Claims Team Leader (Finance/Insurance)
AtripleA recruitment & temps · Sandton, Gauteng
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Start free — we apply for you →Claims Team Leader (Finance/Insurance)
Location: Sandton
Our Client, a specialist life insurer group who provide insurance solutions to organized, structured and legally constituted groups, has an opportunity for a Claims Team Leader to join their team.
Key Responsibilities
Claims Management: • Allocation of daily incoming mail • Ensuring delegated daily claims are attended to timeously • Checking and assessment of all Claims (Group Life Assurance; Credit Life; Hospital; Dread Disease and Funeral claims) in accordance to Internal processes and procedures • Assessments and authorization of claims to be in line with the delegation of authority (as amended from time to time) • Repudiate claims that do not qualify in terms of the Policy terms and conditions • Ensure accurate recording of all claims on the Administration system • Ensuring that claim payments are made within the agreed SLA and approval is in line with the relevant Policy terms and conditions • Fraud detection and prevention • Checking cash call requests (where Reinsurance is applicable) • Check and ensure accuracy of Monthly Reconciliation of cash calls submitted and paid • Attend to client's queries and complaints (as guided by the Internal Procedure)
Supervision of Staff: • Ensure that Performance Contracts are in place • Manage team performance • Monitoring of daily and monthly deliverables • Staff Supervision • Facilitating on the job training where necessary • Coaching and monitoring staff
Reporting: • Weekly and monthly reports on claims • Prepare regularly client reports • Prepare claims experience reports • Regulatory reports
Others: • Ensure adherence to internal processes • Ensure effective client communication • Identifying areas of improvement and providing recommendations to Management • Any other allocated Projects/Assignments • To provide the necessary support to the Claims Manager
Key Requirements: • Matric Certificate • RE 5 • Diploma/ Degree / any Post-Matric Qualification (Will be an Advantage) • Min 4-6 years Administration Experience • Min 2-3 years Supervisory Experience • Accounting (Will be an advantage) • Excel Knowledge • Computer skills
Other Attributes: • Strong customer service skills • People skills • Good time management • Ability to work accurately under pressure • Result orientated person • Ability to work within a team and independently • Demonstrate personal and professional development
Send your CV and latest pay slip to jom@aaaa.co.za
ATripleA Recruitment and Temps
www.aaaa.co.za
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