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Administration Manager Claims and Operations at Enhance Consulting

  • R60,000 - R90,000 per month
  • Contract Management position
  • Cape Town International Airport
  • Posted 04 Aug 2025
  • Job 2616182 - Ref 2025003

About the position

ROLE PURPOSE

To lead and manage the efficient, accurate, and timely processing of travel insurance claims and related customer interactions. The role will ensure end-to-end service delivery across claims administration, policy queries, and customer correspondence, while ensuring optimal use of AOIM and EG systems, compliance with SLA/QA targets, and continuous improvement of back-office workflows.

KEY RESPONSIBILITIES

Operational Management

  • Oversee daily operations in claims administration and back-office functions, ensuring tasks are allocated, tracked, and completed using AOIM work management software and EG.
  • Monitor volumes, backlogs, and escalations to ensure consistent turnaround times and SLA adherence.
  • Manage workload balancing and workforce availability in collaboration with the Workforce Planning and HR teams.

Team Leadership Support - Mentoring

  • Support and Mentor operation and support managers to lead, coach, and develop a high-performing back-office team across claims and customer support tasks.
  • Drive a performance culture through goal-setting, KPIs, and regular one-on-one feedback.
  • Collaborate with HR on recruitment, onboarding, training, and retention strategies.

Quality & Compliance

  • Ensure all claim files, policy admin tasks, and customer communications are completed to quality standards and in compliance with legal, and internal audit guidelines.
  • Support internal audits and quality assurance reviews; implement corrective action where required.
  • Champion compliance with organisations' conduct, risk management, and ethical standards.

Process & Systems

  • Leverage AOIM and EG systems to manage workflow, monitor performance metrics, and extract reports for insight-driven decisions.
  • Identify and implement opportunities for process automation, error reduction, and operational efficiency.
  • Maintain documentation, SOPs, and job aids for core workflows.

Customer Experience

  • Ensure that all customer and partner interactions managed through back-office channels are timely, professional, and aligned with brand expectations.
  • Support complaint resolution processes and continuous service improvement initiatives.
  • Collaborate with the Contact Centre and Claims Adjudication teams to ensure seamless front-to-back interaction handling.

REQUIRED EXPERIENCE AND SKILLS

Essential:

  • 5+ years' experience in operations or back-office leadership within insurance or financial services.
  • Demonstrated experience in claims administration or customer service environments.
  • Strong working knowledge of AOIM, EG, or similar workflow/workload management tools.
  • Strong analytical and reporting skills with experience using dashboards to drive performance.
  • Excellent people management, coaching, and communication skills.
  • Process-oriented with a continuous improvement mindset.

Desirable:

  • Travel insurance experience.
  • Lean Six Sigma Yellow Belt (or higher).
  • Understanding of legal regulations as they apply to claims handling.

KEY PERFORMANCE INDICATORS

  • SLA and TAT adherence for claims processing and customer communications.
  • Backlog and exception reduction.
  • Audit/QA scores and compliance rates.
  • Team productivity and engagement.
  • Reduction in complaints and rework rates.
  • Effective use of AOIM/EG for performance tracking and reporting.

Desired Skills:

  • Management
  • Claims
  • Insurance
  • Customer Service
  • Process Management
  • Process Improvement
  • Process Mapping
  • Performance Management
  • Analysis
  • Data Analysis
  • Reporting
  • Coaching And Mentoring

Desired Work Experience:

  • 5 to 10 years

About The Employer:

Enhance Consulting

is a full-service management consultancy which provides specialized consultancy services in the areas of business process consulting,organizational design, skills development and change management, with a particular focus on the implementation of projects aimed at significant value creation and business change.

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Job expired on 2025/08/11

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