HOD: Claims Management - Johannesburg Verfied

Salary Negotiable Johannesburg, Gauteng Johannesburg, Gauteng more than 14 days ago 18-09-2017 3:19:58 PM
13-11-2017 3:19:58 PM
HEAD OF DEPARTMENT: CLAIMS MANAGEMENT
JHB
Managed Healthcare

A dynamic and challenging career opportunity awaits a suitably qualified / experienced and quality orientated HOD : Claims Management with proven leadership skills and extensive people management skills
The successful candidate will be responsible for ensuring effective management of resources within the company in order to achieve contracted service levels and deliver exceptional levels of customer satisfaction.
Reports to: COO.
MINIMUM REQUIREMENTS:
• A minimum of Grade 12
• A minimum of 5 years’ experience in medical scheme administration
• A minimum of 3 years ‘management experience with extensive people management experience
• 3 years ‘experience in a claims environment a MUST

KEY ROLE OUTPUT:
• Ensure agreed SLA’s are adhered to and delivery to clients is exceeded through excellent service.
• Plan and manage the building of relationships with new and existing clients to ensure that optimum levels of satisfaction are achieved.
• Ensure appropriate, active and informative relationships with clients and relevant stakeholders are successfully maintained.
• Collaborate with internal stakeholders by proactively communicating client activity to ensure effective management of issues and client satisfaction levels.
• Contributing towards the implementation and development of a culture of knowledge sharing in order to ensure high levels of performance across business functions.
• Ensuring compliance with Legislation and Scheme Rules.
• Evaluate, enhance and implement processes and systems to improve scheme profitability, effectiveness and organisational risk
• Develop and implement team operational plans that will ensure the agreed upon
• Objectives/internal SLA’s are met through support and being supported by other teams within and linked to the department/project.
• Communicate business plan and team operational plan in alignment with the broader Company strategic direction.
• Behave in alignment with Company values.

Closing date: 25 September 2017