Long-term Insurance Dispute Resolution Technical Lead - Sandton - The Recruitment Council

    The Recruitment Council
    The Recruitment Council Sandton

    1 week ago

    the recruitment council background
    Description

    Senior Representative for Long-Term Insurance Division

    We are seeking a seasoned professional to act as a senior representative for our client's long-term insurance division. This role focuses on alternative dispute resolution, providing expert guidance on legal and risk management matters to internal stakeholders.

    Key Responsibilities:

    • Support Culture-Building Initiatives: Actively support our client's culture-building and transformation initiatives, including staff engagement activities and surveys.
    • Participate in Corporate Social Responsibility Programs: Participate in corporate social responsibility programs to advance business objectives.
    • Identify Process Improvements: Identify and recommend process, system, and policy improvements, supporting the rollout of new practices.
    • Log and Resolve Complaints: Ensure all complaints are accurately logged in the CRM database, providing a clear reference for tracking and resolution.
    • Maintain Documentation: Maintain thorough documentation for each complaint by recording physical and electronic copies as needed.
    • Improve Client Service: Drive improvements in client service by identifying process gaps and ensuring regulatory compliance.
    • Work with Business Units: Work closely with business units to provide timely and satisfactory responses to complaints, monitoring progress to ensure optimal outcomes.
    • Mitigate Reputational and Financial Risks: Mitigate reputational and financial risks by addressing service gaps and compliance issues.
    • Stay Informed of Legislative Updates: Stay informed of relevant legislative updates and industry changes to ensure compliance and effectiveness in the role.
    • Foster a Growth-Oriented Environment: Foster a growth-oriented environment by engaging in professional development and training to enhance skills and career growth.
    • Share Insights and Knowledge: Share insights and knowledge with team members, maintaining a collaborative and informed workplace.
    • Respond to Client and Regulatory Queries: Respond promptly to client and regulatory queries, ensuring accurate documentation, timely responses, and well-negotiated recommendations.
    • Support Claims Processing: Support claims processing by delivering necessary documentation and evidence for client claims.
    • Develop Effective Relationships: Develop and sustain effective relationships through workshops, forums, and regular updates on regulatory requirements.
    • Engage with Ombudsman and Regulatory Bodies: Engage proactively with the Ombudsman and regulatory bodies, ensuring timely and thorough responses to complaints to prevent penalties.
    • Convey Ombudsman Recommendations: Convey Ombudsman recommendations to the relevant business units, coordinating with unit managers to drive appropriate action.

    Qualifications:

    • Matric / Grade 12 / National Senior Certificate
    • Advanced Diploma/National First Degree
    • Admitted Attorney
    • RE 5 Certification

    Experience Required:

    • A minimum of 5 years' experience in long-term insurance dispute resolution with a focus on Ombudsman liaison and regulatory compliance.
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