Claims Manager

PTY; Durbanville; On-site; ZAR 700,000 - 1,000,000; Full time

Job summary

Red Ember Recruitment is seeking an experienced Claims Manager for a Durbanville, South Africa role. The incumbent will oversee end-to-end claims operations, lead a team of claims professionals and ensure regulatory compliance while maintaining high service delivery and managing financial risk.

The successful candidate will manage complex claims, guide investigations, set performance standards and develop strategies to control costs, with a focus on stakeholder satisfaction and process

Qualifications

• Matric certificate.
• NQF Level 4 or 5 in Short-Term Insurance.
• Minimum 8 years' claims handling experience in motor or non-motor claims.
• Strong technical understanding of policy interpretation, liability assessments and settlements.
• Proven experience managing teams, workloads and performance.
• Experience with SLAs, KPIs and turnaround times.
• Experience handling escalations and complex or high-value claims.
• Engagement with brokers, clients, loss adjusters and external providers.

Responsibilities

• Oversee the complete claims lifecycle from notification to settlement.
• Lead, mentor and develop the claims team.
• Establish and monitor claims performance standards and regulatory compliance.
• Oversee investigations and validate coverage, liability and settlements.
• Provide training on claims handling techniques and legislative requirements.
• Conduct performance evaluations and set objectives for the team.
• Develop and implement strategies to control costs and ensure compliance.
• Analyse claims data, prepare reports and forecast volumes.
• Build relationships with brokers, clients, loss adjusters and service providers.
• Handle escalated complaints and disputes with a focus on client satisfaction.

Skills

Leadership

Claims expertise

Regulatory compliance

Service excellence

Stakeholder management

Education

Matric

NQF 4/5 Short-Term Insurance

Degree/Diploma in Insurance or Risk Management

Business Leadership qualification

Job description

Red Ember Recruitment (PTY) Ltd | Permanent

Claims Manager

Durbanville, South Africa | Posted on 30/10/2026

Red Ember Recruitment is currently seeking an experienced Claims Manager on behalf of our client, based in Tygervalley, Bellville.

This is an excellent opportunity for an experienced short-term insurance professional with strong leadership capabilities and technical claims expertise to oversee the end-to-end claims function. The successful candidate will be responsible for managing claims operations, leading a claims team, ensuring regulatory compliance and maintaining high service delivery standards while managing financial risk.

• Oversee the complete claims lifecycle, from initial notification through to final settlement.
  


• Manage complex and high-value claims, providing technical guidance and strategic direction.
  


• Establish, monitor and maintain claims performance standards in line with operational objectives and regulatory requirements.
  


• Oversee claims investigations and validate coverage, liability and settlement decisions.
  


• Lead, manage, mentor and develop the claims team.
  


• Provide ongoing training on claims handling techniques, procedures and legislative requirements.
  


• Conduct performance evaluations, set individual objectives and monitor team performance.
  


• Develop and implement claims strategies and policies aimed at controlling costs and ensuring compliance.
  


• Analyse claims data, prepare performance reports, forecast claims volumes and identify potential risks.
  


• Build and maintain effective relationships with internal and external stakeholders, including brokers, clients, loss adjusters and service providers.
  


• Handle escalated complaints and disputes while ensuring a high level of client satisfaction.
  

Requirements

• Matric certificate.


• NQF Level 4 or NQF Level 5 qualification in Short-Term Insurance.


• Minimum of 8 years' claims handling experience, within motor or non-motor claims.


• Strong technical understanding of policy interpretation, liability assessments and claims settlements.


• Proven experience managing teams, workloads and operational performance.


• Experience working with claims processes, Service Level Agreements (SLAs), Key Performance Indicators (KPIs) and turnaround times.


• Demonstrated experience handling escalations, complaints and complex or high-value claims.


• Experience engaging with brokers, clients, loss adjusters and external service providers.

Advantageous Qualifications

• Degree or Diploma in Insurance, Risk Management or Business Administration.


• Additional qualification in Management or Business Leadership.