Claims Manager

MVIA; South Africa; On-site; ZAR 600 000 - 800 000; Full time

Job summary

A leading insurance company in South Africa is seeking an experienced Claims Manager to oversee claims operations. The role involves managing a team of 20 to 30 professionals, ensuring claims are processed efficiently, and collaborating with various departments. The ideal candidate has strong operational expertise and a strategic mindset, focused on delivering exceptional service and achieving results. This position is key to maintaining compliance with industry regulations and enhancing client satisfaction.

Qualifications

• Minimum of 5 years experience in claims management or a similar role.
• Proven ability to lead and develop teams of professionals.
• Strong understanding of short-term insurance regulations.

Responsibilities

• Oversee daily claims functions and ensure accurate processing.
• Lead a team of 20 to 30 professionals to deliver results.
• Define and monitor KPI's to ensure efficiency.

Skills

Management skills

Operational expertise

Strong communication skills

Job description

MVIA is seeking an experienced, driven, and solutions-oriented Claims Manager to lead and oversee the full spectrum of our claims operations within the short-term insurance space. This is a key management role that will suit someone with a strategic mindset, strong operational expertise, and a passion for delivering exceptional service and results.

You will be responsible for the effective management of a claims team of 20 to 30 professionals and for ensuring that all claims are processed accurately, efficiently, and in line with company policies, industry regulations, and client expectations.

Key Responsibilities

• Oversee the end-to-end daily claims function, including administration, assessment, validation, and payment processes
• Lead, manage, and develop a high-performing team across various claims disciplines
• Ensure optimal use and continuous improvement of claims processing systems
• Manage and enforce both internal and external Service Level Agreements (SLAs)
• Define and monitor Key Performance Indicators (KPIs) for the department
• Coordinate with and manage external assessors and service providers
• Produce and deliver accurate and insightful daily, weekly, and monthly claims reports
• Develop and implement new Standard Operating Procedures (SOPs) while refining existing ones to improve efficiency and service delivery
• Support the resolution of complex and escalated claims queries
• Identify, assess, and mitigate potential risks affecting clients or the business
• Collaborate with other departments and senior stakeholders to align claims operations with broader business goals and deliver a seamless client experience