Claims Post-Authorisation Team Leader

Who are we?

At MiWay, our purpose is to enable people to live their way. We understand that life is not just about "things" but the meaning that those things bring to your life. We believe that technology and innovation have infinite possibilities when it’s inspired by humans by you.

Therefore, we focus on our clients' needs; finding new ways to simplify their lives and how they do things.

We give them products, services, and solutions that enable them to live and enjoy life on their own terms – in their own way.

Agile values and principles are strongly embedded in our culture, and they are at the core of how we make decisions and how we approach adding value within the company.

We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future – your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth. Through its five business clusters – Sanlam Fintech, Sanlam Life and Savings, Sanlam Investment Group, Sanlam Allianz, Santam, as well as MiWay and the Group Office – the group provides many opportunities for growth and development.

The Post-Authorization Team Leader role is responsible for overseeing and guiding a team focused on the financial and technical governance of approved Short-Term Insurance claims. The primary objective is to lead the team in ensuring that costs associated with authorized claims are managed effectively, fairly, and accurately, preventing financial leakage and upholding the integrity of the claims process.

This involves supervising the auditing of service provider invoices, validating financial loss calculations, and driving continuous improvement within the team. The role serves as a crucial control point, ensuring consistent application of company policies and strategies.

• Grade 12/Standard 10/NQF 4
• National Diploma (NQF
  6) or bachelor’s degree in a relevant field (e.g., Finance, Risk Management, Law, Commerce

• Minimum of 5-7 years of experience within a claims environment in the Short-Term Insurance industry.
• Direct experience in claims assessing, loss adjusting, claims validation, or a dedicated cost-containment role is essential.
• Demonstrable experience negotiating with suppliers. Familiarity with industry quoting systems (e.g., Audatex for motor) and an understanding of building/repair costs. Experience reading financial statements is highly beneficial for BI.
• Minimum of 3 years of demonstrable experience in a team leadership, supervisory, or senior specialist role, particularly in managing performance, coaching, and developing team members.
• Experience negotiating with suppliers. Deep familiarity with industry quoting systems (e.g., Audatex for motor) and a comprehensive understanding of building/repair costs. Proven experience reading and interpreting complex financial statements is critical for BI claims.

• Team Leadership & Performance Management:
  Lead, mentor, and manage a team of Post-Authorisation Advisors. Set clear performance objectives, conduct regular performance reviews, provide constructive feedback, and facilitate professional development within the team.
• Invoice & Quote Auditing Oversight:
  Supervise the scrutiny of final invoices from service providers against authorized quotes, assessor reports, and company tariffs. Oversee the auditing of financial statements and supporting documents for BI claims to validate the quantum of the loss, ensuring accuracy and consistency across the team.
• Cost Negotiation & Containment Strategy:
  Develop and implement strategies for cost negotiation with service providers—including motor body repairers, building contractors, and specialist suppliers—to ensure costs are reasonable, customary, and aligned with agreed-upon rates. Provide guidance and support to the team in complex negotiations.
• Fraud, Waste, and Abuse (FWA) Detection & Prevention:
  Drive initiatives to identify and investigate potential instances of FWA by analyzing repair methodologies, supplier pricing, inflated labor hours, and…