The ideal candidate should be a leader by nature, comfortable filling a lead role and be able to resolve all problems which come their way.
An ability to deal well with people is essential. The position as claims manager necessitates consulting with co-workers and outside parties and it is therefore crucial that the candidate knows how to deal with others in a professional, effective and efficient manner.
BEHAVIOURAL DIMENSIONS
Complex problem solving ability – identifying and reviewing related information to develop and evaluate options and implement solutions
Dependability – must be reliable, responsible and able to fulfill obligations
Integrity
Attention to detail
Initiative – a willingness to take on responsibilities and challenges
Self-control – must be able to maintain composure; ability to control emotions and anger even in difficult situations
Co-operation – maintain a balanced, good natured attitude towards others
Stress tolerance – accepting criticism and dealing calmly and effectively with high stress situations
Achievement/effort – establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
SKILLS
Judgement and decision making
Time management
Critical thinking – using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
Speaking – talking to others to convey information effectively
Active learning – understanding the implications of new information for both current and future problem solving and decision making
Negotiations – bringing others together and trying to reconcile differences
KEY PERFORMANCE AREAS
Management and motivation of staff
Manage the investigation, evaluation and settlement of claims, applying technical knowledge and human relationship skills to effect fair and prompt finalisation of claims
Authorise payment and process claims within designated authority level
Manage the verification and analysis of data used in settling claims to ensure that claims are valid and settlements are made in accordance with company practices and procedures
Manage the examination of claims investigated by loss adjustors
Present cases and participate in discussions at claims committee meetings
Establishment and implementation of departmental policies, objectives, performance management and procedures; conferring with management and staff
Resolving conflicts and negotiating with others – handling complaints, settling disputes and resolving grievances and conflicts
Negotiating favourable terms and agreements with suppliers and service providers
Manage departmental service levels
Make recommendations to management regarding wordings, suppliers and service providers
KNOWLEDGE
Good communications skills, verbal and written
Knowledge of principles and processes for providing customer and personal services including needs assessment, meeting quality standards for services and evaluation of customer satisfaction.
Knowledge of administrative and clerical procedures and systems
Technical knowledge and interpretation of policy wordings
Knowledge of principles and procedures for personnel recruitment, selection and training
Computer literacy
Managing people’s expectations – staff, service providers and suppliers service levels
Managing resources – staff, consumables, electronics etc
Ability to learn from mistakes – keeping up with developments and legal training requirements
Monitoring and assessing performance of self and others to make improvements or take corrective action
CANDIDATE REQUIREMENTS
Matric
15 years’ experience in the short term insurance industry
Short-term Insurance qualifications
RE 1
FAIS compliant
REMUNERATION
Annual CTC package inclusive of 13th cheque : negotiable
Group life insurance and Pension scheme
Commercial & Industrial Acceptances (Pty) Ltd Registration No: 2000/019340/07 is an authorised Financial Services Provider No: 13890 acting as an Underwriting Managing Agent for Compass Insurance Company Limited Registration No: 1994/003010/06 Compass’s Financial Services Provider No: 12148
