Insurance and Investments - Other Insurance Pretoria FULL TIME Job Summary Senior Manager: IL Claims Administration\_Long Term Insurance Sector: Insurance Location: Pretoria Salary: R900 000 (negotiable) Our client in the insurance sector is looking for a Claims Administrator to monitor the management of individual life claims administration. Duties: • Monitor management of claims administration on individual life policies • Design and develop standard operating procedures • Oversee the management of efficient and effective administration of claims • Align Branch Office procedures with Head Office procedures • Monitor processes and procedures for the detection of fraud activities on claims • Provide inputs to forensics, IT department and external fraud forum • Decide and discuss dispute claims • Decide on ex-gratia payments in agreement with Senior Executive Manager • Monitor payment turn-around time of finalized • Sign-off finalized approved claims payments • Co-ordinate complaints resolution and compliance • Provide inputs into strategy • Management of implementation of claims workflow and audits • Conduct claims audits at branches to comply with claims rules and procedures • Manage implementation of processes that are followed and completed for audits • Monitor completion and updates of loss/near loss register • Provide feedback on processes to auditors • Provide feedback to auditors on steps taken to ensure claims are paid correctly • Provide feedback to Risk Manager • Design and develop processes for unclaimed assets • Align unclaimed assets with claims rules and process • Obtain an external service provider to trace the policy holders • Attend the unclaimed asset committee meetings • Chair unclaimed assets committee and align with requirements • Report on IL Claims Administration Requirements: • Degree: Risk Management/Business Management/relevant • RE1 & RE 5 • Registration as a Key Individual • 60 or 120 credits on NQF level 5 (Depending on the date of appointment in the industry) • 5 Years' Experience in long term insurance claims • At least 5-8 years in Management Send your CV and latest pay slip to AtripleA Recruitment and Temps www.aaaa.co.za AtripleA recruitment & temps Recruiter