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Job Description
naTo effectively manage the designated liability Claims area and ensure containment of claims spend and provide excellent service in setting a culture of best practice within mandated responsibility.You would:Plan for, implement and manage the Claims Strategic Plan within designated area
Plan for, implement and take accountability for the operational plan for the designated area.
Implement the designated claims registration and assessment capability.
Implement the designated claims fulfilment and payment capability.
Manage claims spend in line with growth cost per claims targets. (Average cost of claim.)
Manage Maverick and BEE procurement targets.
Provide the relevant MIS for the claims division daily, weekly, monthly and quarterly as required.
Ensure that statistics for the designated area are reviewed and corrective action taken, if required.
Act as technical advisor by educating brokers, clients and staff about liability claims processes and procedures.
Identify, control, manage and minimise operational risks and claims leakage
Best-practice Service Delivery
Actively implement and monitor service practices to determine the status of customer service and relations
Proactively identify and implement changes required in customer service and relations
Develop customer solutions (process, product, systems) to address changing service requirements, implement customer centric strategies and ensure customer satisfaction
Manage effective SLA’s with internal and external stakeholders.
Provide professional services: where expectations are managed
Continuous improvement to ensure optimization and best practice
Streamline and integrate existing business processes and systems
Keep up to date with Best Operating Practice
Identify, prioritise, develop business cases for, present and execute Best Operating Practices
Create collaborative relationships with other departments to determine internal and external process improvements designed to enhance the customer experience and value
Optimise departmental performance through targeted business intelligence to ensure that it becomes the primary way of driving performance and execution
Evaluate and implement new systems and best operating practices
Best-practice people practices
Demonstrate direct leadership – be on the “office floor” frequently enough for personal contact to be real and significant, and to provide a role model to Levels 2 and 1
Empower Level 2 emerging leaders and specialists to achieve technical excellence and innovation
Define and benchmark competitive performance measures
Create an aligned balanced scorecard of operational measures in order to optimally mange performance
Ensure the department, section or specialist function is adequately resourced and has recruitment, retention, and HR development plans in place
Ensure that all the team members consistently discharge their duties.
Implement and manage a People Capability plan that ensures that the department has the human resources and skills required to deliver on the strategy for the short-, medium- and long-term.
Identify, attract, appoint, grow, engage, reward, and retain top talent to drive operational execution.
Manage poor performance constructively and decisively
Demonstrate leadership behaviour of personal involvement, commitment, and dedication to the business area in support of the organisation’s culture.
Communicate a meaningful operational context to apply people best practice, fostering an environment of continuous learning and improvement.
Identify, define, communicate, and obtain buy-in for performance expectations through the implementation of the chosen Mutual & Federal performance management system.
Ensure mechanisms are implemented to support major changes to the function by acting as a change agent.
Create a collaborative environment which allows for employees within a functional area to work together thereby leveraging constructive team dynamics and innovation
Ensure the work environment enables employees to “live” the organisation culture and values.
Actively participate in own professional development and career path
Financial and corporate governance to ensure cost efficiency
Contribute to the development and implementation of fit for purpose budgets.
Budget by weighing up costs and risks pertaining to workforce, technology, materials, and equipment used
Effective budgetary compilation and control
Manage vendor relationships, and budgets associated with projects
Keep within budget constraints for an annual period, monitor planned vs actual, and report on cost efficiency
Take accountability for the management of business-related risks within own area.
Operate within agreed mandates as documented in the business rules.
Experience, knowledge & skills required
Matric
Appropriate Insurance qualification
Law degree preferred
Management qualification an advantage
5 years relevant non -motor liability claims experience; and
3 years management experience
Skills
Action Planning, Claims Management, Data Compilation, Data Controls, Executing Plans, Insurance Claims Investigations, Oral Communications, Policies & ProceduresCompetencies
Business InsightCollaboratesCommunicates EffectivelyDecision QualityDirects WorkEnsures AccountabilityFinancial AcumenInstills TrustEducation
NQF Level 7 - Degree, Advance Diploma or Postgraduate Certificate or equivalent: LawClosing Date
30 April 2025 , 23:59The appointment will be made from the designated group in line with the Employment Equity Plan of Old Mutual South Africa and the specific business unit in question.
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