Saturday , February 4 2023

Momentum Internships – Claims Specialist

Website Momentum

Job Description:

To apply best-practice methodologies in the designing, training and monitoring of the effectiveness of claims assessing within the claims team and ensure optimal technical skills development of the claims assessors and other relevant role players.

Job Responsibilities:

  • Build and maintain relationships with clients, internal and external stakeholders
  • Ensure that assessment methodology and execution are in line with legislation and best practices within the financial management field in order to optimise the claims assessment skill development of assessors.
  • Coach and guide assessors and other role players to improve outcomes and interpretation of claims assessment.
  • Collaborate with business stakeholders to determine the product and technical assessing approach and implement the execution of training interventions.
  • Make recommendations to improve client experience and fair treatment of clients within area of responsibility
  • Sign off assessments within the delegated authority level and required service levels aligned to product and policy requirements.
  • Deliver on service level agreements with all stakeholders to ensure that client expectations are met and managed
  • Ensure compliance to regulatory Treating Customer Fairly outcomes Develop and maintain productive and collaborative working relationships with peers, team members and stakeholders
  • Manage financial and other company resources under your control with due respect
  • Partner and collaborate with both internal and external stakeholders, not limited to product development, underwriting, CMO, reinsurance partners to improve claims’ training assessment interventions.
  • Positively influence and participate in change initiatives
  • Manage and implement training activities with the specific aim to increase and improve assessing skill and efficiencies.
  • Providing insight, knowledge, assistance and provide testing support where necessary as part of the development and maintenance of all claims systems to improve quality and efficiency.
  • Take ownership for driving career development
  • Assist with the delivery of accurate and timeous reporting, analysis and insights where required, and implementation of findings into the execution of claims assessment to improve the client experience and risk management.
  • Give input about claims policies, practices, forms and documentation to ensure that our risk management standards are met and aligned to relevant product changes and legislative updates.
  • Analyse technical assessment quality and make recommendations for improvement of assessor’s skills.
  • Responsible to manage, identify and mitigate risk through the adherence of the claims process
  • Contribute to continuous innovation through the development, sharing and implementation of new ideas
  • Assist with continuous improvement efforts through the identification of opportunities, cost reduction, improvement on the quality of claims decisions and systems enhancement.

Job Requirements:

  • Persuades, convinces, influences and inspires others, both within MM and externally to win support, loyalty and gain commitment to the purpose of MM.
  • Drive a sense of urgency, focus, accountability, agility and execution to deliver business outcomes.
  • Manages self and relationships with others effectively, deals with ambiguity, uncertainty and pressure, and provides perspective in difficult situations.

Qualification & Experience:

  • 5+ years’ experience in life insurance claims.
  • Relevant insurance knowledge and knowledge of applicable regulatory requirements and legislations (required).
  • Matric
  • Degree in Health Sciences (Occupational Therapy, Physiotherapy, Psychology) highly recommended.

Job Details:

Company: Momentum

Vacancy Type: Full Time

Job Location: Gauteng, South Africa

Application Deadline: N/A

Apply Here

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