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| POSITION DESCRIPTION | GENERAL INSURANCE INDUSTRY NOVEMBER 2008 |
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Claims Supervisor/Team Leader - Health |
| Position Code: | 4235 | | Career Level: | 4 |
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Responsible for
Directly supervises the activities of the assigned claims unit and provides advice to Claims Officers on general Company claims policy. |
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Reports To
Region/Branch Claims Manager. |
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Supervises
Claims Officers. |
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Main Activities
Supervising of the investigation and settlement of all claims within the Team.
Reviewing and settling of problematic cases, but otherwise extending settlement authority to subordinates.
Providing ongoing technical support to junior Claims Officers through: assisting with claims administration; counselling and coaching; and reviewing work outputs.
Following-up on all reinsurance/recovery claims to ensure that the Company recovers claims costs where appropriate.
Handling of complaints and investigations of suspicious/fraudulent insurance claims.
Implementing and maintaining claims management strategies and objectives.
Ensuring that the Company remains fully informed and receptive to change by monitoring industry/market and legal trends and providing recommendations for change strategies.
Working closely with and training new Claims Officers.
Undertaking the performance appraisal process, providing feedback and improving individual adjuster performance.
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Key Skills
Good interpersonal and communication skills.
Leadership skills.
Effective organisation skills.
Strong customer service focus.
Sound knowledge of claims administration procedures and related systems
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Internal Contacts
Management and Claims Officers. |
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External Contacts
Clients and Customers. |
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Typical Experience
At least 5 years management experience preferably in claims management, together with relevant qualifications. |
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