Claims Manager – Employee Benefits

The Claims Manager is responsible for the overall management of the Claims Department. The dues include : Managing, planning, monitoring and reporting. Providing assistance to Client Services, the Call Centre, Claims team, Employers and external service providers. The Claims Manager reports to the Senior Manager

Meet production standards in terms of quantity and quality
Liaise with Employers and Service Providers both written and verbal
Devote the whole of your time, attention and abilities during working hours to the discharge of your duties with strict accuracy
Ensure e mail communication, whether internal or external is dealt with professionally and within the Service Level Agreement
Co-ordinate and monitor all claims related activities which includes payment of claims, reporting, data maintenance and client enquiries
Ensue all funds comply and is administered according to the rules, policies, legislation, administration procedures and the service level agreements applicable to each fund
Identify, develop, enhance and implement policies and procedures that are relevant to the claims department
Follow up on audit findings and recommendations
Compile job descriptions for all levels within the Claims Department
Set and agree performance areas with staff and manage employee performance
Delegate work to staff
Co-ordinate departmental leave
Compile accurate reports required by management in the required format
Any other duties as determined by the Senior Manager- Claims
Monitor escalations and complaints and recommend preventative measures
Team Support
Accept accountability and take responsibility for any work done or allocated
Display a willing and helpful attitude
Select, assign, lead and manage people
Train, mentor and coach staff
Maintain staff relations
Relationship Management
Build and maintain relationships at all levels with Service Providers and Internal Departments to enhance organisational effectiveness and efficiency
Use your best endeavour to properly conduct, improve, extend, develop, promote, protect and preserve the business interests, reputation and goodwill of the Company
Time Management
Excellent time management
Must be available to work overtime when the need arises
Flexible and ability to work under pressure and multi-task
Matric Certificate with Maths
Good command of English
FICA awareness training
At least 6 years employee benefits/retirement fund administration
Experience specifically in a similar role processing retirement fund claims and dealing with Employers and external providers
A solid knowledge of pension fund legislation, regulations and guidelines
Everest experience will be advantageous
Knowledge and understanding of unitisation
Good knowledge of Microsoft Outlook, Word and Excel
Excellent numerical skills with attention to detail and accuracy
Methodical and meticulous
Good verbal and written communication skills
A self-starter who can work independently with minimal support but can also work in a team environment

johannesburg, GT, ZA