Claims Manager

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

Benefits offered by this job

Hybrid work model

Executive-level salary

Performance-based bonus structure

Medical, dental, and vision insurance

Retirement fund contributions

Job summary

Placements24 seeks a dynamic Claims Manager in Randburg to lead the claims department, oversee a team of adjusters, and drive policy development and performance. This senior role focuses on efficient processing, regulatory compliance, and customer satisfaction within Gauteng.

You will mentor staff, improve procedures, monitor metrics, and manage budgets while delivering strategic input and overseeing complex claims, including fraud investigations as needed.

Qualifications

• 8+ years of experience in insurance claims management.
• Strong leadership and budgeting experience.
• Knowledge of property, casualty, auto, and life claims.

Responsibilities

• Lead, manage, and mentor the claims team, setting performance standards and fostering a culture of excellence.
• Develop and implement effective claims handling procedures, policies, and strategies.
• Monitor claims performance metrics, analyze trends, and implement improvements to enhance efficiency and cost-effectiveness.
• Ensure compliance with all relevant legal and regulatory requirements governing claims settlement.
• Manage complex and high-value claims, providing guidance and support to the claims adjusting staff.
• Oversee the investigation of potentially fraudulent claims and collaborate with relevant authorities as needed.

Skills

Leadership

Budgeting

Strategic thinking

Decision making

Problem solving

Team management

Education

Insurance / Claims management qualification

Job description

About the Role

Our client is seeking a dynamic and experienced leader to serve as Claims Manager for their operations in Randburg. This senior role involves overseeing the entire claims department, ensuring efficient, fair, and timely processing of all insurance claims while managing a team of adjusters and support staff. You will be instrumental in developing claims policies, improving operational processes, and maintaining high levels of customer satisfaction within the Gauteng region. This position offers a significant leadership opportunity within a reputable insurance organization.

Key Responsibilities

• Lead, manage, and mentor the claims team, setting performance standards and fostering a culture of excellence.
• Develop and implement effective claims handling procedures, policies, and strategies.
• Monitor claims performance metrics, analyze trends, and implement improvements to enhance efficiency and cost-effectiveness.
• Ensure compliance with all relevant legal and regulatory requirements governing claims settlement.
• Manage complex and high-value claims, providing guidance and support to the claims adjusting staff.
• Oversee the investigation of potentially fraudulent claims and collaborate with relevant authorities as needed.

Requirements

• Extensive experience (8+ years) in insurance claims management, with a proven track record of leadership.
• Deep understanding of various insurance lines (e.g., property, casualty, auto, life) and claims best practices.
• Strong strategic thinking, decision-making, and problem-solving abilities.
• Excellent leadership, team management, and interpersonal skills.
• Demonstrated ability to manage budgets, control costs, and drive operational efficiency.
• Relevant professional qualifications in insurance or claims management are highly desirable.

Benefits

• Executive-level salary and comprehensive performance-based bonus structure.
• Hybrid work model offering a blend of office presence and remote flexibility in Randburg.
• Top-tier medical, dental, and vision insurance coverage.
• Significant employer contributions to a retirement fund.
• Opportunities for strategic input and career advancement within the company.