Job description:
The role of a Claims Payments Team Leader typically involves overseeing the claims processing team within an insurance or financial organization.
Responsibilities:
- Team Management: Lead, mentor, and support team members, ensuring they meet performance goals and provide high-quality service.
- Claims Processing Oversight: Ensure accurate and timely processing of claims payments, adhering to company policies and regulatory requirements.
- Workflow Optimization: Develop and implement efficient processes to enhance productivity and reduce turnaround times.
- Training and Development: Provide ongoing training and development opportunities for team members to improve their skills and knowledge.
- Quality Assurance: Monitor claims for accuracy and compliance, addressing any discrepancies or issues.
- Collaboration: Work closely with other departments (e.g., underwriting, customer service) to resolve complex claims and improve overall processes.
- Reporting: Prepare and analyze performance metrics to identify trends and areas for improvement.
- Customer Interaction: Handle escalated customer inquiries or complaints related to claims payments.
- Regulatory Compliance: Ensure all processes comply with industry regulations and company policies.
Skill sets required:
- Matric
- NQF Level 4 – Full qualification (short-term insurance) as set by regulation
- Regulatory Examination Level 5 successfully completed
- Minimum 5 years’ claims handling experience in commercial lines
- DOFA confirmation from FSCA
- Good verbal and written communication skills
- Negotiation skills
- Client service driven
- Results & detail-oriented
- Interpersonal skills
- Team player
- Good time management skills (planning and organizing)
Job Type: Full-time
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