Executive Head: Claims - Johannesburg, South Africa - Sanlam

Sanlam

Verified Company

Johannesburg, South Africa

2 weeks ago

Posted by:

Thabo Mthembu

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Description

OPPORTUNITY

Santam Broker Solutions has a position available for an Executive Head of Claims at senior management level preferably based in Johannesburg. The position reports to the Chief Executive Officer of Broker Solutions.
WHAT WILL YOU DO
To provide strategic and operational direction to optimise and manage the endtoend claims value chain within Santam Broker Solutions. Based on the business vision and strategy, this role will be responsible for execution of long, medium and shortterm operational plans inclusive of business objectives with set outcomes, programmes and projects.
WHAT WILL MAKE YOU SUCCESSFUL IN THE ROLE
Lead and manage multiple business areas within the entire Claims business unit.

These areas include the entire process from First Notice of Loss through to Salvage and Subrogation:

Motor Claims for onplatform business
Non-Motor Claims for onplatform business
Tailored Claims Solutions for all nonstandard processes, offplatform businesses, claims binders.

Legal Claims Solutions

All subrogation claims and specialist liability claims

Merit Claims

High fraud risk claims
Claims processing for Santam Direct
Claims Finance Management and Experience Management
Quality and Knowledge Management

Business Support

Strategic Projects, Product Owners, Data Analytics and BI, Reporting
Lead a senior team of 8 direct reports and an overall unit with an employee compliment of 960 people, and operating budget of R1,2bn and claims payout more than R12bn over 500,000 claims.
Manage the service delivery and partnering with service providers.
Manage intermedia relationships from a claims service delivery perspective.
Managing service levels within the claims environment and ensures corrective action is taken across the value chain to ensure service excellence.
Ensures complete and sound claim settlements, legal reviews, and investigations in accordance with company policies and procedures.
Provides input to strategic decisions that affect the functional area of responsibility.
Manage and ensures control of all claims handling expenses.
Resolve escalated issues arising from operations by channelling the matter through the relevant departments and ensuring the coordination of the resolution.
Develops procedures and policies to enhance and improve the processing, investigation, and settlement of claims.
Actively participates as a member of the Santam Broker Solutions Exco.
Direct the technology roadmap within the claim environment.
Provides strategic direction and overall leadership in the total large and complex claims process.
Drives and delivers against tight deadlines whilst ensuring that all claims received are flawlessly assessed, evaluated, and investigated within defined delivery targets and measures.
Works closely with senior claims managers to ensure estimates reserved are correct and reviewed quarterly, large movements are reported and that files are complete at settlement.
Ensures claims are paid in accordance with policy cover.
Overall responsibility to proactively manage risk in the Claims business unit by ensuring control measures are put in place to manage associated risk.
Manages the performance and efficiency of direct reports and ensures recommendations and decisions taken on technical functions are within the operating mandate.
Ensure adoption of digital claimsbased methods.
Drive transformation agenda

QUALIFICATIOS AND EXPERIENCE

Relevant Bachelor's degree
Minimum 10 years' experience in the insurance industry (preferably shortterm) is essential years of which is experience at a senior management level with a proven track record of not only successful people leadership but also a proven track record in managing process improvements and reducing expenses.

SKILLS

Strategic thinking and planning that challenges assumptions
A conceptual, lateral and analytical thinking balance
Excellent communication skills and ability to lead meetings
Strong relationship and general management skills
Financial skills (budget management)
Delivery/ results orientation
Process management and improvement
Conflict resolution
Strong negotiation and influencing skills
Ability to prioritise and achievement orientated

COMPETENCIES

Driving Strategy
Commercial orientation
Client focus
Enabling Innovation
Change leadership
Continuous learning
Teamfocused leadership
Talent enablement
Emotional intelligence
Integrity

WHO WE ARE

Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia.
Our success is rooted in our passion for our clients and everything we do is centered on our delivery of Insurance Good and Proper. We're about people. People drive our business so it fo