Claims Executive

Johannesburg, Gauteng, South Africa

Job Description


Our client is looking for a highly skilled Claims Executive with a strong background in data management and technology to join our team in Port Louis, Mauritius. This role requires expertise in leveraging data analytics, automation, and technology solutions to streamline claims processes, enhance decision-making, and deliver exceptional client experiences. Salary: competative Job description Data-Driven Claims Analysis:

  • Utilise advanced data analysis tools and techniques to assess claims trends, patterns, and performance metrics
  • Collaborate with data scientists and analysts to extract meaningful insights from claims data, informing strategic decisions and process improvements
Technology Integration:
  • Identify and implement technology solutions that enhance claims processing efficiency, accuracy, and customer satisfaction
  • Work with IT teams to integrate software applications, AI tools, and automation platforms to optimize workflows
Claims Process Enhancement:
  • Evaluate existing claims procedures and develop data-driven strategies to optimize efficiency and reduce processing times
  • Implement digital workflows and automation to streamline claims submissions, assessments, approvals, and settlements
Client Engagement and Communication:
  • Utilise data insights to enhance client communication by providing real-time updates, tailored recommendations, and transparency into claims status
  • Leverage technology to create self-service portals for clients to access claims information and track progress
Compliance and Reporting:
  • Ensure claims processes adhere to industry regulations and compliance standards
  • Generate comprehensive data-driven reports for internal stakeholders, management, and regulatory bodies
Stakeholder Collaboration:
  • Work closely with cross-functional teams, including IT, legal, underwriting, and customer service, to align technology solutions with business objectives
  • Collaborate with external technology partners to explore innovative tools and trends in the claims industry
Key skills
  • Strong understanding of claims processes, insurance products, and industry regulations.
  • Experience in integrating and managing technology solutions, such as claims management software, automation tools, and AI platforms.
  • Excellent analytical, problem-solving, and project management skills.
  • Outstanding communication skills to convey complex technical concepts to non-technical stakeholders.
Qualifications:
  • Bachelor's degree in Data Science, Computer Science, Information Technology, or a related field. Master's degree preferred.
  • Minimum of five years of experience in claims management, data analysis, or a technology-focused role within the insurance industry.
  • Proficiency in data analysis tools (e.g.SQL) and visualization platforms (e.g., Tableau, Power BI).
Job Types: Full-time, Permanent Education:
  • Bachelors (Required)
Experience:
  • claims management and data analysis: 5 years (Required)
Ability to Relocate:
  • Johannesburg, Gauteng: Relocate before starting work (Required)

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Job Detail

  • Job Id
    JD1288694
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Johannesburg, Gauteng, South Africa
  • Education
    Not mentioned