Overview
Role Purpose : Supervises individuals within a team and ensures claims assessments are done according to company policy and fulfills a coaching / mentoring role to team members.
Requirements
- At least 5 years’ insurance Disability Management experience.
- Minimum 1-year clinical assessment and / or adult rehabilitation experience.
- Understanding and knowledge of Group Insurance Industry.
- Bachelor of Occupational Therapy / Bachelor of Physiotherapy / Bachelor of Nursing Science.
Duties and Responsibilities
Strategic And Operational Leadership
Participate and lead strategic projects.Participate and lead in operational excellence initiatives and projects (including and not limited to forensic investigations, early intervention, case management and rehabilitation process).Strong focus on business process improvement.Ensure all risks are mitigated and escalated where necessary.Adhere to organisational best practice, compliance and legislative requirements.Adhere to policies and procedures and take corrective action where necessary.Team Management And Development
Drive day to day deliverables of team; ensuring quality and ensuring meeting of standards.Monthly one-on-ones and performance feedback sessions with all team members.Strong focus on self and team development and training.Ensure adherence to performance excellence principles through systematic drafting and reporting of team member performance, supporting continuous improvement and accountability.Participate in the induction of new staff members.Workflow / workload monitoring.Client And Stakeholder Engagement
Build and maintain relationships with new and existing external clients such as medical practitioners, organized labour, board of trustees and intermediaries etc.Liaising and collaborating with internal teams within FundsAtWork and Group Insurance as well as the greater Momentum Group.Assisting team members with presentations to new and existing clients.Participating in and supporting the sales team with new business pitch preparations and presentations where necessary.Claims Management And Service Delivery
Ensure effective claims management service delivery and support i.e. assessments, reassessments and complaints and disputes.Managing of the claims management information system, i.e. data integrity.Plan, processes and services, schedule and co-ordinate to achieve efficiency and quality standards.Any other ad-hoc initiatives and projects in respect of efficient claims management.As an applicant, please verify the legitimacy of this job advert on our company career page.
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