Group Claims Manager
O'Brien Recruitment
Nơi làm việc
Cape Town
Hình thức tuyển dụng
Toàn thời gian
Chi tiết công việc
Role Duties and Responsibilities:
• Supporting regional claims leads with their daily supervisory duties to progress, investigate and settle all claims within the required SLAs.
• Reviewing problematic claims (including bad risks) and providing recommendations to regional claims leads / agents based on claim evidence and relevant policy wording.
• Proactively identifying fraudulent claims during reviews by scrutinising evidence and using claims agents' technical cycling experience and knowledge.
• Analysing claim costs (pre-settlement), ensuring accurate capturing of final settlement figures on the financial summary and claims platform.
• Work closely with the Head of Client Services to ensure that estimates reserved are correct and reviewed every month.
• Handling of insurance complaints relating to customer service and claim outcomes.
• Lead the underwriter claim referral process for all UK claims.
• Lead the weekly/monthly claims forum meeting to address key issues and problematic claims
• Active management of the reinsurance/recovery claims process to ensure that the Company recovers claims costs where appropriate.
• Working with the claims leader to implement a store and salvage network to reduce claims costs through procurement agreements and salvage optimisation (UK).
• Compiling weekly and monthly claims reports for the UK (including reviews on RAW partner reports).
• Working with the Head of Client Services + QA team, to identify quality issues and implement a claims training program to develop the skills of the claims team.
Role Experience and Qualifications:
• At least 7 years of insurance, claims and operations management experience
• Relevant qualification (diploma/degree)
• Must be able to operate in a deadline-driven environment
• Be able to manage the performance and efficiency of claims agents
• Action and solutions-oriented approach to issues and improvement areas
• Strong customer service focus.
• Sound knowledge of claims administration procedures, insurance industry best practices, and claim metric reporting.
• Use insurance knowledge to set a standard across all claims and processes
Desired Skills:
• Administration
• Claims
• Communication
• Investigating
• Leadership
• Policy Enforcement
• Reporting
About The Employer:
We are currently recruiting for a Groups Claim Manager for a client based in the Cape Town area. The ideal candidate should have at least 7 years experience with insurance, claims and operations management
