Description:
Key Performance Areas
Operations Management: Processes and Systems
- Lead the development, implementation and maintenance of a suitable policy administration systems and IT applications for all product lines, both life and non-life.
- Direct and manage the implementation of policy administration and ensure proper documentation and record keeping.
- Ensure that manual processes are appropriately automated and drive innovation and continuous improvement through collaboration and agile work practices.
- Maintain data in an acceptable format and ensure that it is disseminated to relevant departments on a timely basis.
- Identify solutions to enhance cost effectiveness and increase operational efficiency.
- Develop compeling business cases to support new initiatives at improving efficiencies.
- Manage system debit order collections, premium allocation, refunds and reconciliations.
- Manage the Sasria portfolio and ensure that relevant rates are embedded in the system.
- Manage regulatory reporting e.g. Conduct of Business Returns and Liquidity Reports etc.
- Develop, maintain and optimize end to end business processes and work flows.
- Ensure effective reporting on business performance and tailor reports using the latest tools and software e.g Power BI, Qlikview to drive business insights.
Claims Management
- Plan, lead and coordinate the claims function, fostering an environment of continuous improvement and excellence.
- Design processes and procedures to ensure effective claims processes and strategies to adherence to service level standards.
- Develop effective automated systems for handling claims, and lead procurement efforts for the acquisition of such systems within PFMA guidelines.
- Maintain claims register for all classes of business and ensure response is provided to claimants timely.
- Monitor and conduct regular audits on claims mandates to binder holders.
- Effect cost savings and management of claim assessment costs.
- Optimise the claims reporting process, finding innovative ways to make it easier for clients to lodge claims.
- Maintain and provide accurate claims data to the actuarial department for reserving purposes.
- Identifying claims trends and alerting underwriters where loss ratios are deteriorating.
- Perform monthly analysis and reporting of claims data to identify trends, fraud and possible problem areas.
- Handle all internal and external audit queries relating to claims.
- Maintain up-to-date knowledge of industry regulations and ensure compliance in all claims handling procedures.
- Deliver exceptional customer service by effectively communicating with all stakeholders and res
19 Feb 2026;
from:
gumtree.co.za