Specialised Claims (Investigation) Manager

Role Purpose

• To effectively manage the specialized claims investigations department. This includes but is not limited to the management of processes, procedures, systems, and leading of people to minimize claims leakages.

Requirements

• Bachelors degree in Forensic Investigations or related field.
• 8-10 years' experience in short-term insurance claims.
• Minimum 5 years' experience in fraud investigations or forensic investigations.
• At least 3 years in a leadership or management role.
• Experience managing complex insurance fraud investigations.

Duties & Responsibilities

OPERATIONALMANAGEMENT

• Ensure that claims to be investigated are, identified, conducted, and reported on, in line with applicable policies, procedures and legislation
• Establish and maintain positive Stakeholder relations to foster good internal and industry partnerships
• Plan and continuously monitor and evaluate systems and procedures with the aim of improving quality of service to customers and all stakeholders
• Manage the preparation and presentation of departmental and group reports as required weekly, monthly, quarterly.
• Track the attainment of departmental strategic goals and take the necessary steps to achieve efficiencies
• Monitor and review performance data of department
• Plan and execute budget controls in line with appropriate policies and procedures and for the benefit of the department and the organization at large
• Execute business decisions that are in line with the organizational values of Innovation, Accountability, Integrity, and Teamwork
• Handle client and broker complaints in an efficient, effective, and professional manner
• Be the custodian of Momentum Insure's Claims Philosophy principles

PEOPLEMANAGEMENT

• Create a conducive working environment and a culture that aligns to the organizational values
• Ensure that all grievances and issues of noncompliance to operational and organizational policies and procedures, are dealt with speedily and decisively
• Maintain open communication at all levels, including but not exclusive to, one-on-one communication, team/departmental communication and as required to senior structures of the organization
• Plan staffing levels to ensure optimal levels of productivity and efficiencies
• Collaborate with the Human Capital department to ensure that recruitment processes are followed in accordance with the required policies, procedures, and legislative requirements
• Manage people performance and ensure that formal and informal feedback is provided on a regular basis to individual and teams and in line with the organization's performance policies and procedures
• Coach, mentor and ensure people development to maximize operational efficiencies and in line with People Development policies and applicable legislation
• Manage the resolution of identified risks and apply controls to eradicate/minimize failures in the investigations processes

Competencies

• Integrity and ethics.
• Analytical thinking.
• Decision-making.
• Attention to detail.
• Leadership and people management.
• Problem-solving.
• Customer focus.
• Resilience and adaptability.
• Negotion Skills
• Excellent communication skills written and verbal
• Interpersonal Skills
• Financial & Business acumen

Closing Date

• 2026/08/10