Business Claims Advisor

Sanlam Limited; Midrand; On-site; ZAR 260,000 - 420,000; Full time

Job summary

MiWay is seeking a Business Insurance Claims Advisor to manage a portfolio of commercial motor and non-motor claims, ensuring efficient processing and fair assessments in line with policy wording.

The role requires strong technical claims knowledge, excellent communication with brokers and policyholders, and a commitment to delivering exceptional service within a short-term insurance context. Shortlisted candidates will be contacted after the application deadline.

Qualifications

• End-to-End Claims Management: manage the full lifecycle of assigned commercial claims, registration, assessment, negotiation and settlement.
• Policy Application and Assessment: interpret and apply policy terms to determine claim validity; decide liability and quantum.
• Client and Broker Communication: be the primary contact for policyholders and brokers with clear updates.
• Risk Identification and Compliance: follow regulatory requirements; flag fraud, irregularities or leakage.
• Record Keeping and Administration: maintain accurate records in relevant systems for audit trails.
• Claims Knowledge: strong technical understanding of commercial insurance claims processes.
• Client Service: proactive, solution-oriented service to clients and brokers.
• Decision-Making: sound judgement in claims evaluation and settlements.
• Communication: clear, confident verbal and written communication.
• Organisation and Time Management: manage a portfolio of claims and prioritise tasks.
• Problem-Solving: analyze and resolve complex situations efficiently.
• Attention to Detail: meticulous in reviewing documents and records

Responsibilities

• End-to-End Claims Management: register, assess, negotiate and settle commercial claims within SLAs.
• Policy Application and Assessment: interpret terms, determine validity and fair outcomes.
• Client and Broker Communication: provide regular updates and manage expectations.
• Risk Identification and Compliance: ensure regulatory adherence and identify potential fraud.
• Record Keeping and Administration: maintain comprehensive audit trails.
• Claims Knowledge: apply technical understanding to resolve claims effectively.
• Client Service: deliver proactive support and timely responses.
• Decision-Making: exercise sound judgement in liability and quantum.
• Communication: communicate clearly with stakeholders.
• Organisation and Time Management: prioritise and balance multiple claims.
• Problem-Solving: resolve issues efficiently and professionally.
• Attention to Detail: ensure accuracy in all documentation.

Skills

Customer Service

Team Support

Administration

Quality, compliance and accreditation

Education

Relevant tertiary qualification in insurance, business, or risk management

Job description

MiWay is a direct financial services company. We are passionate about service excellence, convenience and offering our clients superior value products. Our Vision is to be a world-class direct financial services business that offers a complete array of services under one convenient umbrella – all managed online. Category winners of the Mail & Guardian Top Companies Reputation Awards in 2014, as well as the Deloitte Best Company to Work For Survey 2011 and 2012 – were are passionate about our people. We are positive that with the right people on board, we will continue to grow and give our clients the freedom to do things their way – free from worry and most importantly at peace with all the “what-ifs” of the world. Company values that every employee subscribes to are: Energy, Freedom, Accountability and Attitude. The ideal candidate is one who has the courage to be bold and subscribes to MiWay’s core values! Do you have a positive attitude, love a challenge, treat your colleagues with respect and look for solutions, not problems? If yes, then MiWay is the place for you!

Build a successful career with us

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.

What will you do?

The Business Insurance Claims Advisor is responsible for managing a portfolio of commercial motor and non-motor claims. This role requires the proactive and efficient processing of claims, ensuring fair and accurate assessments in line with policy wording. The ideal candidate will be a dedicated professional with strong technical claims knowledge, excellent communication skills, and a commitment to delivering exceptional service to brokers and policyholders within the short-term insurance sector

What will make you successful in this role?

• Grade 12/Standard 10/NQF 4
• A relevant tertiary qualification in insurance, business, or risk management is advantageous
• Minimum 3–5 years' experience in short-term insurance claims.
• In-depth experience managing both motor and non-motor commercial claims.
• Proven experience in business insurance or a corporate risk environment.

Deliverables include but will not be limited to

• End-to-End Claims Management: Manage the full lifecycle of assigned commercial claims, including registration, assessment, negotiation, and settlement, ensuring adherence to service level agreements (SLAs).
• Policy Application and Assessment: Accurately interpret and apply policy terms and conditions to determine claim validity. Make sound decisions on liability and quantum to ensure fair outcomes for clients and the business.
• Client and Broker Communication: Serve as the primary point of contact for policyholders, brokers, and service providers. Provide regular, clear, and professional updates on claim status and manage expectations effectively.
• Risk Identification and Compliance: Adhere strictly to all regulatory requirements, internal protocols, and FAIS legislation. Identify and flag potential fraud, irregularities, or claims leakage for further investigation.
• Record Keeping and Administration: Maintain accurate and detailed records of all claim activities, decisions, and communications on the relevant systems to ensure a clear audit trail.
• Claims Knowledge: Strong technical understanding of commercial insurance claims processes.
• Client Service: A proactive, solution-oriented approach to client and broker queries.
• Decision-Making: Sound judgement in claims evaluation, assessment, and settlement.
• Communication: Clear, confident, and professional communicator (both verbal and written).
• Organisation and Time Management: Excellent ability to manage a portfolio of claims and prioritize tasks effectively.
• Problem-Solving: Ability to analyze complex situations and resolve issues efficiently.
• Attention to Detail: Meticulous in reviewing documentation and maintaining accurate records

Knowledge and Skills

Customer Service

Team Support

Administration

Quality, compliance and accreditation

Personal Attributes

Communicates effectively - Contributing dependently

Decision quality - Contributing dependently

Action orientated - Contributing dependently

Optimises work processes - Contributing dependently

Core Competencies

Cultivates innovation - Contributing dependently

Customer focus - Contributing dependently

Collaborates - Contributing dependently

Being resilient - Contributing dependently

Drives results - Contributing dependently

Turnaround time

The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of managers. Deadline to apply: 16 October 2026.

Our commitment to transformation

At MiWay we believe in cultivating a positive and dynamic working environment that gives you freedom and opportunity to succeed. MiWay is committed to transformation and embracing diversity. This is what drives us to achieve a multicultural workplace with employment equity as a key goal to create an inclusive workforce, reflective of the demographics of our society.