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

Please refer the Job description for details