Senior Manager: Claims Assurance

T.A.S.K Level 18

Salary: R1 371 054.00 per annum, negotiable

Purpose of the Job

Reporting to the Head: Assurance and Monitoring, the successful incumbent is responsible to oversee the claims assurance function to ensure that the RAF is protected from financial loss; reduction in litigation costs as well as inflated settlement offers.

Duties & Responsibilities

Provide Leadership in the Claims Assurance Management

• Manage, monitor and ensure that claims assurance is effectively conducted and finalised in accordance with defined processes and procedures.
• Oversee the implementation and management of a claims assurance management system.
• Ensure all claims assurance requests are reviewed in a timely and correct manner.
• Ensure that complete diary notes are made on the Claims Assurance Management System on a daily basis.
• Ensure that proper records and systems are in place for all claims assurance requests received.
• Ensure that all claims assurance data (information and statistics) is captured into a database.
• Manage the collation of statistical and narrative reports on claims assurance caseload, progress, findings and recommendations for process improvements.
• Establish and implement a quality control, norms and standards framework.

Provide Legal Advice

• Provide legal advice to the RAF on litigated claims and direct claims as appropriate.
• Develop checklists to ensure compliance by business to appropriate claims policies and processes for which assurance is provided.
• Compile business and tactical plans aligned to business requirements.

Strategy Development and Operational Planning

• Ensure development of the Claims Assurance business strategy and plan and ensure alignment with short-term and long-term objectives.
• Ensure development, implementation and annual review of an overall Strategic Plan for the Claims Assurance department.
• Determine and set specific key performance indicators and measures against outcomes detailed in the departmental strategic plans.

Policy Review and Implementation

• Oversee the development and implementation of frameworks, policy, procedures, and processes for Claims Assurance.
• Provide advice and guidance to the Policy department on legislative compliance, emerging issues, risks and the implementation of changes required on policy matters.

Reporting

• Ensure preparation and submission of regulation reports.
• Report quarterly on progress with implementation of operational plans.
• Ensure development of functional reporting systems, project or performance reporting for management
•  Ensure the development of reports or policies or procedures and guide the process through the alignment of these documents to the overall RAF’s Strategy.
• Ensure regular and periodic reports are prepared and submitted as and when required to provide progress updates and/or inform management decisions.

Financial Management

• Ensure that the periodic financial and strategic goals of RAF as well as the performance expectations of the various teams are achieved.
• Report and review operations financial and non-financial goals.
• Ensure sufficient internal control measures are implemented for adherence to PFMA, RAF and other relevant legislation and regulation.
• Manage, monitor and control the department expense budget.

Stakeholder Management

• Maintain proactive and progressive relationships with key stakeholders.
• Engage with relevant internal stakeholders.
• Communicate with all levels of relevant stakeholder contact.
•  Delegate inquiries and requests for information from both internal and external stakeholde

People Management

• Ensure the motivation, cohesiveness, and alignment of the organization’s team members.
• Ensure Implementation of human capital processes and procedures to control or regulate workplace conflict and/or institute corrective measures and consultation processes to address deviations from standards.

Desired Experience & Qualification

Qualifications and Experience

• Bachelor’s Degree in Law or equivalent.
• Postgraduate in Law related qualification.
• Admission as an Attorney of the High Court or Advocate will be an added advantage.
• Relevant 9 – 10 years’ experience in a Claims Litigation environment of which 3 years must have been on a management level/ area of expertise in the Legal Services field.

Technical and Behavioural Competencies Required

• Strategic capability.
• Business and financial acumen.
• Compliance and governance.
• Leadership agility.
• Client Service Orientation.
• Policy conceptualization and formulation.
• Risk management.
• Service delivery innovation.
• Reporting.
• Knowledge of the Litigation processes.
• Legal Research ability.
• Case management.
• Interpretation of Statutes.
• Knowledge management.
• Conflict resolution and facilitation skills.
• Negotiation skills.

Package & Remuneration

Total cost to company applicable to this position is minimum R1 371 054.00 per annum, negotiable.

NB: “RAF offers Total Employment Cost packages with no additional contributions from the Employer, successful candidates are required to structure their packages in a manner that will suit their needs”.

Interested?

• The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
• Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful.
• Security Vetting shall be conducted on all prospective employees.
• It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualifications Authority (SAQA) and to provide proof of such.

Click here to apply

All the best with your applications