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
Qualification, Skills and Experience Required:
• 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