Senior Manager: Actuarial Quantification Management & Claims Risk Gauteng

Calculation Models for “Loss of Earnings” and “Loss of Support” Benefit for Motor Vehicle Claims

Build, develop and assess models for loss of income compensation calculations and reports using appropriate techniques to ensure that the data is accurate, and model processes are effective, efficient, high quality, well documented and verifiable. Supports the review of key insurance risk models, including actuarial quantifications, budget and forecasting, and insurance risk capital models. Standardize the calculations reports to Actuarial professional guidance. Ensure credible calculation valuation report. Manage the whole loss of income actuarial calculations and reporting process.

Research and Development on Loss of Income Calculation Methodologies and Models

Ensure research on state-of-the-art modelling and calculation techniques and methodologies. Develop and ensure implementation of new and state of art calculation techniques and methodologies. Review and update underlying calculation assumptions and inputs to ensure relevance and appropriateness. Ensure provision of reports on results based on updated models. Ensure research on factors and statistics relevant for accurate loss of income determination is conducted.

Claims Risk Management

Ensure provision of support to the claims administration team with developing reporting matrices and identifying risk management strategies that can be used in managing claims risks. Ensure provision of support to the claims administration team with modelling and establishing forecasts for claims volumes and settlements to monitor and improve operational efficiencies.

Actuarial Expert Advice to the Internal and External Stakeholders

Ensure correct interpretation of medical expert’s reports and other professionals’ reports. Ensure review on loss of Income calculations and research done by internal colleagues, other experts and external actuarial service providers.

Accident Data Management and Forecasting

Develop models to forecast the number of accidents and claims. Oversee accident data capturing, analysis and reporting from different sources.

Strategic Planning Financial Projections Report

Provide executives with the expenditure and revenue projections for short- and long-term planning purposes. Run model for Strategic Plan results. Produce necessary report on findings and results. Oversee and manage all related process.

Strategy Development and Operational Planning

Guide the development and implementation of the departmens strategy and plan that ensure alignment with short-term and long-term objectives. Guide implementation of the overall strategic plan for the department. Guide the implementation of specific key performance indicators and measures against outcomes detailed in the departmental strategic plans.

Policy Review and Implementation

Support the development and implementation of policy, procedures and processes for the business unit and ensure effective execution of policy and practices. Collaborate with appropriate structures to ensure effective execution of policy and practices. Ensure that all employees in the team know and understand the RAF policies.

Financial Management

Ensure that the periodic financial and strategic goals of RAF as well as the performance expectations of the various teams are achieved. Report and review operations financial and non-financial goals. Ensure sufficient internal control measures are implemented for adherence to PFMA, RAF and other relevant legislation and regulation. Manage, monitor and control the department expense budget.

Reporting

Ensure correct data and reports are extracted from IT claim system(s). Ensure provision of results in statistical and graphical form to provide credible monthly, quarterly, half-yearly and annual management reporting. Ensure preparation and submission of Regulation reports. Report quarterly on progress with implementation of operational plans. Ensure development of functional reporting systems, project or performance reporting for management. Ensure the development of reports/ policies/ procedures and guide the process through the alignment of these documents to the overall RAF’s Strategy.

Actuarial Investigations

Oversee investigations on various aspects of the loss of income calculation inputs including, distributions of income by age group, geographical location, employment sectors, etc. Ensure investigation on potential impact of various assumptions underlying loss of income calculations such as discount rates, mortality and morbidity rates, contingencies, earnings progression, inflation, taxation, remarriage, inheritance and accelerated benefits, etc. Oversee expense investigation support for the RAF budgeting purposes. Ensure provision of appropriate reports for different relevant users of investigation results. Oversee that the actuarial investigation results are correctly interpreted and applied. Quality assures all the claims to eliminate all the fraudulent claims

Risk Management

Champion risk management in the Operations division. Provide guidance to Operations management on identification of risk and process of mitigating such risk. Provide interface between Operations Division and Enterprise Risk Management Department of RAF. Support Operations department in reviewing and monitoring of their risk mitigating tasks or measures.

Stakeholder Management

Maintain proactive and progressive relationships with key stakeholders. Communicate with all levels of stakeholder contact. Delegate inquiries and requests for information from both internal and external stakeholders.

People Management

Ensure the motivation, cohesiveness, and alignment of the organization’s team members. Ensure Implementation of human capital processes and procedures to control or regulate workplace conflict and/or institute corrective measures and consultation processes to address deviations from standards.

Bachelor’s Degree/ Advanced Diploma in Actuarial Science/ Mathematics related qualification. Postgraduate qualification in Actuarial Science/ Mathematics related qualification. Qualified Associate/Fellow Actuary of (ASSA/IFoA/SoA/CAS/SoA) or any other internationally recognized Actuarial Board). Relevant 9 - 10 years’ experience in an Actuarial environment of which 3 years must have been on a management level.  At least 3 years’ extensive experience in loss of income damages quantification and calculation models. Proven experience in signing off actuarial reports for Damages and Compensation.