Death Claims Technical Manager at Sanlam

Overall purpose of the role
Ensure that current outputs of the death claims team and related processes are aligned with the overall business strategy and claims philosophy.

Key Responsibilities

Death Claims processes and reporting

• Ensure the sound implementation of efficient reporting standards that advances the achievement of strategic objectives.
• Continuously assess and improve current claims processes and systems with a goal to improve productivity using analytical insights.
• Develop efficient, cost effective strategies to meet strategic business objectives.
• Approve payments over defined authority levels and handle escalated complaints.
• Ensure that sufficient fraud management processes are in place and continuously reviewed. This should include incorporating fraud awareness and checks within the team.
• Assist with the design, implementation and continuous improvement of an effective digital claims application and integrated claims system.

Stakeholder engagement and governance

• Complete and/ or coordinate formal audits of claims to ensure adherence to specific policies as well as the quality of the claims assessment procedures.
• Constantly engage stakeholders to build relationships internally and externally as well as communicate with regulatory bodies.
• Ensure adherence to applicable corporate governance policies and participate in policy revisions.
• Support the actuarial team and offer input on claims issues and product development.
• Manage any project initiatives on behalf of the claims team.

Team management and culture

• Head up and lead a team of 30 people with 4 direct reports.
• Ensure implementation of performance standards and effectively manage the output, productivity and a positive team culture
• Ensure SLA’s and quality standards are adhered to through continuous improvement, change management and transformation.
• Lead, develop and mentor direct reports ensuring appropriate succession planning.

What will make you successful in this role?

Qualification and Experience

• Bachelor’s Degree in Business Administration/BCom General or other management or related field.
• At least 8-10 years’ experience at middle or senior management level in a similar role within a Group Risk Claims/Employee Benefits environment.
• Experience in managing the end to end death claims process.

Knowledge and Skills

• Product knowledge and understanding of the Group Risk and/ or Retirement Fund Industry would be advantageous.
• Computer literate with proficiency in Microsoft Office (Word, Excel and PowerPoint)