Title: Team Leader – Short Term and Life Claims
Location: Pretoria (negotiable)
Reports to: Claims Manager
Job >Job Description:
The Short Term and Life Claims Team Leader is responsible for leading 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
Purpose of the role: The primary objective of the Short-Term Insurance Administrator is to provide essential
the administration of underwriting queries and claims, along with ensuring compliance documentation is
stakeholders.
Claims Handling: Receive and process short-term insurance claims in accordance with
with company policies and procedures. Investigate claims by gathering necessary information from claimants
policyholders, and other relevant parties. Evaluate claim validity and coverage, determining appropriate settlements
Overview:
The overall purpose of the Claims Administration role is to ensure the efficient accurate processing of insurance claims in both short and long-term insurance lines. Attention to detail ersee the end-to-end claims administration process, including reviewing claims documentation, assessing as underwriters and claims adjusters, to gather necessary information for claim evaluation.
experienced individual to join our team as a Short-Term Executive Actuary. This is a leading Insurance the Short-Term Actuarial Executive. In this role, you will be responsible for overseeing the short-term models for short-term capital and reserving requirements. Monitor and analyse trends in claims, reserves experience in Actuarial roles, with a focus on short-term capital and reserving. Strong analytical and
Business Development Consultant
Role Purpose
Business Development Consultants are committed, driven down by Momentum Insure. Business Development Consultants advise primarily on motor and household domestic basis
IN BOTH GROUP AND INDIVIDUAL LIFE CLAIMS IS ESSENTIAL Evaluate claims forms and supporting documentation Compare the reorts to our exisitng claims criteria to establish if claim is payable Decide on levels of provisions Writing claims assessment standards/policies Auditing/QA of work done by peers Deliver claims payment required to evaluate claims Liase with relevant re-insurers to determine validity of claims and get their approvals Experience in both group and life individual life claims is essential Sound Business and Operational knowledge
IN BOTH GROUP AND INDIVIDUAL LIFE CLAIMS IS ESSENTIAL Evaluate claims forms and supporting documentation Compare the reorts to our exisitng claims criteria to establish if claim is payable Decide on levels of provisions Writing claims assessment standards/policies Auditing/QA of work done by peers Deliver claims payment required to evaluate claims Liase with relevant re-insurers to determine validity of claims and get their approvals Experience in both group and life individual life claims is essential Sound Business and Operational knowledge
requirement)
- Must be Fit & Proper in terms of the FAIS Act
- Regulatory Exam: Representatives
claims experience across all commercial sections of the policy.
- Full function claims administration
(registration of claim, appoint assessors, read assessors report, make
decision on claim up to payment
payment of claim)
- Knowledge of Heavy Haulage Vehicles, Business Interruption, Personal Accident and
addition to the above:
- Experience in the short-term insurance industry.
Short Term Commercial & Personal Line BrokerHybrid Our client has been driving innovation in the business insurance portfolio by establishing a short-term insurance book. Responsibilities include selling
Short Term Commercial & Personal Line BrokerHybrid Our client has been driving innovation in the business insurance portfolio by establishing a short-term insurance book. Responsibilities include selling