Claims Operations Manager

The Claims Operations Manager will be responsible for the development of internal and external operational and oversight of procedures within the Claims Team. Lead strategic and risk improvement initiatives and drive continuous improvement.
QUALIFICATIONS:
Bachelor’s degree of Commerce or an appropriate specialization

Insurance Knowledge will be an added advantage

Data Analytics

Project Management professional qualifications

MS office knowledge

EXPERIENCE:

Minimum of 5 years’ experience in a senior position within an Insurance Company or a financial institution

Working experience in a multinational will be an added advantage

Responsibilities

Ensure key operational processes and oversight controls are effectively documented, optimized and implemented and are operating consistently in line with industry, regulatory and company standards.
Provide active leadership and support for the delivery of the global/regional claim initiatives in country.

Responsible for implementing and monitoring the key claims compliance controls in country.

Implement, control and support implementation of global / regional claims policies & procedures in country.

Developing cost effective and efficient claims processes while meetings the needs of the business and customers – work with stakeholders to undertake process mapping, design and re-engineering to drive efficiency and quality improvement.

Implement the Global Specialized Function strategy in the country – Recoveries, Fraud, Vendor and Litigation Management etc.

Review the performance and commercials of the incumbent supply chain against market alternatives and make recommendation to Claim Manager to stay/move/improve.

Investigate and introduce new suppliers to the claims process where relevant and beneficial to the customer journey.

Due diligence process in place for all new contracts, signed contracts in place of all vendors - including right of audit clauses, SLA’s and termination and contract reviewed annually.

Create an operating reporting framework and report claims performance to stakeholders – KPI/metric reporting in place monthly / quarterly and distributed to owners for review and analysis.
Deputize for Claims Manager where necessary.
Audit and Compliance
Ensure adherence to claims compliance / risk requirements
Ensure adherence to regulatory and compliance requirements

Job Requirements
Required education
: Bachelor's degree

Required relevant work experience
: 5 years

Required languages:
English (Spoken: fluent | Written: fluent)