Lump Sum Claims Team Leader needed at Discovery Limited
Job title : Lump Sum Claims Team Leader
Job Location : Gauteng, Johannesburg
Deadline : April 26, 2024
Quick Recommended Links
Areas of responsibility may include but not limited to
- Monitor team performance and activities to ensure smooth running of business processes and outputs
- Empower employees to take accountability for the targets agreed upon to ensure high service levels.
- Leading, motivating, development, coaching, training to optimize staff performance
- Accurate assessment, investigation, validation, and calculations of benefits payable in accordance with the goals, objectives, processes, and standard operating procedures
- Manage complaints, escalations, queries of clients to ensure high levels of service are adhered to
- Plan appropriately to ensure that business processing is not disrupted to achieve an efficient team
- Manage projects relevant to LumpSum team to ensure delivery within the agreed timeline
- Build and maintain with relationships at all levels service providers and internal departments to enhance organizational effectiveness and efficiency
- Providing effective, efficient, and professional service to all our clients, both telephonically and through written correspondence.
- Analyze processes to identify risks and opportunities for enhancements or innovations to continuously improve the team’s outputs
- Ensuring all risks are mitigated and escalated, this includes the identification of fraudulent activity, incident reporting and non-disclosure
- Quality auditing of the team’s work
- Maintains, report, arrange, organize and update the filing systems and procedures
- Responding to queries ensuring they are resolved timeously and effectively and managing workflow
- Data analysis and reporting to various stakeholder
- Client meetings
- Reconciliation of claims
- Identify trends and ensuring appropriate controls are put in place
- Assist with audits and appropriate responses to audit queries.
- Managing projects.
- Produces new ideas, approaches or insights. Produces range of solutions to problems and do root cause analysis. Effective decision-making by “out of the box” thinking and weighing up risks involved.
- Understanding, application and meeting of ISO 9001 requirements
- Assist with Actuarial data validation checks and queries
- Collaboration with Technical team , could include building system requirements, system project implementation
- Sets appropriate standards of behaviour and outputs.
- Ensure that the claims process is accurate, compliant, and abreast with regulatory frameworks such as, Long Term Insurance Act, Rules of the Discovery Life Plan Guide.
- Ensure regular, comprehensive and appropriate management reports are generated for submission to line manager and the broader business.
Personal Attributes
- Analytical and problem solving
- Communication Skills: able to communicate clearly both verbally and in writing.
- Reporting Skills: ability to consolidate information and compile reports reflecting the necessary relevant information
- Ability to communicate logically and objectively is essential components of this role.
- Expresses opinions, information and key points of an argument clearly.
- Probes for further information or greater understanding of a problem.
- Relates well to people at all levels.
- Customer Focus
- Interpersonal Savvy
- Innovation
- Integrity
- Attention to detail
- Planning, prioritising and organising
- Team Work/Collaboration
- Stress Tolerance
- Application of theory to practical processes
Education and Experience
- Matric with Mathematics – Essential
- Tertiary Diploma or Degree – Advantageous
- COP and Intermediate Certificate (Retirement Funds II) – Advantageous
- Intermediate – Advanced proficiency on MS Office (Excel, Outlook, Word) – Essential
- 3 – 5 years operational leadership and management experience – Advantageous.
- 3 – 5 years Employee Benefits / claims process experience (Group Risk claims experience advantage).
- Relevant Industry Qualifications – Introduction to Retirement Funds COP – Essential.
- MS Office – Advanced Excel skills, Accounting, People management, operational processes and process mapping.
- Full compliance and legislative universe relating to employee benefits.
How to Apply for this Offer
Interested and Qualified candidates should Click here to Apply Now