Talent.com
This job offer is not available in your country.
Gap Claims Operations Team Leader

Gap Claims Operations Team Leader

KaeloKwaZulu-Natal, South Africa
11 days ago
Job description

Overview

The Gap Claims Team Leader manages both the authorisation of claims and has specialised knowledge of the claims environment. There is a strong focus on accurately and efficiently resolving the claim received whilst ensuring exceptional customer service and satisfaction. The claims team leader has the responsibility of ensuring that the claims team carry out their responsibility while keeping the team motivated and efficient. The claims team leader works closely with the Claims Manager and Claims Operations Executive.

Key outcomes

  • Reporting and Managing Key Team Deliverables
  • Monitoring of the daily dashboard to ensure adherence to SLA
  • Monitoring the teams accurate and efficient processing of claims
  • Contribute towards continuous improvement and innovation at process and procedure level
  • To ensure that all claims processing and queries are attended to accurately and within the agreed turnaround time
  • Monitoring of daily performance statistics and workforce management
  • Daily claims focus and work allocation
  • Assist clients with escalated queries and provide suitable query resolution
  • Accurate completion of people management tasks on a daily basis
  • Ongoing feedback to clients
  • People and Team Management
  • People and team management
  • Ensuring participative leadership and strong communication within the team
  • Collaboration with all business areas
  • Coaching and peer to peer learning
  • Knowledge and Quality Management
  • Developing of all employees and ensuring smooth onboarding for new employees.
  • Review, maintenance and improvement of all processes and document management
  • Quality assurance and trending
  • Contribute toward risk management

Qualifications

SPECIAL REQUIREMENTS

  • Communication skills
  • Analytical ability
  • Time management
  • Customer focus
  • Ability to adapt to an ever changing environment
  • Cope well under pressure
  • Work Experience

    PERSON DETAILS : REQUIRED

  • Insurance industry experience
  • Claims experience
  • Team management and leadership experience
  • PREFERRED

  • Health Insurance industry
  • Education and Qualifications

    QUALIFICATIONS : ACCREDITATIONS WITH PROFESSIONAL BODY

  • RE 5
  • Grade 12 – Matric
  • Accreditation would be advantageous (a minimum of 120 credits)
  • Technical Skills

    TECHNICAL SKILLS OR KNOWLEDGE

  • Computer literate, including Microsoft Access
  • Gap Claims knowledge
  • Personal Attributes

  • Accountability
  • Action orientated
  • Collaborative
  • Communication
  • Business writing skills
  • Manages complexity
  • Problem solving skills
  • Decision
  • Growth and development mind-set
  • Financial acumen
  • Planning and organisation
  • Resilient and adaptive
  • Self-development
  • Purpose driven
  • Significance and values orientate
  • #J-18808-Ljbffr

    Create a job alert for this search

    Team Leader • KwaZulu-Natal, South Africa

    Related jobs
    • Promoted
    • New!
    Cash Reimbursement Specialist- Hybrid position Remote + On-site

    Cash Reimbursement Specialist- Hybrid position Remote + On-site

    Valley View HospitalWorkFromHome, KwaZulu-Natal, South Africa
    Remote
    Cash Reimbursement Specialist - Hybrid (Remote + On-site).Valley View is seeking full-time Cash Reimbursement Specialists to assist our Patient Financial Services and Central Billing Offices teams....Show moreLast updated: 11 hours ago
    • Promoted
    • New!
    Senior Customer Success Manager

    Senior Customer Success Manager

    The Global Circle Club LtdWorkFromHome, KwaZulu-Natal, South Africa
    Oct 10, 2025 - Janie is hiring a remote Senior Customer Success Manager.Salary : $2000 - $3000 USD / mo.Location : LATAM, Europe, South Africa. Senior Customer Success Manager (Workforce).Remote (we a...Show moreLast updated: 11 hours ago
    Healthcare Compliance Coordinator (ABA Therapy) - EST hours (Remote)

    Healthcare Compliance Coordinator (ABA Therapy) - EST hours (Remote)

    ISTA Personnel SolutionsKwaZulu-Natal, ZA
    Remote
    Quick Apply
    BPO company, partnering with a USA-based client offering ABA Therapy, is seeking a diligent and personable.Registered Behaviour Technicians (RBTs). This role involves daily follow-ups with field sta...Show moreLast updated: 30+ days ago
    • Promoted
    Operations Manager

    Operations Manager

    FuturefamousmediaWorkFromHome, KwaZulu-Natal, South Africa
    We’re Future Famous, and we need someone special to run our operations.Someone who makes sure things actually get done.Someone who keeps projects on track so clients get results on time.Someone who...Show moreLast updated: 3 days ago
    • Promoted
    • New!
    Revenue Operations Specialist

    Revenue Operations Specialist

    Scale Army CareersWorkFromHome, KwaZulu-Natal, South Africa
    Revenue Operations Specialist role at Scale Army Careers.Our client, a leader in education and training, seeks a Revenue Operations Specialist to optimize Salesforce processes and improve system in...Show moreLast updated: 11 hours ago
    • Promoted
    Director of Operations

    Director of Operations

    No Joke MarketingWorkFromHome, KwaZulu-Natal, South Africa
    We’re seeking a world-class Operations Manager to be the CEO’s primary operating partner - owning the operating system, execution rhythm, and cross-functional alignment that drive profitable, scala...Show moreLast updated: 2 days ago
    • Promoted
    • New!
    Operations Manager (Remote)

    Operations Manager (Remote)

    Core Code ioWorkFromHome, KwaZulu-Natal, South Africa
    Remote
    This position is responsible for.Operations Manager works to consistently exceed objectives, improve productivity, and foster a culture of excellence. This includes translating high-level business g...Show moreLast updated: 11 hours ago
    • Promoted
    • New!
    Activation Specialist

    Activation Specialist

    NYSHEXWorkFromHome, KwaZulu-Natal, South Africa
    NYSHEX City of Cape Town, Western Cape, South Africa.Get AI-powered advice on this job and more exclusive features.Looking to join a dynamic, high-performing team that's driving change in the ocean...Show moreLast updated: 11 hours ago
    Case Manager & Billing (USA Healthcare) - EST hours (Remote)

    Case Manager & Billing (USA Healthcare) - EST hours (Remote)

    ISTA Personnel SolutionsKwaZulu-Natal, ZA
    Remote
    Quick Apply
    BPO company, partnering with a USA-based client offering Billing and Accounts Receivable Management Services in the Healthcare Sector, and are seeking a. Healthcare Case Manager & Billing Lead.U...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Search Engine Optimization Team Lead

    Search Engine Optimization Team Lead

    Lodestar TalentWorkFromHome, KwaZulu-Natal, South Africa
    South Africa, Eastern Europe, Latin America, and the Philippines.Our expertise enables the scaling of blue-collar service companies and powers SEO agencies and fulfillment teams by providing highly...Show moreLast updated: 11 hours ago
    • Promoted
    • New!
    Virtual Training & BPO Operations Manager

    Virtual Training & BPO Operations Manager

    TalentPop AppWorkFromHome, KwaZulu-Natal, South Africa
    The Opportunity : Shape the Future of Service Delivery.Are you a proven leader in the.Business Process Outsourcing (BPO). Virtual Training & BPO Operations Manager.BPO partnerships and client program...Show moreLast updated: 11 hours ago
    Case Manager (Skilled Nursing Facilities) - EST hours (Remote)

    Case Manager (Skilled Nursing Facilities) - EST hours (Remote)

    ISTA Personnel SolutionsKwaZulu-Natal, ZA
    Remote
    Quick Apply
    BPO company, partnering with a USA-based client offering Billing and Accounts Receivable Management Services in the Healthcare Sector, and are seeking a. Skilled Nursing Facilities experience.USA He...Show moreLast updated: 30+ days ago
    • Promoted
    Compliance and Documentation Coordinator (USA Healthcare) - Remote

    Compliance and Documentation Coordinator (USA Healthcare) - Remote

    ISTA SolutionsWorkFromHome, KwaZulu-Natal, South Africa
    Remote
    We are not a recruitment agency — we operate as a dedicated extension of our U.Compliance and Documentation Coordinator.ABA therapy services in the state of Florida. This position involves preparing...Show moreLast updated: 3 days ago
    Invoice Billing & Vendor Coordinator (EST Hours) - Remote

    Invoice Billing & Vendor Coordinator (EST Hours) - Remote

    ISTA Personnel SolutionsKwaZulu-Natal, ZA
    Remote
    Quick Apply
    BPO company, partnering with a.US-based Waste Services Brokerage Company.Invoice Billing & Vendor Coordinator.This is a back-office, admin-heavy role that requires. This role requires you to wor...Show moreLast updated: 30+ days ago
    Compliance & Verification Administrator (USA Healthcare) - EST Hours (Remote)

    Compliance & Verification Administrator (USA Healthcare) - EST Hours (Remote)

    ISTA Personnel SolutionsKwaZulu-Natal, ZA
    Remote
    Quick Apply
    ISTA Personnel Solutions is a dynamic and fast-growing BPO company.We are not a recruitment agency — we operate as a dedicated extension of our U. Compliance & Verification Administrator.Speech ...Show moreLast updated: 30+ days ago
    • Promoted
    Expansion & Operation Manager - South Africa (iGaming / Fintech)

    Expansion & Operation Manager - South Africa (iGaming / Fintech)

    Black Pen RecruitmentKwaZulu-Natal, South Africa
    Our client believes in the power of Virtual Advancement—leveraging digital innovation and strategic foresight to help businesses excel in a rapidly evolving world. With a focus on agility and adapta...Show moreLast updated: 30+ days ago
    • Promoted
    Performance & Growth Lead

    Performance & Growth Lead

    HyperDev AIWorkFromHome, KwaZulu-Natal, South Africa
    Be among the first 25 applicants.Get AI-powered advice on this job and more exclusive features.HyperDev is a new developer-focused spin-out within the HyperionDev ecosystem, one of the world's lead...Show moreLast updated: 3 days ago
    Compliance and Documentation Coordinator (USA Healthcare) - Remote

    Compliance and Documentation Coordinator (USA Healthcare) - Remote

    ISTA Personnel SolutionsKwaZulu-Natal, ZA
    Remote
    Quick Apply
    We are not a recruitment agency — we operate as a dedicated extension of our U.Compliance and Documentation Coordinator.ABA therapy services in the state of Florida. This position involves preparing...Show moreLast updated: 6 days ago
    • Promoted
    Lead Qualification and Sales Enrichment (Remote SA) - 38063718535

    Lead Qualification and Sales Enrichment (Remote SA) - 38063718535

    SomewhereWorkFromHome, KwaZulu-Natal, South Africa
    Remote
    Lead Qualification and Sales Enrichment Specialist – Remote (Offshore) | Full-Time.Job Title : Lead Qualification & Sales Enrichment Specialist. Location : Remote (Offshore) | Type : Full-Time.Our clie...Show moreLast updated: 10 days ago
    • Promoted
    • New!
    Site Reliability Engineer

    Site Reliability Engineer

    SprintHive - Intelligent Customer OnboardingWorkFromHome, KwaZulu-Natal, South Africa
    Junior Site Reliability Engineer - SprintHive.SprintHive is a South African fintech enabling seamless end-to-end customer onboarding that drives conversion rates, prevents fraud, and reduces risk.O...Show moreLast updated: 11 hours ago