Senior Administrator: Claims at Sanlam Group

What will you do?

The candidate will manage a team of professional people overseeing a broad client basis to ensure that your team is highly service orientated and responsive to client needs. Accountable for service delivery through own efforts and efforts of others. 

Key Responsibilities

• Checking and signoff of claims as per the approval framework, letters and other relevant work items. 
• Effective management of the ‘day to day’ workflow of the team. 
• Effective management of all escalated items on a daily basis. 
• Effective management of “ad hoc” requests by clients or management. 
• Effective supervision of team in general. 
• Handling problems and high-level enquiries with regards to claims and risk products. 
• Support team with difficult queries and tasks. 
• Provide professional support to both internal & external clients. 
• Ensure that the completed claim documentation meets the required audit standards, and complies with Legislation. 
• Provide input to team’s reports and discussions.  

Qualification and Experience

• Degree in Occupational Therapy, Physiotherapy or Nursing is essential  
• 5 – 6 years’ experience in a Group Risk: Disability assessment environment will be a requirement. 
• Experience as team leader recommended

Knowledge and Skills

• Sound knowledge of disability claim processes and procedures. 
• Sound knowledge of products, processes, and services of Sanlam Employee Benefits. 
• Computer literacy (MS Office suite). 
• Understanding of rules and policy regulations with regards to schemes and funds. 
• Technical knowledge of SGR environment (Risk) is a requirement. 
• Knowledge of Sanlam’s Risk Business processes (Death, Disability, Tenders, Revisions, Scheme Implementation, Medical Underwriting and general Administration). 
• Reporting

Behavioural Competencies

• Excellent planning and organizational skills 
• Excellent communication skills (verbal & written) delivering a high 
• Excellent problem solving, numerical and analytical skills 
• Sense of accuracy and Strong leadership characteristics 
• Client service orientated with action & result orientated 
• Resilience and must be able to work under pressure 
• Flexible and Adaptable - rebounding from setbacks and adversity when facing difficult situations.
• Courage - Stepping up to address difficult issues, saying what needs to be said.
• Manages Complexity - Demonstrated ability and proven record to make complex decisions.
• Ensures Accountability - Holding self and others accountable to meet commitments.
• Plans and Aligns - Planning and prioritising work to meet commitments aligned to organisational goals