Requirements:

Completed Tertiary Qualification.
Minimum of 5 to 10 years' experience in a similar or related role.
Previous people management experience (Leadership Roles) - advantageous.
Registration as a representative with the FSCA in terms of the FAIS Act advantageous.
Strong proficiency in Microsoft Excel and Internet navigation.
Manage a high volume of claim reviews in a fast-paced environment.
Ability to teach and coach junior team members.
Time management
Results driven - history of consistently meeting targets.
Ability to work under pressure.
Analytical, negotiation, decision-making and problem-solving skills.
Effective communication skills, both oral and written.
Ability to work independently and as a member of a team.
Strong process improvement and data analytics skills.
Enjoy working within a team environment.

Responsibilities and expectations but not limited to:

Technical expert whose primary focus is driving a team 5 desktop investigators (technicians) to achieve the required result.
Oversight and management of the team.
Conduct regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation techniques.
Ensure team members achieve set targets and maintain quality standards through monitoring and course correction of daily performance.
Provide effective leadership to create a team committed to the overall vision of the company.
Perform performance management, offering continuous feedback to employees on strengths and development areas.
Responsible for capacity planning of the team.
Motivate and inspire team members, fostering consistent high performance.
Recommend and implement best practices to ensure adherence to company policies and insurance industry regulations throughout the claims investigation process.
Maintain a strong professional knowledge of claims regulatory and legal environments.
Serve as a claims technical resource, providing guidance and support to desktop claim investigators.
Coach or train less experienced desktop claim investigators and contribute to shaping training for the claims teams.
Provide insights and enhancements to the claims process.

Please note should you not receive a response within two weeks of applying you may assume that your application was unsuccessful. Apply Now

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