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Claims Manager
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General Details
Location:
Advertised By:Agency
Company Name:Salt Employee Benefits
Job Type:Full-Time
Description
The Claims Manager is responsible for the overall management of the claims department. The duties include, managing, planning, monitoring and reporting. Providing assistance to Client Services, the Call Centre, Claims team, employers and external service providers. The Claims Manager reports to the Snr Manager PSSPF.
Areas of Responsibilities
- Meet production standards in terms of quantity and quality.
- Liaise with employers and service providers both written and verbal.
- Devote the whole of your time, attention and abilities during working hours to the discharge of your duties with strict accuracy.
- Ensure email communication, whether internal or external is dealt with professionally and within the service level agreement.
- Coordinate and monitor all claims related activities which includes payment of claims, reporting, data maintenance and client enquiries.
- Ensure all funds comply and is administered according to the rules, policies, legislation, administration procedures and the service level agreements applicable to each fund.
- Identify, develop, enhance and implement policies and procedures that are relevant to the claims department.
- Follow up on audit findings and recommendations.
- Compile job descriptions for all levels within the claims department.
- Set and agree performance areas with staff and manage employee performance.
- Delegate work to staff.
- Coordinate departmental leave.
- Compile accurate reports required by management in the required format.
- Any other duties as determined by the Senior Manager: PSSPF Claims.
Record Keeping and Filing
- Keep all email correspondence for future reference
Query resolution
- Attend to all email and telephonic enquiries both internal and external.
- Assist Client Services, the Call Centre, Claims team, employers and external service providers to resolve queries.
- Follow through and provide client with on-going feedback until enquiry is resolved.
- Support a positive and responsive climate for client enquiry resolution.
- Action all escalated enquiries within 24 - 72 hours.
- Report any irregularities to the Senior Manager: PSSPF Claims.
- Monitor escalations and complaints and recommend preventative measures.
Team Support
- Accept accountability and take responsibility for any work done or allocated.
- Display a willing and helpful attitude.
- Select, assign, lead and manage people
- Train, mentor and coach staff.
- Maintain staff relations.
Relationship Management
- Build and maintain relationships at all levels with service providers and internal departments to enhance organizational effectiveness and efficiency.
- ...
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Id Subtitle 1013790338
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Salt Employee Benefits
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Our client is an international insurance company, specialist in international wellbeing offering a variety of international insurance products. They are seeking to employ a Claim Advisor to assist them in the processing of medical claims.
If you have extensive healthcare claims experience in the healthcare insurance industry and are in the market for a new opportunity, then this job is for you. They are looking for a candidate that can provide high quality and efficient claims assessment function to their key distributors and members based worldwide.
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MatricFAIS Compliant is preferred.Minimum 3 to 5 years’ experience.Customer service certificate.High standard of written and verbal English communication and an excellent communicator on all levels.Good problem-solving skills and the ability to work on own initiative when required.Highly organised and able to implement an effective time management system to plan and prioritise own workload.Excellent administration skills.International Health Insurance experience is an advantage.
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Closing date: 31 May 2023
Candidates who meet the relevant requirements must please apply by contacting Gary on 011 0261907 or email a detailed CV to vacancy @ letslink.co.za
Please view our website: www. letslink .co.za
Our consultants will contact short listed candidates within 7 days of receipt of your application, should you not be contacted within 14 days of applying for the vacancy, please consider your application unsuccessful
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Ready to Lead with Heart? Join Our client as Our Personal Lines Claims Team Leader!
Are you a compassionate and skilled leader in the insurance industry, ready to make a meaningful impact on peoples lives? Are you passionate about guiding a team to provide exceptional support during lifes unexpected twists and turns? If so, our client is searching for a dynamic Personal Lines Claims Team Leader to steer their team toward success!
About our client:
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Leading and inspiring a team of claims professionals to deliver top-notch service. ? Managing and overseeing the claims process, ensuring efficiency and accuracy. ? Empathizing with policyholders during challenging times and finding solutions. ? Analyzing claims data to identify trends and improve processes. ???? Collaborating with cross-functional teams to enhance customer experience. ???? Fostering a culture of continuous improvement and growth within your team. ? Contributing to the strategic direction of their claims department.
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A Supportive Family: Be part of a tight-knit community that values collaboration, empathy, and growth.
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Experience in personal lines claims, with a deep understanding of insurance principles ,Exceptional leadership and interpersonal skills, with the ability to motivate and inspire. ? Strong analytical and problem-solving abilities. A passion for continuous improvement and innovation. Empathy and a genuine commitment to providing the best customer experience. Proficiency in claims management software and tools.
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They believe in the power of compassion, innovation, and community. Theyre not just looking for a Personal Lines Claims Team Leader; theyre seeking a compassionate leader who embodies their values and is dedicated to making a difference.
Join our client in being a beacon of hope during lifes storms. Together, youll make a difference, one claim at a time!
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CallForce is a prominent Business Process Outsourcing (BPO) known for delivering exceptional outsourced solutions to our clients.We are seeking a dedicated and experienced Claims Team Leader to lead our claims department effectively. As a Claims Team Leader, you will play a pivotal role in supervising a team of consultants, ensuring efficient and accurate claims processing while providing mentorship and guidance to team members. If you have a strong background in claims, leadership skills, and a commitment to delivering excellent service, we invite you to apply for this position.
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Matric / Grade 12/ SAQA Accredited Equivalent (Essential)
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Knowledge of insurance policies, claims procedures, and regulatory requirements.
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Competitive salary and performance-based bonuses
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*Reference: JHB005343-PC-Jh-1*
Our client in the Real Estate and Property industry is seeking an Outbound Call Centre Agent to work remotely
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* Matric
* Min 2 years’ Outbound Call Centre Experience
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Consultant: Poleen Cass - Dante Personnel Johannesburg
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