process, ensuring timely and accurate claims adjudication, providing guidance and support to team members, and fostering a culture of continuous improvement and client-centricity. Roles and Responsibilities: Managing the team: Lead, mentor, and motivate a team of claims professionals handling short-term and life insurance claims. Provide ongoing coaching, feedback, and performance evaluations to team members to ensure high performance and professional development. Foster a collaborative and supportive team environment conducive to achieving departmental goals and objectives. Claims management: Oversee the end-to-end claims process for both short-term and life insurance claims, ensuring adherence to company policies, procedures, and regulatory requirements. Review and approve complex or escalated claims, providing guidance and assistance to team members as needed. Monitor claims metrics and performance indicators to identify trends, address issues, and implement process improvements to enhance efficiency and client satisfaction. Customer Service Excellence : Champion a client-centric approach to claims management, prioritising prompt and empathetic resolution of client inquiries and concerns. Collaborate with other departments, such as Client Services and Underwriting, to streamline processes and enhance the overall client experience. Address escalated client complaints or inquiries in a timely and professional manner, striving to exceed client expectations and uphold the company's reputation for excellence. Training and Development: Facilitate cross-training opportunities to promote versatility and proficiency across different types of claims. Quality Assurance and Compliance: Conduct regular audits and quality reviews of claims files to ensure accuracy, consistency, and compliance with company standards and regulatory requirements. Identify areas for improvement and implement corrective actions or process enhancements to mitigate risks and strengthen controls. Collaborate with the Compliance and Legal department to address regulatory inquiries, audits, or investigations related to claims management . Qualifications: Minimum Qualifications Matric RE5 Full FAIS qualification Minimum Experience 5 Years of experience in a claims management role within the insurance industry, with demonstrated expertise in handling both short-term and life insurance claims. Must have short term claims experience in building insurance and home content insurance. Knowledge Thorough understanding of insurance principles, policies, and regulations governing short-term and life insurance claims. Personal Attributes Strong leadership and team-building skills, with a focus on fostering a positive and inclusive work environment. Client-centric approach, with a genuine passion for delivering exceptional service and building lasting relationships with clients and stakeholders. Strong analytical and problem-solving skills, with the ability to assess complex claims situations and make sound decisions. Results-oriented mindset, with a commitment to achieving departmental goals and driving continuous improvement. Integrity, professionalism, and a commitment to upholding ethical standards and compliance with regulatory requirements. Adaptability and resilience in managing competing priorities and navigating challenges in a dynamic insurance environment. Excellent communication and interpersonal skills, with the ability to effectively collaborate with cross-functional teams and interact with customers and stakeholders at all levels. The incumbent may be required to perform job related tasks other than that which is specified in this job description. This job description is subject to regular review.

Location: Pretoria, ZA

Posted Date: 4/19/2024