Senior Claims Investigation Manager

• Completed Tertiary Qualification.
• Minimum of 5 to 10 years' experience in a similar or related role.
• Previous people management experience (Leadership Roles) - advantageous.
• Registration as a representative with the FSCA in terms of the FAIS Act – advantageous.
• Strong proficiency in Microsoft Excel and Internet navigation.
• Manage a high volume of claim reviews in a fast-paced environment.
• Ability to teach and coach junior team members.
• Time management
• Results driven - history of consistently meeting targets.
• Ability to work under pressure.
• Analytical, negotiation, decision-making and problem-solving skills.
• Effective communication skills, both oral and written.
• Ability to work independently and as a member of a team.
• Strong process improvement and data analytics skills.
• Enjoy working within a team environment.

• Technical expert whose primary focus is driving a team 5 desktop investigators (technicians) to achieve the required result.
• Oversight and management of the team.
• Conduct regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation techniques.
• Ensure team members achieve set targets and maintain quality standards through monitoring and course correction of daily performance.
• Provide effective leadership to create a team committed to the overall vision of the company.
• Perform performance management, offering continuous feedback to employees on strengths and development areas.
• Responsible for capacity planning of the team.
• Motivate and inspire team members, fostering consistent high performance.
• Recommend and implement best practices to ensure adherence to company policies and insurance industry regulations throughout the claims investigation process.
• Maintain a strong professional knowledge of claims regulatory and legal environments.
• Serve as a claims technical resource, providing guidance and support to desktop claim investigators.
• Coach or train less experienced desktop claim investigators and contribute to shaping training for the claim’s teams.
• Provide insights and enhancements to the claims process.

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