Senior Manager: IL Claims Administration_Long Term Insurance Sector: Insurance Location: Pretoria Salary: R900 000 (negotiable) Our client in the insurance sector is looking for a Claims Administrator to monitor the management of individual life claims administration. Responsibilities Monitor management of claims administration on individual life policies Design and develop standard operating procedures Oversee the management of efficient and effective administration of claims Align Branch Office procedures with Head Office procedures Monitor processes and procedures for the detection of fraud activities on claims Provide inputs to forensics, IT department and external fraud forum Decide and discuss dispute claims Decide on ex-gratia payments in agreement with Senior Executive Manager Monitor payment turn-around time of finalized Sign-off finalized approved claims payments Co-ordinate complaints resolution and compliance Provide inputs into strategy Management of implementation of claims workflow and audits Conduct claims audits at branches to comply with claims rules and procedures Manage implementation of processes that are followed and completed for audits Monitor completion and updates of loss/near loss register Provide feedback on processes to auditors Provide feedback to auditors on steps taken to ensure claims are paid correctly Provide feedback to Risk Manager Design and develop processes for unclaimed assets Align unclaimed assets with claims rules and process Obtain an external service provider to trace the policy holders Attend the unclaimed asset committee meetings Chair unclaimed assets committee and align with requirements Report on IL Claims Administration Requirements Degree: Risk Management/Business Management/relevant RE1 & RE 5 Registration as a Key Individual 60 or 120 credits on NQF level 5 (Depending on the date of appointment in the industry) 5 Years' Experience in long term insurance claims At least 5-8 years in Management Send your CV and latest pay slip to AtripleA Recruitment and Temps #J-18808-Ljbffr