Claims Manager - Short-Term Insurance

Placements24; United States; Hybrid; USD 73,000 - 100,000; Full time

Benefits offered by this job

Executive salary package

Bonus scheme

Company vehicle or travel allowance

Medical aid and retirement fund

Job summary

Placements24 is seeking a visionary Claims Manager to lead a large short-term insurance claims department in Welkom, South Africa. The role combines strategic oversight with hands-on management of complex claims, fraud indicators, and regulatory compliance.

You will drive performance and cost containment while building a culture of excellence. Based in Welkom with a hybrid work model, the successful candidate will guide a team, optimize processes, and contribute to product strategy using data

Qualifications

• Matriculation certificate or equivalent is required.
• A relevant tertiary qualification in Insurance, Law, Business Administration, or related field is essential.
• Minimum of 10 years in short-term insurance claims with at least 5 years in a management role.

Responsibilities

• Lead, manage, and motivate the claims department staff to achieve departmental goals.
• Develop and execute claims handling strategies aligned with business objectives.
• Oversee the claims lifecycle from FNOL to claim closure.
• Ensure timely, fair, and accurate settlements in line with policy terms.
• Implement and monitor KPIs for the claims team.
• Manage budgets and control expenditure.
• Identify and mitigate risks including fraud indicators.
• Liaise with legal counsel, loss adjusters, and regulators.
• Drive process improvements and best practices in claims management.
• Deliver training programs for claims staff.
• Contribute to product development and pricing strategies using claims data.

Skills

Leadership

Strategic planning

Team management

Budget management

Stakeholder engagement

Fraud detection

Data analytics

Education

Matriculation certificate

Tertiary qualification in Insurance, Law, or Business Administration

Tools

Claims management systems

Data analytics tools

Job description

About the Role

Our client, a leading short-term insurance group, is seeking a highly experienced and strategic Claims Manager to lead their operations in Welkom, Free State . This is a critical leadership role responsible for overseeing the entire claims function, ensuring efficient claims handling, customer satisfaction, and cost containment. The successful candidate will develop and implement claims strategies, manage a team of claims professionals, and foster a culture of excellence and continuous improvement. You will play a key part in managing complex claims, identifying fraud indicators, and ensuring compliance with all regulatory requirements. This role offers a significant opportunity to shape the future of claims management within a respected organization. The hybrid work model allows for a flexible balance between on-site strategic oversight and remote administrative tasks. We are looking for a visionary leader with a proven track record in managing large claims departments and driving operational efficiency. The position requires strong leadership, analytical skills, and a deep understanding of the short-term insurance market. Based in Welkom , you will be at the forefront of claims innovation, ensuring our client continues to provide outstanding service to its policyholders. Your expertise in risk mitigation and claims resolution will be essential to maintaining the company's market position.

Key Responsibilities

• Lead, manage, and motivate the claims department staff to achieve departmental goals.
• Develop and execute claims handling strategies aligned with the company's business objectives.
• Oversee the entire claims lifecycle, from First Notification of Loss (FNOL) to claim closure.
• Ensure timely, fair, and accurate settlement of all claims in line with policy terms and conditions.
• Implement and monitor key performance indicators (KPIs) for the claims team.
• Manage claims budgets and control expenditure effectively.
• Identify and mitigate risks associated with claims, including fraud detection and prevention.
• Liaise with external stakeholders, including legal counsel, loss adjusters, and regulatory bodies.
• Drive process improvements and implement best practices in claims management.
• Develop and deliver training programs for claims staff.
• Contribute to product development and pricing strategies based on claims data analysis.

Requirements

• Matriculation certificate or equivalent qualification.
• A relevant tertiary qualification in Insurance, Law, Business Administration, or a related field is essential.
• Minimum of 10 years of progressive experience in short-term insurance claims, with at least 5 years in a management or supervisory role.
• In-depth knowledge of short-term insurance products, claims processes, and relevant legislation.
• Proven ability to manage large teams and drive performance.
• Strong financial acumen and experience in budget management.
• Excellent leadership, communication, negotiation, and problem-solving skills.
• Experience with claims management systems and data analytics.
• Ability to work effectively in a hybrid work environment.
• Must reside in or be willing to relocate to the vicinity of Welkom, Free State .

Benefits

• Competitive executive salary package.
• Performance-related bonus scheme.
• Company vehicle or travel allowance.
• Comprehensive medical aid and retirement fund benefits.
• Significant opportunities for career progression and leadership development.
• Generous annual leave and other paid time off.
• Professional development and training opportunities.
• Supportive and dynamic work environment.
• Hybrid work arrangement for improved work-life balance.