Head: Claims Operations

Closing Date 2024/10/27

Reference Number MMH240921-1

Job Title Head: Claims Operations

Position Type Permanent

Role Family Client Services

Cluster Momentum Insure Company Limited

Remote Opportunity Some of the time

Location - Country South Africa

Location - Province Gauteng

Location - Town / City Centurion

Introduction

Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. We help people grow their savings, protect what matters to them and invest for the future. We help companies and organisations care for and reward their employees and members. Through our own network of advisers or via independent brokers and utilising new platforms Momentum Metropolitan provides practical financial solutions for people, communities and businesses. Visit us at www.momentummetropolitan.co.za

Disclaimer As an applicant, please verify the legitimacy of this job advert on our company career page.

Role Purpose

To oversee and take accountability for key claims functions and as a result ensure that the business continues to efficiently and effectively provide leading administrative services to Momentum Insure Claims and its clients. Provide strategic and proactive assistance to the claims functions in managing the business unit by ensuring standardization, consistency and optimization of processes across claims

Requirements

• Bachelors Degree or Equivalent
• 8 - 10 years of experience in a service and/or claims.
• 3 - 5 years of management experience within a similar environment.
• Experience managing a budget for a cost centre.
• Proven track record of driving successful performance outcomes and accomplishing organisational goals.
• Experience anticipating and responding to the needs of internal and external customers.
• A very strong Finance and Operational management background.

Duties & Responsibilities

PROCESS

• Oversee and provide strategic management, leadership, and guidance to the Claims department.
• Ensure that all service level agreements are met at all times and enhanced to remain competitive

and relevant.

• Provide input to the strategy of the Business Unit as it relates to the area of responsibility and

operational performance.

• Ensure that cost savings and revenue generation mechanisms are established and implemented

in line with the strategic objectives.

• Provide support and insight to effect performance enhancements in a timely manner across all

business processes, irrespective of the department.

• Formulate strategies and guidelines (aligned to best business practices/protocols) to improve the

claims area and overall business environment.

• Make recommendations and support the implementation of new business processes, new

systems, and business processes relevant to the Claims and related service areas.

CLIENT

• Manage relationships of internal and external stakeholders relevant to claims matters.
• Share within the claims department and the broader business, thoughts and suggestions on

potential performance and quality improvements related or unrelated to the portfolio responsible

for and ensure the effective roll-out of identified improvements.

• Participate in industry and other professional networks/forums to ensure awareness of industry

standards, trends and best practices to strengthen organisational and technical

knowledge.

PEOPLE

• Create awareness of the business units strategic objectives and their alignment to the

Momentum Insure strategic objectives.

• Ensure consistent compliance to company policies and procedures, corporate governance and

relevant legislative requirements.

• Provide leadership, guidance, coaching and mentoring to positions directly reporting to this portfolio.
• Through ethics awareness strategies, comply, champion, and encourage ethic interventions in the

organisation and team on ethics and the broader vision and strategy for transformation.

• Monitor on an ongoing basis the training and development needs of employees within the

portfolio.

• Provide clear related succession plans for all key positions reporting directly to this portfolio to

ensure that succession planning is achieved, and that employees in this portfolio are developed to

achieve their objectives and goals.

• Determine appropriate staffing levels within the department, taking cognizance of the constant

growth and align to employment equity principles to achieve transformation targets and

objectives in line with the business unit strategic plan.

• Provide transformation interventions on areas that require immediate attention in order to create

harmonization and thereby accelerating performance.

FINANCE

• Implement and compile budgets to minimise expenditure in alignment with tactical delivery plans.
• Control the budget for area, including the authorisation of expenditures and implementation of

financial regulations. Manage high risk and problematic financial issues in area of accountability

and contribute to the development of policy. Plan and implement a cycle of medium term

improvements to drive pricing of services and products.

• Implement and manage financial risk methodologies, techniques and systems and use to monitor

and report on financial activities.

• Implement and provide feedback on the effectiveness of financial policy, practice and procedures:

preventing illegal, unethical or improper conduct.

• Implement risk management, governance and compliance policies in own practice area, to

identify and manage governance and risk exposure liability.

• Investigate reported willful acts of non-compliance to organisation policy and practice and report on

findings.

Competencies

• Communication skills (written and verbal)
• Customer relationship management (CRM) skills
• Accounting skills
• Administrative skills
• Analytical skills
• Leadership skills