Claims Manager- MVG recruitment Specialists 2020

Claims Manager- MVG recruitment Specialists

  • Permanent Management position
  • Johannesburg, Gauteng
  • Undisclosed cost to company
  • Job 2367517 | Ref CM-JHB-MK
  • Posted 29 Apr 2020 by MVG Recruitment Specialists

About the Position

Experience in similar position with Medical Aid Scheme or Medical Aid Scheme Administrator – Non-Negotiable

Our client, in Managed Care (Medical Scheme Sector), seeks a Claims Manager who will be responsible to ensure medical scheme administration tasks operate at optimal efficiency and are cost effective. Responsible for ensuring excellent services exceeding expectations.


  • BCom Degree or related BAdmin Degree – (Non negotiable)
  • Postgraduate qualification in business administration – preferred
  • Minimum 3 – 5 years experience in managing medical scheme functions at management level
  • Manage daily claim functions, ensuring medical scheme and health insurance processes are at required optimal levels
  • Manage, review, update and implement projects, ensuring operations efficiency and cost savings on all levels regarding system, processes, people enhancements etc.
  • Capable of translating and aligning strategic intent relevant to departments into operational goals
  • Managing performance management processes, achieving departmental and divisional goal achievements
  • Manage, motivate and up-skill the membership teams, developing and growing the teams through training
  • Liaising with management on various levels across the organisation to align, improve and integrate business processes and service delivery
  • Create, lead and organised, high-performance culture within the claim teams
  • Continuously monitor, analyse and improve the claims business processes and performance
  • Lead business optimization, ensuring maximize profitability
  • Ability to be innovative, adoption of technology, creating a sustainable and lucrative business
  • Cost management – substantial costs are linked with operations, managing operations cost is a key aspect
  • Review and set department budgets and managing the cost
  • Part take in identifying new business ventures and preparation for tenders
  • Ensure all employees on various levels have clarity on delivery of their service expectation and a understanding of their contribution in their various roles to ensure favorable business operational success
  • Supervise the compliance with audit control system procedures and policy, ensuring to comply with legal requirements, ensuring to meeting safety standards
  • Partake in specialized projects and assignments, taking on additional management responsibilities as and when required
  • Manage and implement the optimization of reporting within claims department
  • Able to avail yourself for after hours and weekend work as per business requirements as and when needed

Submit CV application with supporting documents:

  • Copy of ID
  • Copy of qualification(s)

Desired Skills

  • Minimum 3 – 5 years experience in managing medical scheme functions at management level

Desired Qualification Accreditation

  • Degree