Old Mutual South Africa · 12 hours ago
TECHNICAL MANAGER: SPECIALTY CLAIMS
Hilton Head Island, South Carolina Area
Full-time
Onsite
Senior Level
5+ years expOld Mutual South Africa is focused on leveraging diverse talent to seize the African opportunity. The Technical Manager in the Specialty Claims area will oversee technical management, ensuring effective claims handling, strategic initiatives, and risk strategies while promoting best practices and excellent service delivery.
Financial ServicesInsuranceLife Insurance
Responsibilities
To effectively oversee the technical management within the Specialty Claims area and ensure the containment of spend, oversee strategic initiatives, claims, and risk strategies, effectively manage the use of the Specialty Claims Policy, setting and monitoring of Standard Operating Procedures to facilitate evidence based decision-making and achievement of departmental Key Performance Indicators
Provide excellent service in setting a culture of best practice within mandated responsibility
Plan for, implement and manage the Claims Strategic Plan within designated area
Ensuring all claims are attended to by the relevant claims negotiator within the TAT and SLA
Ensure customer feedback is provided within SLA
Manage all escalations and complaints
Ensuring daily settlements are processed
Ensuring monthly estimates are reviewed
Ensuring recoveries and salvage monies due are received
Effectively manage the use of the Specialty Claims Policy, to facilitate evidence-based decision-making primarily within, but not limited to, the claims area based on best practice and promoting excellent service within mandated area of responsibility
Review/produce Business reports
Ensure continuous improvement on Standard Operating Process
Benchmark Specialty Claims to market best practice
Estimate audits, claims mandate audit is completed and corrective action is taken
Monitor, track and update the claims division strategy to ensure execution and delivery
Design, manage and implement a Claims risk Strategy
Perform risk identification and risk evaluation/ assessment activity on risks at strategic, operational and process level
Oversee the delivery of the strategic projects and savings
Review claims best practice across all areas by doing the necessary industry research
Oversee monitor and track all issues arising from Internal and External Audits to ensure all management actions are implemented
Ensure complete and accurate management information is provided to all key Claims stakeholders and adequate monitoring mechanisms are designed/implemented to ensure timeous action is taken
Provide the relevant Reporting for the claims division weekly, monthly and quarterly as required
Conduct proactive Data analysis to identify trends, concerns and issues
Ensure that all information needs are determined, and enhancements are implemented to align with strategic objectives
Oversee the claims division communication internally and externally
Oversee and Monitor Claims complaints, client, and broker surveys
Best-practice Service Delivery
Actively implement and monitor service practices to determine the status of customer service and relations
Proactively identify and implement changes required in customer service and relations
Develop customer solutions (process. products and systems) to address changing service requirements, implement customer centric strategies and ensure customer satisfaction
Manage effective SLA’s with internal and external stakeholders
Provide professional services: where expectations are managed
Continuous improvement to ensure optimization and best practice
Streamline and integrate existing business processes and systems
Keep up to date with Best Operating Practice
Identify, prioritise, develop business cases for, present and execute Best Operating Practices
Create collaborative relationships with other departments to determine internal and external process improvements designed to enhance the customer experience and value
Optimise departmental performance through targeted business intelligence to ensure that it becomes the primary way of driving performance and execution
Evaluate and implement new systems and best operating practices
Best-practice people practices
Demonstrate direct leadership – be on the “office floor” frequently enough for personal contact to be real and significant, and to provide a role model to the team
Empower emerging leaders and specialists to achieve technical excellence and innovation
Define and benchmark competitive performance measures
Create an aligned balanced scorecard of operational measures in order to optimally mange performance
Ensure the department, section or specialist function is adequately resourced and has recruitment, retention and HR development plans in place
Ensure that all the team members consistently discharge their duties
Implement and manage a Development plan that ensures that the department has the human resources and skills required to deliver on the strategy for the short, medium, and long term
Identify, attract, appoint, grow, engage, reward, and retain top talent to drive operational execution
Manage poor performance constructively and decisively
Demonstrate leadership behaviour of personal involvement, commitment, and dedication to the business area in support of the organisations culture
Communicate a meaningful operational context to apply people best practice, fostering an environment of continuous learning and improvement
Identify, define, communicate, and obtain buy-in for performance expectations through the implementation of the chosen Old Mutual Insure performance management system
Ensure mechanisms are implemented to support major changes to the function by acting as a change agent
Create a collaborative environment which allows for employees with a functional area to work together, thereby leveraging constructive team dynamics and innovation
Ensure the work environment enables employees to “live” the organisations culture and values
Actively participate in own professional development and career path
Financial and corporate governance to ensure cost efficiency
Contribute to the development and implantation of fit for purpose budget
Budget for weighing up costs and risks pertaining to workforce, technology, materials, and equipment used
Effective budgetary compilation and control
Manage vendor relationships and budgets
Keep within budget constraints for an annual period, monitor planned vs actual, and report on cost efficiency
Take accountability for the management of business-related risks within own area
Operate within agreed mandates as documented in the business rules
Qualification
Required
Relevant degree in business and/or finance
5 Years relevant experience of which at least 3 years should have been in a management capacity/leadership role
Preferred
Fellowship/Associateship with the IISA or FCIISA preferred
Management qualification an advantage
Company
Old Mutual South Africa
Old Mutual Limited is a premium pan-African financial services group that offers a broad spectrum of financial solutions to retail and corporate customers across key markets in 14 countries.
10001+ employees
Funding
Current Stage
Late StageRecent News
Advisory Excellence
2022-11-09
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