Salary: R50 000 CTC per month
Location: Cape Town CBD
About the company:
Our Client is a leader in long-term insurance and they are seeking to employ a Claims Manager.
Responsibilities:
· Work independently making basic disability assessment decision and to actively pursue claims management opportunities
· To consulting with medical and paramedical professionals in the medical and legal industry
· To manage a portfolio of clients which will include clients at the medium and high end of the market
· Presentations in PowerPoint to clients on process and feedback on portfolio scheme management
· Innovative proposals on process and business improvements e.g. re-arranging same decision letter to make it look better.
· All claims assessment decisions within limits of
• R 1,000,000 to R 1,250,000 lump sum disability
• R 20,000 p.m. to R 25,000 p.m. Income Replacement Plan
• R 500,000 dread disease
· Ongoing and expert recommendations on retraining, re-skilling or realignment of claimants
· Renegotiations on reinsurance treaties and give opinions on which re-insurer will be good from a claims perspective
Requirements:
· At least 5 years claims management experience in assessment or clinical medicine
· Must have minimum 2 years’ experience working in Long Term Insurance industry
· Previously handled all aspects of disability claims assessment financial risks
· Liaised with clients, trustees and employers to present reports and make recommendations
· Preparing replies to Ombudsman letters and issues
· Dealt with complex situations
· Legal experience
Outputs:
· Expert claims assessment processes
· Dealing with complex queries
· Making adverse decisions
· System development
· Negotiate terms and conditions with the reinsures
· Long Term Insurance industry knowledge
What to include:
1. Detailed cv
2. Motivational letter
Recruiter: ODwyer Personnel