Job Location - Dar Es Salaam 
Position Type - Full Time
Organization Type - Metropolitan
Job Deadline: 15 February 2016

CLAIMS MANAGER

Generic
Job Title
Claims Manager
Role Family

Level of accountability
Functional Leadership/ Specialist
OFO
code

Occupation Level

ROLE PURPOSE
The Claims Manager will be responsible for the management of the department and ensuring that the company fulfils its obligations of assuming insurable risks of its customers, while mitigating any risk to the company on claims fraud.

COMPETENCY NAME
COMPETENCY DEFINITION
COMPETENCY NAME
COMPETENCY DEFINITION
Business Acumen
Understands how the business operates, what the key issues and risks are that drives business success; and how they impact on the commercial viability of potential ventures and the profitability of the Group
Collaboration and co-operation
Prioritises the business interests and invests in the success of the company by aligning effort across divisions.
A team player
Achievement Orientation
Self-motivated and self-managed, complete finisher, take responsibility and accountability where required
Diversity and Inclusiveness
Is sensitive to individual and cultural differences and demonstrates humility and an openness to engage people from diverse backgrounds and cultures to the mutual benefit of all parties concerned.
Achievement Orientation
Self-motivated and self-managed, complete finisher, take responsibility and accountability where required
Effective communicator
Excellent written and oral communications, effective persuader towards goal achievement.
Planning skills
Establishing a clear course of action, involving others as appropriate, managing activities and monitoring results to promote efficiency and accomplish Organisational goals.
Concern for order, quality and accuracy
Ability to structure and organize work to promote efficiency
Decision making
Appropriately delegates decisions and responsibilities to team members
Makes clear and timely decisions
Good sense of judgement
Is able to make appropriate judgement calls when faced with complex situations requiring quick and non pre-prescribed actions and responses.
Ability to discern the non-obvious and provide on-the-spot direction towards provision of a solution.
Drive for Results
Engages with a sense of urgency, focus, accountability, agility and execution to deliver business results. Ability to structure and organize work to promote efficiency
Leads Change and Innovation
Actively leads change, does what is right for the business and drives continuous improvement through innovation.
High sense of ethics and accountability
Self-motivated and self-managed, competent finisher, take responsibility and accountability where required
Actively does what is right for the business and drives continuous improvement through innovation.
Motivating and Inspiring Team     
Creates and maintains an open, positive working environment by generating commitment, building trust, a shared sense of purpose, and empowerment in others and encouraging them to contribute to the best of their ability.





MINIMUM QUALIFICATIONS
MINIMUM EXPERIENCE AND SKILLS and knowledge SET
·     BCom (Insurance)
·     ACII   full qualifications

·   8 years working experience in a busy claims department in the insurance environment 3 of which should be at management level.
·   Excellent customer service, communication and negotiation skills.
·   In depth understand of local Insurance laws, practices and regulatory requirements in Tanzania
·   Broad knowledge of regional and international insurance claims laws that have the potential of affecting the management of claims matters.

PERSPECTIVE
OUTPUTS
Internal Processes
·          Strategically lead and manage the Department and ensure efficient delivery of services.
·          Evaluate claims with a view of ensuring compliance.
·          Ensure the department provides prompt and efficient service to clients and intermediaries.
·          Initiate and oversee claims processing.
·          Oversee the maintenance of reserves and ensure accurate maintenance of reserves register on a monthly basis.
·          Pursue recovery outlays from negligent third parties and third party insurers.
·          Co-ordinate and supervise disbursement of claims payments to clients and intermediaries.
·          Offer professional technical support to branch offices, clients, management and other staff members in all areas related to claims including risk management.
·          Liaise with Business Development and Underwriting Departments and Executive Management on business trends and customer care needs and satisfaction.
·          Liaise with Underwriting and Legal Departments on claims matters, trends and technical policy interpretation.
·          Prompt generation of monthly departmental and business performance reports and make relevant recommendations to senior management.
·          Continuously analyse claims trends, recommend and implement risk management measures
·          Analyse performance of service providers and make appropriate recommendations and follow up implementation as necessary.
·          Prepare Commissioner’s returns both monthly and annually.
·          Contact liaison with ATI on day to day happenings and attend ATI meetings on behalf of the company

Customer Services

·          Make period visits to key clients to collect market feedback and make appropriate recommendations to the senior management.
·          Deliver client-centric processes and solutions
People
·          Develop, implement and manage a team with the requisite skills required to deliver on the strategy for the short-, medium- and long-term.
·          Demonstrate exemplary leadership behaviour, through personal involvement, commitment and dedication in support of organisational values.
·          Create a positive work climate and culture to energise employees, give meaning to work, minimise work disruption and maximise employee productivity.
·          Drive a culture that guides and directs best practice, fostering an environment of continuous learning, improvement and cohesiveness
·          Develop, implement and manage a team with the requisite skills required to deliver on the strategy for the short-, medium- and long-term.
·          Identify, define, communicate and obtain buy-in for performance expectations through the implementation of an aligned Balanced Scorecard
·          Effectively manage performance within the team in order to ensure business objectives are achieved.
·          Assess the training needs of the department, carry out staff performance appraisals.
·          Conduct continuous training, guidance, coaching and mentoring for the team.
·          Take ownership for own learning and development


Mode Of Application
Applicants who consider himself/herself competent with the above mentioned position, please send the soft copy of your CV along with application and contact details to the
HR Business Partner,
Metropolitan (Tanzania) Limited,
P.O.Box 77016,Dar es salaam via mail rabdallah@metropolitantz.com and cc Aboma@metropolitantz.com before 26th February 2016. Only short listed candidate will be contacted for interview

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