Job Summary
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.