Job Description

You will be responsible for managing the third-party claims process, which includes indemnity and recovery claims, ensuring compliance with company policies and regulations, and maintaining high levels of customer satisfaction and performance relative to set targets.



Main responsibilities

Oversee the end-to-end third-party indemnity claims process, including claim registration, investigation, assessment, negotiation, and settlement. Oversee the end-to-end third-party recoveries process, including identifying liable third parties, pursuing recoveries, and negotiating and pursuing settlements.

Lead and manage a team of claims handlers and recovery specialists, providing guidance, support, and training as needed to ensure effective performance and achievement of targets.

Ensure compliance with company policies, procedures, and regulatory requirements in third-party claims handling.

Implement quality assurance measures to maintain accuracy and consistency in third-party claims processing.

Assess and mitigate risks associated with third-party claims, including fraud detection and prevention measures. Coordinate with claims handlers and investigators to gather evidence and information to support third-party recovery claims.

Negotiate with third parties, their insurers, and legal representatives to reach fair and favourable settlements for indemnity and recovery claims.

Develop and maintain relationships with third-party vendors, such as legal advisors and recovery agents, to facilitate efficient claims management and resolution.

Develop and monitor key performance indicators (KPIs) and metrics related to third-party claims processing, analyse data trends, and prepare regular reports for management review.

Collaborate with other departments, such as customer service, to resolve customer queries and issues promptly and effectively.

Identify opportunities for process improvement and efficiency gains in the third-party claims handling operations. Develop and implement strategies to enhance recoveries outcomes and maximize revenue.

Minimum requirements

Personal attributes and skills

Team Player

Self-Motivated

Target Driven

Persuasive

Resilient

Leadership

Ability to perform under pressure

Qualification & Experience

Matric

Completed LLB Degree. admitted attorney or paralegal preferred

Minimum of 5 years of experience in claims management, with a focus on third-party indemnity and recovery claims.

Strong understanding of insurance principles, policies, and regulations.

Excellent leadership and team management skills, with the ability to motivate and develop a team.

Exceptional communication, negotiation, and interpersonal skills.

Analytical mindset with the ability to interpret data and make data-driven decisions.

Strong problem-solving skills and attention to detail.

Ability to thrive in a fast-paced and dynamic environment.