Litigation Associate | Randburg

Job Purpose

Team Management and Oversight :

Lead and manage a team responsible for conducting contractor audits, authorizations over-mandate, claims

adjustments, valuation at risk assessments, contractor rate negotiations, and handling customer complaints.

Job Responsibilities

Claim Management :

Advise and provide technical support to Insurance claims, underwriting, and complaints departments.

Minimize claim losses.

Oversee a team of desktop, field, and project management adjustors responsible for assessing, auditing, and

authorizing claims in terms of allowable rates.

Risk Management :

Detect and identify fraudulent activities while working closely with Group Forensic services both internally and

externally to enhance fraud detection solutions.

Perform risk management functions by identifying underwriting risks and supporting the underwriting and

product solution divisions to mitigate risk.

Ensure adherence to all legislative requirements and ensure the business continuity plan is updated and tested

annually.

Vendor Management :

Provide support to the Procurement division in onboarding and training service providers on policy wording,

processes, and rates.

Monitor service providers through report writing, policy interpretation, claims costs, and service.

Maintain and sustain good business relationships between service providers, clients, and Insurance.

Reporting and Operational Efficiency :

Ensure the quality and accuracy of reports.

Highlight process inefficiencies through end-to-end process mapping.

Technical Skills and Legislation :

Keep technical skills current and stay abreast of any changes to legislation.

Arbitrations, Second Opinions, and Disputes :

Facilitate and assist in resolving disputes brought to the attention of the National Financial Ombuds scheme

that require further investigation.

Strategy :

Support the implementation of business optimization improvement initiatives.

Review Business Unit plans and ensure delivered systems, processes, services, and solutions

are aligned to support the achievement of the business strategy, objectives, and values.

Staffing :

Implement performance agreements, ensure a clear vision, agree on goals and objectives, provide regular

feedback on performance, recognize and reward achievement, and take appropriate corrective action where

required.

Mentor and coach staff on identified performance gaps and agree on appropriate actions.

Ensure that team members stay abreast in their field of expertise and deliver on the expectations from

stakeholders by tailoring development needs as identified.

Create an environment of teamwork and encourage participation in decision-making processes.

Identify current and future training and development needs and recruit and manage talent.

Self-Development :

Identify training courses and career progression opportunities for self.

Ensure personal development plan activities are completed within the specified time-frame.

Essential Qualifications :

NQF Level

Advanced Diplomas / National 1st Degrees

Field of Study - National Diploma in Construction or relevant construction related qualification.

Essential Certifications :

Construction or Building certifications.

Minimum Experience Level

Minimum of 5-years' experience managing a team of loss adjusters

Minimum of 5-years as a Building Assessor or in a Construction related role

Minimum of 5 years' experience in the Short-Term Insurance industry

Participation or membership of professional bodies i.e. SAIA, PIRB., IOPSA etc.