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    Team Leader - Pretoria, South Africa - Talent Evolution (Pty) Ltd

    Talent Evolution (Pty) Ltd
    Talent Evolution (Pty) Ltd Pretoria, South Africa

    Found in: Talent ZA C2 - 3 days ago

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    Description
    Responsible for leading and managing a team of claims professionals handling both short-term and life insurance claims.

    The role involves overseeing the end-to-end claims process, ensuring timely and accurate claims adjudication, providing guidance and support to team members, and fostering a culture of continuous improvement and client-centricity.


    Responsibilities

    Managing the team:

    • Lead, mentor, and motivate a team of claims professionals handling short term and life insurance claims.
    • Provide ongoing coaching, feedback, and performance evaluations to team members to ensure high performance and professional development.
    • Foster a collaborative and supportive team environment conducive to achieving departmental goals and objectives.

    Claims management:

    • Oversee the end to end claims process for both short term and life insurance claims, ensuring adherence to company policies, procedures, and regulatory requirements.
    • Review and approve complex or escalated claims, providing guidance and assistance to team members as needed.
    • Monitor claims metrics and performance indicators to identify trends, address issues, and implement process improvements to enhance efficiency and client satisfaction.

    Customer Service Excellence:

    • Champion a client centric approach to claims management, prioritising prompt and empathetic resolution of client inquiries and concerns.
    • Collaborate with other departments, such as Client Services and Underwriting, to streamline processes and enhance the overall client experience.
    • Address escalated client complaints or inquiries in a timely and professional manner, striving to exceed client expectations and uphold the company's reputation for excellence.

    Training and Development:

    • Facilitate crosstraining opportunities to promote versatility and proficiency across different types of claims.

    Quality Assurance and Compliance:

    • Conduct regular audits and quality reviews of claims files to ensure accuracy, consistency, and compliance with company standards and regulatory requirements.
    • Identify areas for improvement and implement corrective actions or process enhancements to mitigate risks and strengthen controls.
    • Collaborate with the Compliance and Legal department to address regulatory inquiries, audits, or investigations related to claims management.

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