Claims Manager

Placements24; Gqeberha; Hybrid; ZAR 1,200,000 - 1,800,000; Full time

Benefits offered by this job

Salary package

Annual bonus

Medical aid

Retirement fund

Hybrid work

Career development

Wellness program

Job summary

Placements24 is seeking a results-driven Claims Manager to oversee operations in Port Elizabeth, Eastern Cape. This senior role requires strong leadership and strategic oversight of the claims department, ensuring efficient, fair, and timely resolution of all claims.

The successful candidate will set departmental goals, coach staff, and optimize processes while maintaining high customer satisfaction in a hybrid work environment.

Qualifications

• Bachelor's degree or professional qualification in Insurance, Law, or related field.
• Minimum 6 years in claims management with leadership experience.
• Knowledge of SA insurance principles and legislation.
• Proven ability to lead and motivate a team.
• Strong analytical, problem-solving, and decision-making skills.
• Excellent communication and negotiation skills.
• Experience with claims management software.
• Willingness to relocate to Port Elizabeth, Eastern Cape.

Responsibilities

• Lead and develop the claims team through recruitment, training, and performance reviews.
• Develop claims handling policies to ensure efficiency, fairness, and compliance.
• Monitor performance metrics and drive improvements.
• Oversee investigation and resolution of complex/high-value claims.
• Ensure regulatory compliance across all processes.
• Manage the department budget and expenses.
• Collaborate with legal and underwriting on claims issues.
• Analyze data to identify trends and risk exposure.

Skills

Leadership

Claims management

Regulatory knowledge

Analytical skills

Negotiation

Communication

Team leadership

Software proficiency

Education

Bachelor's degree in Insurance/Law/Business

Tools

Claims management software

Job description

About the Role

Our client, a well-established insurance firm, is seeking a results-driven Claims Manager to oversee operations in Port Elizabeth, Eastern Cape. This senior role requires strong leadership and strategic oversight of the claims department, ensuring efficient, fair, and timely resolution of all claims. The Claims Manager will be responsible for setting departmental goals, managing staff performance, optimizing processes, and maintaining high standards of customer satisfaction. This leadership position in Port Elizabeth offers a significant opportunity to make a tangible impact.

Key Responsibilities

• Lead and manage the claims department, including recruitment, training, performance evaluation, and professional development of claims staff.
• Develop and implement claims handling procedures and policies to ensure efficiency, fairness, and compliance.
• Monitor claims performance metrics (e.g., settlement times, costs, customer satisfaction) and implement improvements.
• Oversee the investigation and resolution of complex and high-value claims.
• Ensure adherence to regulatory requirements and company guidelines in all claims processes.
• Manage the claims budget and control departmental expenses effectively.
• Foster a collaborative and customer-centric culture within the claims team.
• Liaise with other departments, such as legal and underwriting, to address claims-related issues.
• Analyze claims data to identify trends, assess risk exposures, and provide insights for product improvement.
• Represent the company in claims-related disputes or litigation as required.

Requirements

• A relevant Bachelor's degree or professional qualification in Insurance, Law, Business, or a related field.
• Minimum of 6 years of experience in claims management, with a strong track record of leadership and operational success.
• In-depth knowledge of insurance principles, claims handling best practices, and relevant South African legislation.
• Proven ability to manage and motivate a team effectively.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong communication, negotiation, and interpersonal skills.
• Experience with claims management software and systems.
• Strategic thinking and a commitment to continuous improvement.
• Residency or willingness to relocate to Port Elizabeth, Eastern Cape.
• High ethical standards and a commitment to fairness.

Benefits

• An attractive salary package, commensurate with the seniority of the role.
• Annual performance bonus and potential for other incentives.
• Comprehensive medical aid plan and generous retirement fund contributions.
• Hybrid work model offering flexibility between office-based work and remote days.
• Significant opportunities for career advancement and professional development.
• A challenging and rewarding role within a reputable organization in Port Elizabeth.
• Employee assistance program and wellness initiatives.