Claims Manager - Complex Commercial Claims

Placements24; Soweto; On-site; ZAR 900,000 - 1,300,000; Full time

Benefits offered by this job

Competitive salary

Bonus tied to performance

Medical aid

Retirement fund

Life assurance

Leadership training

Industry certifications

Annual leave

Wellness programs

Job summary

Placements24 is seeking a seasoned Claims Manager to lead the Complex Commercial Claims division in Soweto, Gauteng. The role demands strategic oversight, strong leadership, and expert knowledge of commercial insurance to drive fair settlements and exceptional service.

You will manage a team of adjusters, implement robust policies, and coordinate with external counsel and loss adjusters. The ideal candidate has 8+ years in insurance claims, with 3+ in management, and a proven track record in

Qualifications

• Bachelor's degree in Law, Business Administration, or a related field.
• A relevant professional qualification in insurance is essential.
• Minimum of 8 years in insurance claims handling, with at least 3 years in a management or supervisory role, specifically dealing with commercial lines.
• Proven expertise in managing complex, large-loss commercial claims.
• Strong understanding of commercial insurance policies, legal principles, and claims best practices.
• Excellent leadership, team management, and decision-making skills.
• Exceptional negotiation, communication, and interpersonal abilities.

Responsibilities

• Lead, mentor, and manage a team of claims adjusters and assessors handling complex commercial claims.
• Develop and implement claims handling policies and procedures to ensure consistency and efficiency.
• Oversee the investigation, evaluation, and settlement of high-value and complex commercial claims.
• Ensure adherence to policy terms, conditions, and regulatory requirements.
• Manage relationships with external stakeholders, including legal counsel, loss adjusters, and repair networks.
• Monitor claims performance metrics, identify trends, and implement strategies for improvement.
• Control claims costs and reserves, ensuring financial accuracy and prudent management.
• Contribute to the development of new commercial insurance products from a claims perspective.
• Promote a customer-centric approach within the claims department.
• Ensure compliance with all relevant legislation and company policies.

Skills

Leadership

Negotiation

Communication

Interpersonal skills

Education

Bachelor's degree in Law/Business Administration or related

Professional qualification in insurance

Tools

Claims management software

Job description

About the Role

Our client, a leading national insurer, is seeking a highly experienced and results-driven Claims Manager to lead their Complex Commercial Claims division in Soweto, Gauteng. This senior management role is responsible for overseeing the efficient and effective handling of large, complex commercial insurance claims, ensuring fair settlements and exceptional customer service. The successful candidate will possess strong leadership skills, a deep understanding of commercial insurance products, and a proven ability to manage a team and mitigate losses. This is a pivotal role that requires strategic oversight and operational excellence in managing claims in the Soweto region.

Key Responsibilities

• Lead, mentor, and manage a team of claims adjusters and assessors handling complex commercial claims.
• Develop and implement claims handling policies and procedures to ensure consistency and efficiency.
• Oversee the investigation, evaluation, and settlement of high-value and complex commercial claims.
• Ensure adherence to policy terms, conditions, and regulatory requirements.
• Manage relationships with external stakeholders, including legal counsel, loss adjusters, and repair networks.
• Monitor claims performance metrics, identify trends, and implement strategies for improvement.
• Control claims costs and reserves, ensuring financial accuracy and prudent management.
• Contribute to the development of new commercial insurance products from a claims perspective.
• Promote a customer-centric approach within the claims department.
• Ensure compliance with all relevant legislation and company policies.

Requirements

• Bachelor's degree in Law, Business Administration, or a related field.
• A relevant professional qualification in insurance is essential.
• Minimum of 8 years of experience in insurance claims handling, with at least 3 years in a management or supervisory role, specifically dealing with commercial lines.
• Proven expertise in managing complex, large-loss commercial claims.
• Strong understanding of commercial insurance policies, legal principles, and claims best practices.
• Excellent leadership, team management, and decision-making skills.
• Exceptional negotiation, communication, and interpersonal abilities.
• Proficiency in claims management software and standard office applications.
• Ability to analyze complex data, identify trends, and develop strategic solutions.
• Commitment to working on-site in Soweto, Gauteng.

Benefits

• Our client offers a highly competitive salary and an attractive bonus structure tied to team performance and loss ratios.
• Employees receive a comprehensive benefits package, including top-tier medical aid, a robust retirement fund, and life assurance.
• The company provides ample opportunities for professional development, including leadership training and industry-specific certifications.
• Working in Soweto offers the chance to manage a critical function within a well-respected insurance organization.
• This role offers significant autonomy and the opportunity to shape claims strategies.
• Additional benefits include generous annual leave and access to employee wellness programs.