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

    The Recruitment Council
    The Recruitment Council Johannesburg

    1 week ago

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    Description

    Job Title: Long-term Insurance Dispute Resolution Technical Lead

    A critical role exists for a Long-term Insurance Dispute Resolution Technical Lead. This position involves managing the dispute resolution process, ensuring compliance and effective handling of complaints with Ombudsman offices and regulatory bodies.


    Key Responsibilities:

    1. Dispute Management
      • Record and track all complaints in the Client Relationship Management (CRM) database, documenting all details accurately.
    2. Documentation Handling
      • Upload and maintain relevant documents, including physical copies and supporting materials, for each complaint.
    3. Process Improvement
      • Analyze service gaps and compliance issues to enhance client service and operational processes, recommending actionable solutions.
    4. Stakeholder Liaison
      • Maintain communication with business units to ensure timely responses to complaints, monitoring case progress.
    5. Risk Mitigation
      • Highlight reputational or financial risks associated with service gaps or non-compliance, developing strategies to address these issues.
    6. Regulatory Compliance
      • Stay informed about insurance legislation changes and industry standards, participating in ongoing education and training.
    7. Knowledge Sharing
      • Foster knowledge sharing within the team, updating on regulatory changes and best practices.
    8. Client Communication
      • Provide timely updates and responses to clients regarding their complaints, offering necessary documentation.
    9. Relationship Building
      • Establish and maintain relationships with internal teams and external stakeholders through workshops and discussion forums.
    10. Reporting
      • Respond promptly to inquiries from the Ombudsman and regulatory bodies, completing resolutions within stipulated deadlines.

    Requirements:

    • Essential Qualifications
      • Matric / Grade 12 / National Senior Certificate
      • Advanced Diplomas/National 1st Degrees
    • Preferred Qualification
      • Admitted Attorney
    • Preferred Certifications
      • RE 5 Certification
    • Experience
      • Minimum 5 years experience as a Long-term Insurance Ombudsman Liaison specialist with a focus on dispute resolution.

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