Claims Manager – Employee Benefits

The Claims Manager is responsible for the overall management of the Claims Department. The dues include : Managing, planning, monitoring and reporting. Providing assistance to Client Services, the Call Centre, Claims team, Employers and external service providers. The Claims Manager reports to the Senior Manager

AREA OF RESPONSIBILITY

• Meet production standards in terms of quantity and quality
• Liaise with Employers and Service Providers both written and verbal
• Devote the whole of your time, attention and abilities during working hours to the discharge of your duties with strict accuracy
• Ensure e mail communication, whether internal or external is dealt with professionally and within the Service Level Agreement
• Co-ordinate and monitor all claims related activities which includes payment of claims, reporting, data maintenance and client enquiries
• Ensue all funds comply and is administered according to the rules, policies, legislation, administration procedures and the service level agreements applicable to each fund
• Identify, develop, enhance and implement policies and procedures that are relevant to the claims department
• Follow up on audit findings and recommendations
• Compile job descriptions for all levels within the Claims Department
• Set and agree performance areas with staff and manage employee performance
• Delegate work to staff
• Co-ordinate departmental leave
• Compile accurate reports required by management in the required format
• Any other duties as determined by the Senior Manager- Claims
• Monitor escalations and complaints and recommend preventative measures

Team Support

• Accept accountability and take responsibility for any work done or allocated
• Display a willing and helpful attitude
• Select, assign, lead and manage people
• Train, mentor and coach staff
• Maintain staff relations

Relationship Management

• Build and maintain relationships at all levels with Service Providers and Internal Departments to enhance organisational effectiveness and efficiency
• Use your best endeavour to properly conduct, improve, extend, develop, promote, protect and preserve the business interests, reputation and goodwill of the Company

Time Management

• Excellent time management
• Must be available to work overtime when the need arises
• Flexible and ability to work under pressure and multi-task

QUALIFICATION, LANGUAGE AND EDUCATON

• Matric Certificate with Maths
• Good command of English
• FICA awareness training

ESSENTIAL KNOWLEDGE, SKILLS AND EXPERIENCE

• At least 6 years’ employee benefits/retirement fund administration
• Experience specifically in a similar role processing retirement fund claims and dealing with Employers and external providers
• A solid knowledge of pension fund legislation, regulations and guidelines
• Everest experience will be advantageous
• Knowledge and understanding of unitisation
• Good knowledge of Microsoft Outlook, Word and Excel
• Excellent numerical skills with attention to detail and accuracy
• Methodical and meticulous
• Good verbal and written communication skills
• A self-starter who can work independently with minimal support but can also work in a team environment