Claims Team Leader (Finance/Insurance) Location: Sandton Our Client, a specialist life insurer group who provide insurance solutions to organized, structured and legally constituted groups, has an opportunity for a Claims Team Leader to join their team. Key Responsibilities Claims Management Allocation of daily incoming mail Ensuring delegated daily claims are attended to timeously Checking and assessment of all Claims (Group Life Assurance; Credit Life; Hospital; Dread Disease and Funeral claims) in accordance to Internal processes and procedures Assessments and authorization of claims to be in line with the delegation of authority (as amended from time to time) Repudiate claims that do not qualify in terms of the Policy terms and conditions Ensure accurate recording of all claims on the Administration system Ensuring that claim payments are made within the agreed SLA and approval is in line with the relevant Policy terms and conditions Fraud detection and prevention Checking cash call requests (where Reinsurance is applicable) Check and ensure accuracy of Monthly Reconciliation of cash calls submitted and paid Attend to client's queries and complaints (as guided by the Internal Procedure) Supervision of Staff Ensure that Performance Contracts are in place Manage team performance Monitoring of daily and monthly deliverables Staff Supervision Facilitating on the job training where necessary Coaching and monitoring staff Reporting Weekly and monthly reports on claims Prepare regularly client reports Prepare claims experience reports Regulatory reports Others Ensure adherence to internal processes Ensure effective client communication Identifying areas of improvement and providing recommendations to Management Any other allocated Projects/Assignments To provide the necessary support to the Claims Manager Key Requirements Matric Certificate RE 5 Diploma/ Degree / any Post-Matric Qualification (Will be an Advantage) Min 4-6 years Administration Experience Min 2-3 years Supervisory Experience Accounting (Will be an advantage) Excel Knowledge Computer skills Other Attributes Strong customer service skills People skills Good time management Ability to work accurately under pressure Result orientated person Ability to work within a team and independently Demonstrate personal and professional development Send your CV and latest pay slip to ATripleA Recruitment and Temps #J-18808-Ljbffr