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  • Posted: Aug 12, 2022
    Deadline: Not specified
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    Imagine a world where people live healthier, more enhanced and protected lives… A world in which each organisation is a powerful influencer and responsible corporate citizen, committed to being a force for social good. As a leading innovator in healthcare, wellness, insurance, investments, financial and life planning, Discovery works ceaselessly to...
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    Claims and Data Manager (Senior)

    Key Purpose of the role

    Oversee and manage the operational data management framework for claims and active member data. Areas of responsibility may include but not limited to

    • Ensure the successful leadership and management of teams to deliver in line with the strategic direction set by EXCO
    • Identify, assess and act on internal or external issues that affect the underlying areas
    • Develop operational plans, which incorporate goals and objectives that work towards the strategic direction as set out by EXCO
    • Monitoring the day to day delivery of the teams
    • Determine staffing requirements by recruiting staff with the correct and personal abilities to ensure agreed standards are met
    • Ensure processes meet customer and business expectations
    • Managing average claims cost
    • Ensure efficient call centre service levels
    • Maintain relationship with Claims back-office functions i.e. Car hire, Assessing, Salvage and Procurement
    • Ensure service delivery to clients are within acceptable ranges
    • Manage MANEX efficiency
    • Reporting on overall Claims department operations Ensure the successful leadership and management of Death Insurance Benefits for Group Risk delivers in line with the strategic direction set by Discovery EB Manco
    • Develop operational plans, which incorporate goals and objectives that work towards the strategic direction as set out by Discovery EB Manco
    • Develop, implement and monitor the processes to manage death insurance claims according to the Group Life Life Plan Guide, regulatory framework for Group Life, ISO standards, internal and external audit requirements.
    • Pro-actively identify, assess and act on internal or external issues that affect the management of the death claim liability.
    • Ensure the claims processes meet customer and business expectations. Evaluate and continually improve.
    • Monitoring and manage the day to day delivery of the death claims for Group Life.
    • Oversee and report back on the operational data management framework for claims and active member data required by POPIA.
    • Determine staffing requirements by recruiting staff with the correct and personal abilities to ensure we meet the agreed standards.

    Personal Attributes and Skills

    The Successful Candidate Must Demonstrate The Following Competencies

    • Communication Skills: able to communicate clearly both verbally and in writing.
    • Reporting Skills: ability to consolidate information and compile reports reflecting the necessary relevant information
    • Ability to communicate logically and objectively is essential components of this role.
    • Attention to detail
    • Very organised
    • Conflict Management
    • Expresses opinions, information and key points of an argument clearly.
    • Probes for further information or greater understanding of a problem.
    • Relates well to people at all levels.

    Education and Experience

    • Bachelor’s degree/ experience in risk management - essential
    • Minimum 10-15 years of relevant work experience - essential
    • Extensive experience in claims management- essential
    • Long-Term Insurance product experience - essential
    • Regulatory bodies (South Africa) background - Advantageous
    • South African taxation knowledge - Advantageous
    • Risk management experience - Advantageous
    • Accounting experience - Advantageous

    Method of Application

    Interested and qualified? Go to Discovery Limited on careers.discovery.co.za to apply

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