Claims manager

Responsible for the management and operations of the Claims Department and leadership of the Claims Team. S/he will be responsible for leadership, development and people management within the department; providing expert guidance on claims management and facilitates a high performance culture which is aligned to the values of the organisation. The Claims Manager ensures the processing and settling of all claims promptly and accurately within an efficient workflow and in accordance with prescribed levels of authority.

KEY RESPONSIBILITIES:
Leads and manages a diverse team to facilitate the continued improvement and development of the department and to create a superior customer experience for clients and other stakeholders.
Manages reserves within level of authority or provide recommendations to ensure that reserve activities are consistent with corporate practices.
Evaluate results and refer appropriate matters to the Claims Committee as per outlined terms of reference.
Identify complex problems, review related information to develop and evaluate options and make recommendations to management.
Subrogation / recoveries management - Third Party, Co-Insurers, Reinsurers: ensuring all parties are appropriately advised and recovery dollars received and recorded.
Must be able to develop, implement and monitor policies and procedures for the operation of an effective Claims Department.
Actively applies and delivers all TRINRE customer service standards and core beliefs by demonstrating professionalism, promptness, accuracy, courtesy and helpfulness.
Provide agreed upon statistical and analytical reports; reporting pertinent information as well as feedback to the Underwriting Department.
QUALIFICATIONS AND EXPERIENCE:
7-10 years relevant experience in management and/or administration within a Claims or a Legal Department in a general insurance company.
Has ACII advanced qualifications or equivalent insurance qualification OR
Tertiary level qualification in a related field (such as Legal, Risk Management, Underwriting, Finance and Accounting).
Legal experience as it relates to the management of claims desirable.
Any relevant combination of qualification and experience.
KNOWLEDGE, SKILLS AND ABILITIES:
Strong customer service philosophy
Person of integrity and sound character.
Systems and process driven with an analytical / investigative approach.
Strong business acumen.
Excellent negotiator with influencing skills.
Possesses strong IT and report-writing skills.
Good problem solving and conflict resolution skills.
Strong team leadership, team building and coaching skills with the ability to effectively delegate.
Excellent IT skills, including Word and Excel and bespoke insurance packages.
Strong communication skills, written and verbal.
Excellent knowledge of insurance operations and procedures.
Strong working knowledge of all general insurance classes of insurance and services.
Knowledge of underwriting guidelines, standards and the relevant laws and statutory requirements governing the insurance industry.
Able to make the strategic link between organisation's functions and the overall business strategy.
Ability to analyze data, identify trends and recommend solutions to improve performance.
Ability to be prioritize with superior time management skills.
Ability to multi-task, plan and organize, prioritize and make effective decisions.
Knowledge of AML/Compliance guidelines.
High Emotional Intelligence.