Claims Manager

Placements24; Vereeniging; In loco; ZAR 900.000 - 1.300.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive salary

Medical aid

Pension fund

Vacation time

Descrizione del lavoro

Placements24 in Vereeniging, Gauteng, seeks a dynamic Claims Manager to lead the claims department. You will manage a team of claims adjusters and support staff, set performance standards, and drive efficiency, fairness, and customer satisfaction in insurance claims handling.

The role requires a proven track record in claims management, strong leadership, and in-depth regulatory knowledge. You will navigate complex claims scenarios while ensuring compliance and contributing to underwriting

Competenze

• 7+ years in the insurance industry with at least 3 years in a supervisory/managerial role in claims.
• Proven leadership and team management skills.
• Strong knowledge of insurance lines, claims handling best practices and regulatory requirements.

Mansioni

• Oversee day-to-day operations of the claims department.
• Train and mentor a team of claims adjusters and support staff.
• Develop and implement claims handling policies and procedures for efficiency and consistency.
• Monitor claims processing performance and KPIs.
• Ensure timely and accurate assessment and settlement of insurance claims.
• Handle escalated claims and complex case management.
• Conduct quality assurance reviews of claims files and decisions.
• Manage relationships with external service providers (loss adjusters, legal counsel).
• Analyze claims data to identify trends, potential fraud, and process improvements.
• Ensure compliance with laws, regulations, and company policies.
• Contribute to underwriting guideline development based on claims experience.

Conoscenze

Leadership

Team management

Analytical thinking

Decision making

Problem solving

Communication

Negotiation

Interpersonal skills

Proficiency in claims software

Microsoft Office

Formazione

Bachelor's degree in Business Administration/Law/related field

Strumenti

Claims management software

Microsoft Office Suite

Descrizione del lavoro

About the Role

Our client is seeking a dynamic and experienced Claims Manager to lead their dedicated claims department in Vereeniging, Gauteng . This leadership position is responsible for overseeing the entire claims handling process, ensuring efficiency, fairness, and customer satisfaction. You will manage a team of claims adjusters and support staff, setting performance standards and fostering a culture of excellence. The ideal candidate will have a proven track record in claims management, strong leadership capabilities, and a deep understanding of insurance principles. This is a critical role within the organization, impacting client retention and the company's reputation. We are looking for a strategic thinker who can identify areas for improvement and implement effective solutions. Your expertise will be vital in navigating complex claims scenarios and ensuring compliance with all relevant regulations in Gauteng .

Key Responsibilities

• Oversee the day-to-day operations of the claims department.
• Manage, train, and mentor a team of claims adjusters and support staff.
• Develop and implement claims handling policies and procedures to ensure efficiency and consistency.
• Monitor claims processing performance, setting and tracking key performance indicators (KPIs).
• Ensure timely and accurate assessment and settlement of insurance claims.
• Handle escalated claims and complex case management.
• Conduct quality assurance reviews of claims files and decisions.
• Manage relationships with external service providers, such as loss adjusters and legal counsel.
• Analyze claims data to identify trends, potential fraud, and areas for process improvement.
• Ensure compliance with all applicable laws, regulations, and company policies.
• Contribute to the development of underwriting guidelines based on claims experience.

Requirements

• Bachelor's degree in Business Administration, Law, or a related field.
• Minimum of 7 years of experience in the insurance industry, with at least 3 years in a supervisory or managerial role within claims.
• Proven leadership and team management skills.
• In-depth knowledge of various insurance lines and claims handling best practices.
• Strong understanding of relevant legislation and regulatory requirements.
• Excellent analytical, decision-making, and problem-solving abilities.
• Exceptional communication, negotiation, and interpersonal skills.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to manage multiple priorities and work effectively under pressure.
• Experience in the Vereeniging area or broader Gauteng region is an advantage.

Benefits

Our client offers a competitive salary, performance bonuses, and a comprehensive benefits package, including medical aid, a pension fund, and ample vacation time. Opportunities for continuous professional development and career advancement are readily available. Join a leading insurance provider in Gauteng and take on a role with significant responsibility and impact in Vereeniging .