Claims Manager needed at FEM

Job Description

• The Federated Employers Mutual Assurance Company (RF) Proprietary Limited (FEM) was established as a mutual insurer in 1936 and on the introduction of the Workmen’s Compensation Act 1941 was granted a license to continue to transact workmen’s compensation insurance for the building and construction industry. This insurance compensates employees or their dependents following an injury arising from occupational accidents and illness occasioned by industrial diseases. FEM’s operations are essentially confined to the insurance of employers against their liabilities under the Compensation for Occupational Injuries and Diseases Act 1993 (COIDA). FEM operates under license from the Minister of Employment and Labour and is also registered as a non-life insurer, with premium income in excess of R1 billion and total assets in excess of R9 billion.

• FEM is looking to appoint a Claims Manager reporting to the National Claims Manager to oversee and manage a team that processes claims received in accordance with the (Compensation for Occupational Injuries and Diseases Act) COID Act and FEM’s standard operating procedures. The successful candidate will be responsible for the planning, organising, and controlling of the claims department. The incumbent will implement and develop strategies and goals and assess overall performance of human resources to ensure compliance and efficient delivery on objectives relating to management reporting, audits and the risk profiles.

• Furthermore, the incumbent will provide service excellence by ensuring claims turnaround times are met. Similarly, to interpret and apply all benefits as prescribed by the COID Act and ensure that the department complies with the statutory requirements and all other relevant legislation. The incumbent is also expected to travel to stake holders and provide training to the Policy Holders.

• The minimum requirements of the position are a B degree in Nursing or equivalent and a management related program. The position requires a minimum of 5 years prior work experience in a clinical or multi-disciplinary life and disability claims environment and at least 3 years’ experience in a management capacity.  Further requirements are knowledge of the COID Act, a good understanding of the risk management processes, own transport with a valid driver’s license and good computer skills, the ability to work within strict deadlines, reliability and excellent communication.