Claims Manager Full-Time

Purpose

Monitor and control claims procedures and protocols for the company by ensuring the all procedures are being followed and claims administration is consistent.

Key Accountabilities

• Formulation and implementation of initiatives to improve service levels to the client by means of staff morale, work ethics, and skill levels with commitment to service delivery.
• Achievement of department and company targets and goals by monthly and quarterly monitoring.
• Performance, cost, risk and compliance management  by liaison with various departments and department heads and ensuring ongoing training and development within the department for the staff.
• Allocate duties to relevant employees and supervisors and monitor performance weekly, monthly and quarterly.
• Reinforcing service culture with the staff. •
• Monitor to ensure that the claims processes are performed within the time frames as agreed with clients, brokers and other departments to ensure service delivery.
• Assist and manage queries escalated by staff, brokers, clients or service providers to ensure timeous resolution.
• Liaise and visit brokers to build relationships.
• Manage the department to affectively strive to achieve the claims budget which is linked to the NPI budget of the company by means of monthly and quarterly claims audits.
• Encouraging new and innovative ideas and procedures in which to cut down on claims cost.
• Monitor average cost of claim and spend by the Assessing department and hold weekly meeting with this department.
• Liaise and report to Underwriting areas or actions that may minimize a loss or if action is recommended post a loss due to the risk.
• Develop and implement claims and operational cost control measures.
• Monitor that staff adhere to claims process and procedures through monthly and quarterly audits.
• Addressing short comings by weekly and monthly meetings.
• Escalating poor performance to HR department if short-comings are identified.
• Liaise with service providers and legal to obtain cost effective resolution.
• Motivate staff and create a work environment for ongoing training and personal development to the benefit of the company with support of the HR department.
• Develop a high performing team by embedding service excellence in Personal development plans.
• Forge closer relationship with brokers by monthly visits and courtesy calls.

Education and Qualification

• Degree Qualifications Required (Essential):
• Degree in Commerce, Insurance, Law, Business Administration
• Certificate of Proficiency in Insurance or higher professional qualifications

Qualifications Required (Preferred)

• At least 5years’ experience in the short term insurance industry
• At least 5 years’ experience in claims management