Job Description

Our client in the Insurance industry is currently looking for a Claims Manager, in Pietermaritzburg.

Responsibilities:

• Carrying out all claims handling and negotiation within the assigned mandates and insurers/third party SLA agreements, including RI claims.
• Communicate with Brokers and Clients in line with allocated portfolio during the claim process.
• Maintain working relationship with Brokers/colleagues/service providers.
• Negotiate claim settlements with Brokers/Clients and apply correct wording.
• Escalate/resolve any broker/client queries including rejection letters.
• Attend all Broker meetings on Compliance, communicate all changes required to team.
• Register and carry out respective product training to comply with legislation and CPD.
• Process claims from notification to end, send claim form to clients, register new claims, source schedule, premium and applicable excess.
• Check and sign off on settled claims for entire department.
• Notify Insurers within correct time frames to avoid prejudice.
• Draw up agreement of losses and send for approval in line with mandates.
• Check claim reports and send reports on to the brokers monthly.
• Must understand and interpret policy wordings/endorsements - apply to the current claim.
• Arrange collection of salvage etc where necessary.
• Source tenders on Tractors and other plant.
• Log geyser claims via Fogi portal.
• Request registration certificates, settlement letters and de-reg via the Instrack Portal.
• Issue vouchers/authorisations via the THESL portal.
• Prepare rejection letters for approval by mandate.
• Attend meetings with service providers.
• Must work closely with compliance to ensure all systems are in line with audits.
• Check claims staff mail count daily and allocate work as required.
• Approve staff leave on ESS.
• Maintain all office procedures and processes within the department.
• Address any staff concerns/attend to disciplinary with Management and HR if necessary.
• Manage Broker split/work allocation within department.
• Audit of Claims Staff files on a quarterly basis.
• Mentor and train staff.
• Staff Appraisals yearly.
• Interview claims staff where required.

• Minimum 5 - 7 years of relevant experience in claims handling or claims management.
• Previous experience in a similar role within the Insurance industry, preferably in claims management or claims handling.
• Previous experience in managing and supervising a claims department/team.
• Technically proficient with product knowledge, wording/product endorsements, rates, etc. relevant to type of insurance being offered.
• Excellent presentation skills and strong ability to interact with management at all levels.

• R30 000 xe2x80x93 R40 000 CTC per month.

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