Claims Manager Randburg

Reference: JHB001990-DDT -1

Are you an experienced leader with a passion for driving efficiency and excellence in claims resolution and management? We're seeking a dynamic Claims Manager to oversee our clients' end-to-end claims process and lead a dedicated team of claims analysts. We are looking for an individual with a strong personality, a collaboration mindset and the capability to identify trends, fraud and implement strategies for claims prevention. Position is based in Randpark Ridge.

Duties & Responsibilities

• Supervise and lead the team of claims analysts.
• Assist the claims analysts with technical queries relating to claims.
• Provide guidance, training and performance feedback to your team members.
• Auditing and authorising of daily claims from the daily claims list to ensure accuracy.
• Auditing of daily claims payments before payments are uploaded and finalized.
• Develop and implement effective and efficient claims processing procedures.
• Monitor the performance of the claims team, track key performance indicators (KPIs) and implement improvements as needed.
• Ensure timely and accurate claims assessment, investigation and resolution.
• Regularly analyse recovery possibilities, identify trends and implement strategies to improve recovery efforts.
• Work closely with brokers to address client inquiries, complaints and concerns.
• Liaison with the risk carriers including scheduled and ad-hoc reporting on various claims reports as required.
• Strive to enhance broker/client satisfaction through efficient claim processing.
• Analyse claims data to identify patterns, trends and areas for improvement.
• Generate reports on claims performance and present findings to management.
• Collaborate with underwriting teams to assess risk factors and improve risk management strategies.
• Develop and implement strategies to prevent fraudulent claims.
• Communicate effectively with internal stakeholders, external partners, clients and brokers.
• Provide regular updates to senior management on claims status, performance metrics and challenges.
• Stay current on industry regulations and compliance requirements.
• Implement and enforce compliance with company policies and procedures.
• Collaborate with legal and compliance teams to address regulatory issues.
• Handle and oversee claim complaints.

Minimum Requirements

• Completed Matric.
• RE5 regulatory examination completed.
• 5 years’ experience with end-to-end claims processing.
• At least 2 years’ experience in a supervisory role.
• Works with urgency and manages the team and claims with a no-nonsense attitude.

Package & Remuneration

R 60 000 - R 70 000 - Monthly

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