Disability Claims Manager

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 Group provides practical financial solutions for people, communities and businesses. Visit us at www.momentumgroupltd.co.za

Disclaimer As an applicant, please verify the legitimacy of this job advert on our company career page
Role Purpose Supervises individuals within a team and ensures claims assessments are done according to company policy and fulfills a coaching/mentoring role to team members

Requirements Qualifications and Experience

• At least 5 years of insurance Disability Management experience.
• Minimum 1-year clinical assessment and/or adult rehabilitation experience.
• Understanding and knowledge of Group Insurance Industry.
• Bachelor of Occupational Therapy / Bachelor of Physiotherapy / Bachelor of Nursing Science.

Duties & Responsibilities Strategic and Operational Leadership:

• Participate and lead strategic projects.
• Participate and lead in operational excellence initiatives and projects (including and not limited to, forensic investigations, early intervention, case management and rehabilitation process).
• Strong focus on business process improvement.
• Ensure all risks are mitigated and escalated where necessary.
• Adhere to organisational best practice, compliance and legislative requirements.
• Adhere to policies and procedures and take corrective action where necessary.

Team Management and Development:

• Drive day to day deliverables of team; ensuring quality and ensuring meeting of standards.
• Monthly one-on-ones and performance feedback sessions with all team members.
• Strong focus on self and team development and training.
• Ensure adherence to performance excellence principles through systematic drafting and reporting of team member performance, supporting continuous improvement and accountability.
• Participate in the induction of new staff members.
• Workflow / workload monitoring.

Client and Stakeholder Engagement:

• Build and maintain relationships with new and existing external clients such as medical practitioners, organized labour, board of trustees and intermediaries etc.
• Liaising and collaborating with internal teams within FundsAtWork and Group Insurance as well as the greater Momentum Group.
• Assisting team members with presentations to new and existing clients.
• Participating in and supporting the sales team with new business pitch preparations and presentations where necessary.

Claims Management and Service delivery:

• Ensure effective claims management service delivery and support i.e. assessments, reassessments and complaints and disputes.
• Managing of the claims management information system, i.e. data integrity.
• Plan, processes and services, schedule and co-ordinate to achieve efficiency and quality standards.
• Any other ad-hoc initiatives and projects in respect of efficient claims management.

Competencies Core Interpersonal and Communication Skills:

• Good interactive skills.
• Excellent interpersonal skills.
• Presentation and facilitation skills.
• Assertive communication skills.
• Negotiation and mediation skills.

Cognitive and Problem-Solving Skills:

• Good problem solving and analytical skills.
• Multitasking skills.
• Adaptability.

Personal Attributes and Work Ethic:

• Self-driven and motivated.
• Leads by positive example.
• Resilience.
• Ability to work under pressure and excellent time management skills.
• Living the Momentum Group values.

Technical and Professional Competence:

• Excellent clinical reasoning
• Proficient in all relevant Microsoft Applications e.g. Outlook, Word, Teams, PowerPoint, OneDrive, Power BI etc.