Claims Manager Randburg

Green Marble Recruitment Consultants; Gauteng; On-site; ZAR 300 000 - 400 000; Full time

Job summary

A recruitment consultancy is seeking an experienced Claims Manager in Gauteng to oversee the end-to-end claims process and lead a dedicated team of claims analysts. The ideal candidate should have 5 years of claims processing experience, a strong leadership background, and the ability to ensure compliance with regulations while enhancing client satisfaction. This position involves supervising claims analysts, auditing claims for accuracy, and implementing process improvements.

Qualifications

• 5 years’ experience with end-to-end claims processing.
• At least 2 years’ experience in a supervisory role.
• Ability to work with urgency and manage a team effectively.

Responsibilities

• Supervise and lead the team of claims analysts.
• Audit and authorise daily claims for accuracy.
• Develop and implement effective claims processing procedures.
• Monitor team performance and track key performance indicators.

Skills

Leadership

Claims management

Performance monitoring

Data analysis

Strong communication

Education

Completed matric

RE5 regulatory examination

Job description

Reference : JHB

Are you an experienced leader with a passion for driving efficiency and excellence in claims resolution and management? We're seeking a dynamic Claims Manager to oversee our clients' end-to-end claims process and lead a dedicated team of claims analysts.

Responsibilities

• Supervise and lead the team of claims analysts.
• Assist the claims analysts with technical queries relating to claims.
• Provide guidance, training and performance feedback to team members.
• Audit and authorise daily claims from the claims list to ensure accuracy.
• Audit daily claims payments before they are uploaded and finalised.
• Develop and implement effective and efficient claims processing procedures.
• Monitor team performance, track key performance indicators (KPIs) and implement improvements as needed.
• Ensure timely and accurate claims assessment, investigation and resolution.
• Analyse recovery possibilities, identify trends and implement strategies to improve recovery efforts.
• Work closely with brokers to address client inquiries, complaints and concerns.
• Liaise with risk carriers, including scheduled and ad‑hoc reporting on various claims reports.
• Enhance broker/client satisfaction through efficient claim processing.
• Analyse claims data to identify patterns, trends and areas for improvement.
• Generate reports on claims performance and present findings to management.
• Collaborate with underwriting teams to assess risk factors and improve risk management strategies.
• Develop and implement strategies to prevent fraudulent claims.
• Communicate effectively with internal stakeholders, external partners, clients and brokers.
• Provide regular updates to senior management on claims status, performance metrics and challenges.
• Stay current on industry regulations and compliance requirements.
• Implement and enforce compliance with company policies and procedures.
• Collaborate with legal and compliance teams to address regulatory issues.
• Handle and oversee claim complaints.

Minimum Requirements

• Completed matric.
• RE5 regulatory examination completed.
• 5 years’ experience with end-to-end claims processing.
• At least 2 years’ experience in a supervisory role.
• Works with urgency and manages the team and claims with a no‑nonsense attitude.

Package & Remuneration

• Monthly salary package.