In this pivotal role, you’ll drive initiatives that ensure timely, cost-effective, and high-quality outcomes, all while enhancing customer satisfaction.
Main responsibilities
- Perform Sample Checks: Regularly review claims to ensure accuracy and compliance.
- Daily Clearance of Exceptions: Maintain operational efficiency by clearing exceptions daily.
- Intra-Day Stats and Check-Ins: Monitor progress and adjust strategies as needed.
- Authorise Expert Appointments: Review and approve requests for expert consultations.
- Queue Management: Ensure all necessary queues are cleared daily.
- Market Conduct Meetings: Actively participate to stay updated and compliant.
- Claims Approval: Review claims over R75,000 and authorize approvals up to R100,000.
- Team Objectives: Ensure your team meets set objectives and delivers required results.
- Plan of Action (POA): Review and test projected POAs for the upcoming days and weeks.
- ECD Management: Authorize changes to Estimated Completion Dates beyond 5 days.
- Greenline Process Adherence: Ensure compliance with internal processes.
- Capacity Planning: Oversee resource allocation and workload distribution.
- Technical Resource: Provide guidance and support on claims processes.
- Continuous Training: Offer ongoing training and upskilling opportunities.
- Auto Approval Process: Review and adjust to ensure maximum accuracy.
- Exception Statistics: Monitor and manage exception statistics proactively.
- Team Motivation: Inspire and motivate team members to foster a culture of high performance.
- Process Improvement: Provide insights and recommendations for enhancing the claims process.
- Performance Management: Offer ongoing feedback to support professional development.
Minimum requirements
- High Volume Management: Ability to manage a high volume of claim reviews in a fast-paced environment.
- Teaching and Coaching: Strong ability to teach and coach team members.
- Time Management: Excellent time management skills.
- Results-Driven: Proven history of consistently meeting targets.
- Work Under Pressure: Ability to perform well under pressure.
- Analytical Skills: Strong analytical, negotiation, decision-making, and problem-solving skills.
- Effective Communication: Excellent oral and written communication skills.
- Team Player: Ability to work independently and as part of a team.
- Technical Proficiency: Strong proficiency in Microsoft Excel and Internet navigation.
- Process Improvement: Strong skills in process improvement and data analytics.
- Team Environment: Enjoy working within a team environment.
Ready to embark on an exciting career journey with us? Apply now!
