Claims Team Leader/ Supervisor/Sandton, Johannesburg
Allocation of daily incoming mail
Ensuring delegated daily claims are attended to timeously
Checking and assessment of all Claims (Group Life Assurance; Credit Life; Hospital; Dread Disease and Funeral claims) in accordance to Internal processes and procedures
Assessment and authorization of claims to be in line with the delegation of authority (as amended from time to time)
Repudiate claims that do not qualify in terms of the Policy terms and conditions
Ensure accurate recording of all claims on the Administration system
Ensuring that claim payments are made within the agreed SLA and approval is in line with the relevant Policy terms and conditions
Fraud detection and Prevention
Checking cash call requests (where Reinsurance is applicable)
Check and ensure accuracy of Monthly Reconciliation of cash calls submitted and paid
Attend to clients' queries and complaints (as guided by the Internal Procedure)
Supervision of staff
Ensure that Performance Contracts are in place
Manage team performance
Monitoring of daily and monthly deliverables
Staff Supervision
Facilitating on the job-training where necessary
Coaching and mentoring staff
Weekly and monthly reports on claims
Prepare regularly client reports
Prepare claims experience reports
Regulatory reports
Ensure adherence to Internal processes
Ensure effective client communication
Identifying areas of improvement and providing recommendations to Management
Any other allocated Projects/ Assignments
To provide the necessary support to the Claims Manager

Desired Experience & Qualification

Matric Certificate
Diploma/ Degree / any Post-matric qualification (will be an advantage)
Minimum 4 - 6 years Administration Experience
Minimum 2 — 3 years Supervisory Experience
Experience in claims functions
Strong supervisory Skills
Accounting (will be an advantage)
Excel knowledge
Computer skills