Claims Technical Advice Manager at Santam Insurance

OPPORTUNITY

Santam has a position available as the Claims Technical Advice Manager within the Claims Technical Advice department. Claims Technical Advice operates within the Quality and Knowledge Management which is part and parcel of Claims Services. We are looking for a highly professional and driven individual to assume the role of leading the claims technical advice activities of the Santam Group, based in Centurion Pretoria. The position reports to the Head: Quality and Knowledge Management. Contribute towards Santam profitability and growth by influencing the quality and standard of claims handling.

What Will Make You Successful In This Role

• Driving the claims strategy by exploring and implementing effective operational processes and ensuring an alignment between the claims business needs and the rest of the stakeholders. Research and empower claims teams with knowledge to be able to handle claims indemnification effectively.
• Contribute to the overall claims’ strategy through building sustainable relationships with the stakeholders and providing customer focused solutions through knowledge sharing methodologies and claims technical advice.
• Transferring knowledge through workshops and publication of claims bulletins within the Commercial and Personal lines.
• Ensure sufficient controls to ensure that a request for advice on a claim is being handled timeously and in adherence to turn
• around time.
• Increase collaboration with different stakeholders (product development, broker distribution, intermediary administration, risk services, training, quality assessment)
• Accountable for claims technical advice within the claims business and ability to apply insurance law principles in claims handing. Must have the ability to interpretation of policy wording relating to claims handling on request to ensure accuracy of claims decisions.
• Ensure there is minimum interruption to finalisation of claims and present legally sound recommendations to more senior staff.
• Promote uniformity of policy interpretation and claims handling within claims services to ensure adherence to the regulations with claims teams (Insurance Act, Short-term Insurance Act, FAIS Act, POPIA, FICA Bill). Interpretation and analysis of Claims data to manage knowledge gaps for effective claims decisions.
• Ability for effective team management and contribute to the creation of a learning and knowledge sharing culture using latest knowledge management platforms.
• Ensuring skills sharing amongst the team Coaching and supporting of the team. Ensure team effectiveness and value to the organization.
• Build and maintain a resilient and agile team.
• Encourage continuous learning and development of the team

Qualifications And Experience

• Legal qualification (LLB).
• Insurance related qualification (COP; ICIBS; HCII). – an advantage
• Experience in leading a team.
• Knowledge management principals an advantage
• 5-8 years’ experience in operational claims & underwriting environment
• Excellent knowledge of claims policies and governance
• Experience in a legal environment (Law of Contract, Law of Evidence & Delict).

Skills

• Product knowledge (Commercial and Personal lines);
• Strong relationship building skills
• Assertive
• Excellent communication skills
• Strong industry acumen
• Analytical skills
• Negotiation
• Ability to pay attention to detail
• Ability to lead and manage people
• Legal interpretation skills
• Execution of strategy