Claims Supervisor - Johannesburg at SNG GrantThornton

Key Responsibilities:

Team Supervision and People management

• Take responsibility for all administrative functions in the Claims Handling Division through effective supervision of people
• Provide on-the-job training to claims handlers in order to comply and ensure uniform application of claims administration standards
• Train staff to comply with legal principles as well as company policies and procedures
• Co-ordinate follow-ups of all outstanding losses

Claims administration

• Compile a register to reflect all losses that need to be reported in accordance with the Public Finance Management Act
• Process and capture and confirm all new insurance
• Assist with renewal of insurance process (annually or as required)

Monitoring, Audit and validation

• Oversee insurance claims as submitted and received from claims handlers
• Audit claim files to ensure compliance to policy and procedures at all times
• Sign invoices/documentation in accordance with delegation of authority
• Ensure that insurable and uninsurable losses are processed according to company policies and procedures

Payments and Recons

• Implement and maintain systems of internal control that will ensure that end to end claims process and related transactions are performed efficiently and effectively
• Conduct weekly/monthly audits on correctness (policies and claim types) of claims captured within approved time frames, go-aheads given, open orders, outstanding payments of invoices/settlements
• Ensure that all claims are being settled within prescribed period
• Ensure all journals are captured on time and correctly and
• Perform high level oversight to assure correctness
• Ensure completeness of related reconciliations

Communication and reporting

• Maintain effective communication channels with internal and external clients to expedite claims
• Promote and facilitate a culture of quality output and efficiency within the claims administration environment

Professionalism

• Establish a professional work environment to enhance dealings with internal and external customers such as (e.g. insurance companies), service providers and members of the public.

Decision making

• Decision making to be done on all insurable incidents in accordance with the different insurance policies
• Makes recommendations to decision makers in accordance with the Financial Delegation of Authority
• Take decisions on problems presented by subordinates

Qualification:

• Minimum (NQF Level 4).
• A National Diploma (NQF Level 5 ) will be an advantage
• Any further qualification in or studying towards a financial or insurance related field will also be an advantage.
• Should be prepared to become a FAIS Key Individual and Representative and write the requisite exam

Experience:

• Minimum of 5 years’ experience within the risk management/insurance environment.
• 1 year experience in a supervisory/ team lead role
• Any insurance-related or customer service-related experience will be an added advantage.