A well-established financial services business is seeking to appoint a Senior Manager: Claims who is accountable to oversee all the claims related operations to improve efficiencies.Qualifications and Experience:
Bachelor’s Degree/Advanced Diploma in Business Management / Business Administration related qualification.
Post graduate qualification in Business Management / Business Administration related qualification.
Relevant 9-10 years’ experience in Claims Operations environment of which 3 (three) years must have been on a management level.
Advanced knowledge in claims management systems, insurance/reinsurance principles and Motor Vehicle Accident legislation will be advantageous.
Claims management process/ processes and systems (including handling, verification and validation, investigation, assessment/settlement, litigation, legal costs assessment and settlement).
Post claim management and settlement.
Medical bill reviewing.
Medical case management.
Complex problem identification, solving and decision making.
Customer value proposition.
Good financial management skills.
Strong analytical capabilities.
Knowledge of Motor Vehicle Accident legislation.
PFMA knowledge.
Desired Skills:
Claims Operations
Motor Vehicle Accident legislation
Insurance/reinsurance principles