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Job Details
Senior Manager: IL Claims Administration (Long Term Insurance) |
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Location: Pretoria | Salary / Range: R900 000 | Posted On: Jul 10, 2017
Key Skills :
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Qualification :
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Job Function : Permanent
Vacancy :
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Position: Permanent
Job Description:

Senior Manager: IL Claims Administration_Long Term Insurance

Sector: Insurance

Location: Pretoria

Salary: R900 000 (negotiable)



Our client in the insurance sector is looking for a Claims Administrator to monitor the management of individual life claims administration.


·         Monitor management of claims administration on individual life policies

·         Design and develop standard operating procedures

·         Oversee the management of efficient and effective administration of claims

·         Align Branch Office procedures with Head Office procedures

·         Monitor processes and procedures for the detection of fraud activities on claims

·         Provide inputs to forensics, IT department and external fraud forum

·         Decide and discuss dispute claims

·         Decide on ex-gratia payments in agreement with Senior Executive Manager 

·         Monitor payment turn-around time of finalized

·         Sign-off finalized approved claims payments

·         Co-ordinate complaints resolution and compliance

·         Provide inputs into strategy

·         Management of implementation of claims workflow and audits

·         Conduct claims audits at branches to comply with claims rules and procedures

·         Manage implementation of processes that are followed and completed for audits

·         Monitor completion and updates of loss/near loss register 

·         Provide feedback on processes to auditors

·         Provide feedback to auditors on steps taken to ensure claims are paid correctly

·         Provide feedback to Risk Manager

·         Design and develop processes for unclaimed assets

·         Align unclaimed assets with claims rules and process

·         Obtain an external service provider to trace the policy holders

·         Attend the unclaimed asset committee meetings

·         Chair unclaimed assets committee and align with requirements

·         Report on IL Claims Administration


·         Degree: Risk Management/Business Management/relevant

·         RE1 & RE 5

·         Registration as a Key Individual

·         60 or 120 credits on NQF level 5 (Depending on the date of appointment in the industry)

·         5 Years’ Experience in long term insurance claims

·         At least 5-8 years in Management



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