Claims Team Leader

SUMMARY:
CLAIMS TEAM LEADER 
Short Term and Life Claims

PRETORIA EAST
R35 000 - R40 000 CTC

POSITION INFO:
Minimum requirements:

• Matric
• RE 5 Qualification
• Full FAIS Qualification

• 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
• Short term claims experience in building insurance and home content insurance

• Thorough understanding of insurance principles, policies, and regulations governing short-term and life insurance claims
  

• 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

• 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

• 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

• Facilitate cross-training opportunities to promote versatility and proficiency across different types of claims

• 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

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