Job Description

A well-established business is seeking to appoint a Operations Manager
Develop functional unit business plans for both the life and non-life insurance business to contribute to the achievement of strategic objectives of the organisation.
Oversee the effective functioning of claims management processes across all product lines to drive efficient client serving and customer centricity.
Minimum Education and Experience:

• Honours BCom in Finance, Business Management, Risk Management and Insurance
• 8-10 years Insurance operations and claims experience
• 8-10 years Insurance operating system experience

Operations Management: Processes and Systems

• Lead the development, implementation and maintenance of a suitable policy administration systems and IT applications for all product lines, both life and non-life.
• Direct and manage the implementation of policy administration and ensure proper documentation and record keeping.
• Ensure that manual processes are appropriately automated and drive innovation and continuous improvement through collaboration and agile work practices.

Claims Management

• Plan, lead and coordinate the claims function, fostering an environment of continuous improvement and excellence.
• Design processes and procedures to ensure effective claims processes and strategies to adherence to service level standards.
• Develop effective automated systems for handling claims, and lead procurement efforts for the acquisition of such systems within PFMA guidelines.
• Maintain claims register for all classes of business and ensure response is provided to claimants timely
• Evaluate the current bancassurance and direct channel capabilities, identify gaps, and prioritise development activities.
• Optimise process and system integration relating to lead generation, quotation and policy conversions.
• Facilitate training of client facing staff on an ongoing basis to ensure a productive channel at all times.
• Monthly reporting to key stakeholders on channel performance.

Stakeholder management

• Design and implement a stakeholder management framework.
• Maintain relationships with stakeholders and business partners, e.g. procurement, and I.T
• Ensure that service level agreement with business partners is adhered to.

Critical Competencies

• Developing systems and processes
• Claims management
• Quality Assurance
• Good underwriting principles

Please note that if you have not received a response within 14 days of submitting your application that your application was unsuccessful.
However, please keep a lookout on our website, www.sixsense.co.za for available positions which may be inline with your career aspirations.