JOB PURPOSELead a team of Processing Claims Consultants to ensure the effective validation of already-captured claims. Ensure individual contributors are performing against targets, while reviewing their performance and coaching them to do so in order to assist in achieving the required operational targets.RESPONSIBILITIESLeadership and DirectionExplain the local action plan to support team members in their understanding of what needs to be done and and how this relates to the broader business plan and the organization's strategy, mission and vision; motivate people to achieve local business goals.Performance ManagementRespond to personal objectives and use performance management systems to improve personal performance. Monitor the performance of the team; allocate work and review completion, take appropriate corrective action to ensure timeliness and quality; contribute to formal individual performance management and appraisal.Operations ManagementSupervise others working within established operational systems by ensuring quality decisions are made regarding the outcome of claims.Operational ComplianceIdentify, within the team, instances of non-compliance with the organization's policies and procedures and/or relevant regulatory codes and codes of conduct, reporting these and escalating issues as appropriate.Data Collection & AnalysisCollate and analyze claims processing data using pre-set tools, methods and formats. Involves working independently. This may involve identifying trends regarding the customer experience.Customer Management (Internal)Help senior colleagues manage client and customer relationships by using relevant client systems. Document Management Create and ensure compliance with a company wide document management system.AdministrationProduce, update and provide best practice support on a wide range of MS documents, databases and other departmental systems to support the work of more senior colleagues.CorrespondenceRespond to escalated requests using telephonic conversation or emails (internal and external).EDUCATIONGeneral EducationMatric / Grade 12/ SAQA Accredited Equivalent (Essential); Regulatory exam 5 (Essential); Relevant FAIS Qualification (Essential); Bcom Degree or equivalent (Advantageous)EXPERIENCEGeneral Experience3 or more years Financial Services industry experience within a call centre environment (Essential); STI experience (Essential); 2 or more years Claims Experience (Essential);Managerial Experience1 or more years experience of supervising and directing people and other resources to achieve specific end results (Essential)ADDITIONAL INFORMATION*SAQA Accredited Equivalent - it is the onus of the applicant to provide TIH and its subsidiaries with certified evidence that their qualification(s) meet the equivalent NQF level required for this role at time of application. *Financial Sector Conduct Authority (FSCA) competency requirements: FAIS recognised qualifications / Regulatory Examinations / Class of Business Certification and / or CPD according to your DOFA (where applicable). As a registered Financial Service Provider, we are mandated to ensure that all our representatives are and remain fit and proper at all times. By applying for this role, you consent to having your relevant qualification and or accreditation or confirm that you are working towards meeting the competency requirements. You further consent to the relevant information being verified
