Litigation Associate | Randburg

SUMMARY :

Litigation Associate | Randburg

POSITION INFO : 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, 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 legislative requirements and that the business continuity plan is updated and tested annually.

Vendor Management :

Support procurement 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 good relationships with service providers, clients, and insurance partners.

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 updated on legislative changes.

Arbitrations, Second Opinions, and Disputes :

Facilitate resolution of disputes brought to the National Financial Ombuds scheme that require further investigation.

Strategy :

Support implementation of business improvement initiatives. Review business plans to ensure systems, processes, and services align with strategic objectives and values.

Staffing :

Implement performance agreements, set goals, provide feedback, recognize achievements, and take corrective actions. Mentor and coach staff, promote continuous development, foster teamwork, and manage talent recruitment and retention.

Self-Development :

Identify training and career growth opportunities for personal development. Complete activities within specified timeframes.

Essential Qualifications :

NQF Level : Advanced Diplomas / National 1st Degrees in Construction or relevant related qualifications.

Essential Certifications :

Construction or Building certifications.

Minimum Experience Level :

At least 5 years managing a team of loss adjusters, 5 years as a Building Assessor or in a construction-related role, and 5 years in the short-term insurance industry. Participation in professional bodies such as SAIA, PIRB, IOPSA is preferred.

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