Chief Claims Officer (5 year fixed term contract)

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General Details
Location:
, Northern PretoriaPretoria / Tshwane
Advertised By: Agency
Job Type: Contract
Description
  • Responsible to ensure that all claims operations adhere to days claims processing requirements in line with the organization mandate.

Minimum Requirements

  • Bachelor’s Degree in a Business Management or Administration related qualification.
  • Post graduate Business Management or Administration related qualification.
  • At least 12-15 years’ relevant experience of which 7 (seven) years must have been at a general/senior management level.
  • Advanced knowledge in claims management systems, insurance/reinsurance principles and Motor Vehicle Accident legislation will be advantageous.
  • Experience in leading and managing organisational transformation will be an added advantage

Competencies:

  • Advanced knowledge of claims management process/ processes and systems.
  • Understanding of claims medical management.
  • Understanding of the claims mediation and litigation model.
  • Complex problem identification, solving and decision making.
  • Network and alliances
  • Talent management.
  • Knowledge of Motor Vehicle Accident legislation.
  • PFMA knowledge.
  • Knowledge of budgeting, sales, business development, and strategic planning.
  • Strategic capability and leadership.
  • Results orientation.
  • Business and financial acumen.
  • Brand and stakeholder orientation.
  • Change management.
  • Treasury regulations.
  • Customer value proposition.
  • Good financial management skills.
  • Strong Analytical capabilities.

Key Performance Areas:

  • Lead the development of functional reporting systems, for management, project or performance reporting.
  • Provide oversight to the development of reports/ policies/ procedures and guide the process through the alignment of these documents to the overall organization’s Strategy.
  • Oversee medical supply agreements, implement cost analysis strategies and negotiate with suppliers accordingly.
  • Maintain relationships with the different claims counterparts to flag problems and risks, and proactively shape any regulatory guidance.
  • Oversee the management of daily operations and functions for all claims processes within the Organization.
  • Ensure that the claims received are assessed in accordance and aligned to merits thereof.
  • Oversee the management of the full lifecycle of a claim process, including claims origination, receipt, validity and verification checks, merit
  • assessments, quantum assessment, litigation, settling, payment, finalising and archiving of a claim, as well as the post-crash settlement care.
  • Develop KPIs for new products, including measurement frameworks and data feedback strategies.
  • Ensure quality control of all claims process outputs as it pertains to customer satisfaction and...
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