Long-term Insurance Dispute Resolution Technical Lead | Sandton
- Actively support our client’s culture-building and transformation initiatives, including staff engagement activities and surveys.
- Participate in corporate social responsibility programs to advance business objectives.
- Identify and recommend process, system, and policy improvements, supporting the rollout of new practices.
- Ensure all complaints are accurately logged in the CRM database, providing a clear reference for tracking and resolution.
- Maintain thorough documentation for each complaint by recording physical and electronic copies as needed.
- Drive improvements in client service by identifying process gaps and ensuring regulatory compliance.
- Work closely with business units to provide timely and satisfactory responses to complaints, monitoring progress to ensure optimal outcomes.
- Mitigate reputational and financial risks by addressing service gaps and compliance issues.
- Stay informed of relevant legislative updates and industry changes to ensure compliance and effectiveness in the role.
- Foster a growth-oriented environment by engaging in professional development and training to enhance skills and career growth.
- Share insights and knowledge with team members, maintaining a collaborative and informed workplace.
- Respond promptly to client and regulatory queries, ensuring accurate documentation, timely responses, and well-negotiated recommendations.
- Support claims processing by delivering necessary documentation and evidence for client claims.
- Develop and sustain effective relationships through workshops, forums, and regular updates on regulatory requirements.
- Engage proactively with the Ombudsman and regulatory bodies, ensuring timely and thorough responses to complaints to prevent penalties.
- Convey Ombudsman recommendations to the relevant business units, coordinating with unit managers to drive appropriate action.
- Matric / Grade 12 / National Senior Certificate
- Advanced Diploma/National First Degree
- Admitted Attorney
- RE 5 Certification
- A minimum of 5 years’ experience in long-term insurance dispute resolution with a focus on Ombudsman liaison and regulatory compliance.