Momentum Metropolitan Holdings, formerly MMI Holdings, is a South African-based financial services group was established on 1 Dec 2010, through the merger of Metropolitan and Momentum. We are specialists in long and short-term insurance, asset management, savings, investments, healthcare administration, health risk management, employee benefits and reward...
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Requirements
- Matric
- Degree in Health Sciences (Occupational Therapy, Physiotherapy,Psychology)
- 5+ years experience in life insurance claims would be beneficial
- Relevant insurance knowledge, applicable regulatory requirements and legislations would be beneficial
Duties & Responsibilities
- Assist with development and execution of an industry renowned claims assessment methodology across Critical Illness, Income Protection and Lump Sum Disability benefits through continuous development interventions for assessors based on current best industry and company practices and technological enablers.
- Ensure that assessment methodology and execution is in line with legislation and best practices within the financial management field in order to optimise the claims assessment skill development of assessors.
- Understand the regulatory framework, insurance related court decisions and/or determinations by regulatory bodies, governing bodies etc. that could impact the way claims are processed or handled.
- Collaborate with business stakeholders to determine the product and technical assessing approach and implement the execution of training interventions.
- Partner and collaborate with both internal and external stakeholders, not limited to product development, underwriting, CMO, reinsurance partners to improve claims' training assessment interventions.
- Manage the quality of training interventions for groups and individual to ensure the correct skills, knowledge and behaviour is embedded.
- Analyse technical assessment quality and make recommendations for improvement of assessor's skills.
- Assist with the quality audit of claims assessment and align assessing training and development in order to improve assessor's skills.
- Recommend training opportunities (formal and informal) aligned to assessor skills gaps, in order to enhance processes and increase effectiveness
- Manage and implement training activities with the specific aim to increase and improve assessing skill and efficiencies.
- Coach and guide assessors to improve their assessment skill and interpretation of claims assessment.
- Sign off assessments within the delegated authority level and required service levels aligned to product and policy requirements.
- Assist with continuous improvement efforts through the identification of opportunities, cost reduction, improvement on the quality of claims decisions and systems enhancement.
- Providing insight, knowledge, assistance and provide testing support where necessary as part of the development and maintenance of all claims systems to improve quality and efficiency.
- Assist with the review of all claims policies, practices, forms and documentation to ensure that our risk management standards are met and aligned to relevant product changes and legislative updates.
- Assist with the delivery of accurate and timeous reporting, analysis and insights where required, and implementation of findings into the execution of claims assessment to improve the client experience and risk management.
- Build and maintain relationships with clients, internal and external stakeholders
- Deliver on service level agreements with all stakeholders to ensure that client expectations are met and managed
- Make recommendations to improve client experience and fair treatment of clients within area of responsibility
- Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service
- Ensure compliance to regulatory Treating Customer Fairly outcomes
- Develop and maintain productive and collaborative working relationships with peers, team members and stakeholders
- Positively influence and participate in change initiatives
- Continuously develop own expertise in terms of professional, industry and legislation knowledge
- Contribute to continuous innovation through the development, sharing and implementation of new ideas
- Take ownership for driving career development
- Responsible to manage, identify and mitigate risk through the adherence of the claims process
- Identify to enhance cost effectiveness and increase operational efficiency
- Manage financial and other company resources under your control with due respect Provide input into the risk identification processes and communicate recommendations in the appropriate forum.
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EXPERIENCE AND QUALIFICATIONS
- Matric
- 1 - 3 Years' employee benefits or other insurance experience would be advantageous, but is not a requirement
- Previous legal drafting, legal secretarial or paralegal experience in any industry would be advantageous, but is not a requirement
Duties & Responsibilities
- Accurately draft and maintain freestanding and umbrella retirement fund rules and special rules as well as risk, annuity and investment insurance policies that complies with legislation, client requests as well as fund administrator and insurer conditions
- Ensure that the special rules are registered with the Financial Sector Conduct Authority (FSCA) and timeously respond to FSCA queries
- Once competent, assist with checking of drafts completed by less experienced contract specialists
- Attend to requests received in central mailbox and ensure that requests are resolved timeously and effectively
- Continuously update postbooks, workflow and document management systems regarding own work
- Maintain consistent service delivery to ensure client satisfaction
- Ensure turnaround times are met as set out in our service level agreement
- Maintain extensive Momentum Corporate product knowledge to effectively and accurately respond to queries
- Adhere to organisational best practice and legislative requirements
- Ensure all risks are mitigated and escalated where necessary
- Ad hoc drafting project work
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Requirements
- Minimum 120 FAIS Credits (NQF Level 5)
- At least 10 years commercial and corporate underwriting experience in an insurance company
- Insurance qualification would be an added advantage
- RE5 Short Term (Commercial and Personal Lines)
- Knowledge of Sasria and Sasria regulations
Duties & Responsibilities
- Issuing and assisting in the structure of the First Party solutions
- Ensuring adherence to professional standards of service and compliance with all legislative and licensing requirements
- Providing technical underwriting expertise and support to Product Owners, UMA’s and Portfolio Managers
- Ensuring that 100% Reinsurance deals are managed and controlled
- Ensuring that UMA and NMI Binder Holders are adhering to agreed mandates
- Monitoring the underwriting performance of the various cell facilities
- Developing / reviewing rating guidelines for the UMA’s and NMI Binder Holders
- Performing Due Diligence on New Business prospects prior to Binder of Cell Agreements
- Performing client reviews as per the review programme
- Assisting in development of new products and the revision of existing ones
- Reviewing and drafting new policy wordings as required
- Reviewing and ensuring that Policies are issued in accordance with the reinsurance slips for all 100% reinsurance deals
- Ensuring compliance with all legislative and licensing requirements
- Providing technical advice to Portfolio Managers and Product Owners
- Special Projects
- Collaboration with Compliance Areas
- Ensuring that the Sasria function is controlled and ensuring that the processes are adhered to
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Requirements
- 5 - 7 years experience as a business system analyst, product owner, or process engineer
- Experience with SQL, and ability to write queries to interegate data
- Preference will be given to candidates who have worked on insurance policy administration systems
- Preference for Bachelor's degree in Business Administration, Information Technology, Computer Science, or a related field
- CCBA certification (desirable)
- CBAP certification (desirable)
Duties & Responsibilities
INTERNAL PROCESS
Business Analysis and Subject Matter Expertise:
- Serve as the SME for the OIPA system and all products implemented on this platform.
- Understand and interpret business requirements, translating them into clear and actionable technical specifications.
- Collaborate with stakeholders to gather, document, and validate business requirements for system enhancements and new features.
System Support and Troubleshooting:
- Act as a point of contact between business stakeholders, developers, and testers.
- Ensure that technical teams have a clear understanding of business requirements and priorities.
- Validate that developed solutions align with business needs and are tested thoroughly before deployment.
Data Analysis and Reporting:
- Extract, analyze, and interpret system data to provide insights and resolve processing discrepancies.
- Create reports and dashboards to communicate findings and recommendations to stakeholders.
Continuous Improvement:
- Identify opportunities for process and system optimization to enhance operational efficiency and user experience.
- Stay updated on industry trends, best practices, and advancements in OIPA and insurance domain technologies.
CLIENT
- Build and maintain relationships with clients and internal and external stakeholders.
- Deliver on service level agreements applicable to clients and internal and external stakeholders in order to ensure that client expectations are managed. Make recommendations to improve client service and fair treatment of clients within area of responsibility.
- Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
- Continuously monitor turnaround times and quality standards and resolve issues speedily to enhance client service delivery. Drive client service delivery goal achievement in line with predefined standards in order to ensure that clients receive appropriate advice and after sales service.
- Manage client query processes and ensure that queries are tracked, accurately resolved and used as a mechanism to improve client service and business processes.
PEOPLE
- Contribute to creating a positive work climate and culture to energise employees, give meaning to work, minimise work disruption and maximise employee productivity.
- Contribute to and drive a culture that guides and directs best practice, fostering an environment of continuous learning, people growth and improvement and cohesiveness.
- Effectively manage your performance within the team in order to ensure business objectives are achieved.
- Be and encourage innovation, change agility and collaboration within the team.
FINANCE
- Identify solutions to enhance cost effectiveness and increase operational efficiency.
- Manage financial and other company resources under your control with due respect.
- Manage high risk and problematic financial issues in area of accountability and contribute to the development of policy.
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EXPERIENCE AND QUALIFICATIONS
- Matric
- 1 - 3 Years' employee benefits or other insurance experience would be advantageous, but is not a requirement
- Previous legal drafting, legal secretarial or paralegal experience in any industry would be advantageous, but is not a requirement
Duties & Responsibilities
- Accurately draft and maintain retirement fund special rules and employee benefit insurance policies that complies with legislation, client requests as well as fund administrator and insurer conditions
- Ensure that the special rules are registered with the Financial Sector Conduct Authority (FSCA) and timeously respond to FSCA queries
- Once competent, assist with checking of drafts completed by less experienced drafters
- Attend to requests received in central mailbox and ensure that requests are resolved timeously and effectively
- Continuously update postbooks, workflow and document management systems regarding own work
- Maintain consistent service delivery to ensure client satisfaction
- Ensure turnaround times are met as set out in our service level agreement
- Maintain extensive Momentum Corporate product knowledge to effectively and accurately respond to queries
- Adhere to organisational best practice and legislative requirements
- Ensure all risks are mitigated and escalated where necessary
- Ad hoc drafting project work
go to method of application »
MINIMUM QUALIFICATIONS:
- LLB
- Admitted Attorney or Advocate
- LLM (added advantage)
MINIMUM EXPERIENCE:
- 1-3 years post admission, litigation management and commercial agreements drafting experience as a legal advisor in the insurance and financial services industry
Duties & Responsibilities
INTERNAL PROCESS:
- Provide strategic guidance on Intellectual Property (IP) management and provide contractual advice on IP matters for the Group
- Manage and contribute to effectiveness of the Group IP Portfolio and handle a variety of IP related legal matters
- Support business units in liaison with specialist IP law firms to provide a full range of patent, trademarks, copyright and design support functions, including filing preparations and prosecution, opinions, drafting and negotiating licenses, development and research collaboration agreements
- Draft and vet commercial agreements, contracts and agreements
- Draft and review commercial agreements for a variety of Momentum Group entities where general guidance will be required to adequately manage legal risks
- Keep a repository for all legal agreements in accordance with Protection of Personal Information Act specifically dealing with record management, record keeping and data processes
- Monitor relevance of legal documentation to ensure consistency across business to mitigate against risks and comply with legal standards
- Evaluate the merit of potentially litigious disputes and consult with the relevant stakeholders to protect the interests of the business area
- Draft legal summaries of relevant case law and financial services regulatory instruments
- Provide annual and quarterly statutory reporting submissions to the South African Reserve Bank for group (Foreign Direct Investment’s)
- Liaise with authorised dealers and attend to general queries in relation to the Exchange Control Regulations
- Compile legal reports for group wide legal projects
CLIENT PROCESS:
- Build and maintain effective business relationships with relevant stakeholder to manage service delivery in line with business expectations and requirements
- Participate and contribute to a culture that builds rewarding relationships, facilitates feedback, and provides exceptional client service
- Ensure high client service levels and the fair treatment of clients within area of responsibility
FINANCIAL PROCESS:
- Contribute to the financial budgeting process within area
- Identify opportunities to enhance cost effectiveness and increase operational efficiency
- Manage financial and other company resources under your control with due respect
- Provide input into the risk identification processes and communicate recommendations in the appropriate forum
PEOPLE PROCESS:
- Continuously develop expertise in terms of industry and subject matter knowledge, applying it effectively to deliver specialized contributions and stay ahead in the field
- Positively influence and manage change, offering specialist support where required to facilitate smooth transitions and drive organizational growth
- Contribute to continuous innovation by developing, sharing, and implementing new ideas, actively involving colleagues and staff to enhance the organization's practices
- Participate and contribute to a culture of work-centric thinking, productivity, service delivery, and quality management, promoting a positive work environment and efficient operations
- Take ownership of driving personal career development, proactively seeking growth opportunities, and advancing professional skills
Method of Application
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