Litigation Associate | Randburg
Job Purpose
Team Management and Oversight:
Lead and manage a team responsible for conducting contractor audits, authorizations over-mandate, claimsadjustments, valuation at risk assessments, contractor rate negotiations, and handling customer complaints.
Job Responsibilities
Claim Management: Advise and provide technical support to Insurance claims, underwriting, and complaints departments.
Minimize claim losses.
Oversee a team of desktop, field, and project management adjustors responsible for assessing, auditing, andauthorizing claims in terms of allowable rates.
Risk Management:
Detect and identify fraudulent activities while working closely with Group Forensic services both internally andexternally to enhance fraud detection solutions.
Perform risk management functions by identifying underwriting risks and supporting the underwriting and
product solution divisions to mitigate risk.
Ensure adherence to all legislative requirements and ensure the business continuity plan is updated and testedannually.
Vendor Management:
Provide support to the Procurement division in onboarding and training service providers on policy wording, processes, and rates.Monitor service providers through report writing, policy interpretation, claims costs, and service.
Maintain and sustain good business relationships between service providers, clients, and Insurance.
Reporting and Operational Efficiency:
Ensure the quality and accuracy of reports.Highlight process inefficiencies through end-to-end process mapping.
Technical Skills and Legislation: Keep technical skills current and stay abreast of any changes to legislation.Arbitrations, Second Opinions, and Disputes: Facilitate and assist in resolving disputes brought to the attention of the National Financial Ombuds scheme
that require further investigation.
Strategy: Support the implementation of business optimization improvement initiatives.
Review Business Unit plans and ensure delivered systems, processes, services, and solutionsare aligned to support the achievement of the business strategy, objectives, and values.
Staffing:
Implement performance agreements, ensure a clear vision, agree on goals and objectives, provide regularfeedback on performance, recognize and reward achievement, and take appropriate corrective action where
required.
Mentor and coach staff on identified performance gaps and agree on appropriate actions.
Ensure that team members stay abreast in their field of expertise and deliver on the expectations fromstakeholders by tailoring development needs as identified.
Create an environment of teamwork and encourage participation in decision-making processes.
Identify current and future training and development needs and recruit and manage talent.
Self-Development:
Identify training courses and career progression opportunities for self.Ensure personal development plan activities are completed within the specified time-frame.
Essential Qualifications:
NQF LevelAdvanced Diplomas/National 1st Degrees
Field of Study - National Diploma in Construction or relevant construction related qualification.
Essential Certifications:
Construction or Building certifications.Minimum Experience Level
Minimum of 5-years' experience managing a team of loss adjusters
Minimum of 5-years as a Building Assessor or in a Construction related role
Minimum of 5 years' experience in the Short-Term Insurance industry
Participation or membership of professional bodies i.e. SAIA, PIRB., IOPSA etc.