MiWay is a direct financial services company. We are passionate about service excellence, convenience, and offering our clients superior value products. Our Vision is to be a world-class direct financial services business that offers a complete array of services under one convenient umbrella – all managed online. We are positive that with the right people on board, we will continue to grow and give our clients the freedom to do things their way – free from worry and most importantly at peace with all the “what-ifs” of the world. Company values that every employee subscribes to are: Energy, Freedom, Accountability, and Attitude. The ideal candidate is one who has the courage to be bold and subscribes to MiWay’s core values! Do you have a positive attitude, love a challenge, treat your colleagues with respect and look for solutions, not problems? If yes, then MiWay is the place for you!
The purpose of the role will be to manage the team of Merit Claims Investigators responsible for the investigation component of suspicious and potential fraudulent claims. Ensuring that all flagged and segmented claims are comprehensively investigated to achieve conclusive results and coordinating all claims investigation efforts and all other relevant stakeholders e.g. Forensic Services, Insurance Crime Bureau (SAICB).
Key Responsibilities
- Manage and lead a team of Merit Claims Assessors.
- Ensure ongoing development of resources by mentoring, guidance, and both formal and informal training.
- Ensure effective management of high-quality standards.
- Report on effective management of claims.
- Drive customer centricity in line with MiWay core values.
- Prioritize, allocate, manage, and monitor investigation of high merit risk claims.
- Conduct effective merit claims investigations of appropriate quality.
- Consult with clients, third parties, businesses, and business partners on a continuous basis.
Qualifications and Experience
- Matric/Grade 12.
- Degree in Legal or Forensic Qualification will be advantageous.
- Advanced knowledge of the short-term insurance industry.
- Relevant experience in the investigation of fraudulent claims.
- Minimum 4 years short-term insurance experience.
- Minimum 3 years claims investigations experience.
- Supervisory/Management experience.
- Solid understanding of TIA and MIA claims system and claims procedures: inclusive of claims, investigations, and legal department processes.
Skills
- Computer literate (MS Office Package).
- Strong interviewing skills, capacity to influence and win confidence.
- Interpersonal skills (work in a team or independently).
- Problem-solving abilities & abilities to make decisions.
- Strong analytical abilities and evaluate trends objectively.
Desired Skills
- Highly proficient in dealing with clients at all levels.
- Comprehensive knowledge of legal liability and state regulations.
- Thorough knowledge of claims investigation techniques.
- Excellent written and verbal communication skills.
- Attention to detail.
- Supervisory skills.
- Self-motivated, inspire others.
- Motivation and desire to excel.
- Problem-solving skills and solution-oriented.
- Flexibility.
- Ability to multi-task and cope with pressure.
- Performance management experience.
- Commitment to personal and team goals.
- Professionalism.
- Ability to apply business rules and processes.
- Good interviewing skills.
- Provide technical guidance to team members.
Knowledge and Skills
- Drive leads and service targets.
- Coaching, quality, and compliance.
- Reporting and communication.
- Management of employees.
Personal Attributes
- Decision quality - Contributing independently.
- Interpersonal savvy - Contributing independently.
- Plans and aligns - Contributing independently.
- Directs work - Contributing independently.
Build a successful career with us
We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future – your career, your personal development, and achieving great things. We pride ourselves in helping our employees to realize their worth. Through its five business clusters – Sanlam Fintech, Sanlam Life and Savings, Sanlam Investment Group, Sanlam Allianz, Santam, as well as MiWay and the Group Office – the group provides many opportunities for growth and development.
Core Competencies
- Cultivates innovation - Contributing independently.
- Customer focus - Contributing independently.
- Drives results - Contributing independently.
- Collaborates - Contributing independently.
- Being resilient - Contributing independently.
Turnaround time
The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of managers. Deadline to apply: 15 November 2024.
Our commitment to transformation
At MiWay we believe in cultivating a positive and dynamic working environment that gives you the freedom and opportunity to succeed. MiWay is committed to transformation and embracing diversity. This is what drives us to achieve a multicultural workplace with employment equity as a key goal to create an inclusive workforce, reflective of the demographics of our society.
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