Claims Manager - Short-Term Insurance

Placements24; Cape Town; On-site; ZAR 1,000,000 - 1,600,000; Full time

Benefits offered by this job

Competitive base salary

Medical aid

Provident fund

Generous annual leave

Job summary

Placements24 in Cape Town, Western Cape, seeks a seasoned Claims Manager to lead the claims department. The role requires 7+ years in short-term insurance, strong leadership, and regulatory knowledge to ensure fair, timely resolutions and high customer satisfaction.

You will oversee end-to-end claims handling, drive process improvements, manage relationships with third-party providers, and mentor the team to achieve cost control and fraud prevention goals.

Qualifications

• Minimum 7 years of claims management experience in short-term insurance.
• Strong leadership and team management skills.
• In-depth knowledge of short-term insurance products and claims principles.
• Strong understanding of South African legislation and regulatory frameworks.
• Proficient in claims management software and MS Office.
• Excellent negotiation and decision-making abilities.

Responsibilities

• Lead a team of claims adjusters and administrators.
• Oversee end-to-end claims process from notification to final settlement.
• Ensure claims comply with policy terms, conditions, and legislation.
• Develop and implement claims handling procedures and best practices.
• Monitor performance metrics, identify trends, and take corrective action.
• Manage relationships with third-party service providers such as loss adjusters and legal counsel.
• Handle complex or contentious claims escalated by the team.
• Implement strategies to control costs and detect fraud.
• Provide training and development opportunities for the claims team.

Skills

Leadership

Negotiation

Communication

Regulatory knowledge

Strategic thinking

Risk management

Education

Relevant tertiary qualification in Insurance, Law, Business Administration, or related field

Tools

Claims management software

Job description

About the Role

Our client, a prominent player in the short-term insurance sector, is seeking an experienced and proactive Claims Manager to lead their dedicated claims department in Cape Town, Western Cape . This leadership position is responsible for overseeing the entire claims lifecycle, ensuring efficient, fair, and timely resolution of all claims while upholding the company's commitment to customer satisfaction and integrity. The ideal candidate will possess a strong understanding of short-term insurance principles, exceptional leadership capabilities, and a proven track record in claims management. This role is critical in managing operational efficiency, mitigating fraud, and driving continuous improvement within the claims function, contributing significantly to the overall success of our client.

Key Responsibilities

• Manage and lead a team of claims adjusters and administrators, fostering a high-performance culture.
• Oversee the end-to-end claims process, from initial notification to final settlement.
• Ensure claims are handled in compliance with policy terms, conditions, and relevant legislation.
• Develop and implement claims handling procedures and best practices.
• Monitor claims performance metrics, identify trends, and implement corrective actions.
• Manage relationships with third-party service providers, such as loss adjusters and legal counsel.
• Handle complex or contentious claims escalated by the team.
• Implement strategies to control claims costs and detect/prevent fraudulent activity.
• Provide training and development opportunities for the claims team.

Requirements

• A relevant tertiary qualification in Insurance, Law, Business Administration, or a related field.
• A minimum of 7 years of experience in claims management within the short-term insurance industry.
• Proven leadership and team management skills.
• In-depth knowledge of short-term insurance products and claims principles.
• Strong understanding of relevant South African legislation and regulatory frameworks.
• Excellent negotiation, conflict resolution, and decision-making abilities.
• Proficiency in claims management software and general office applications.
• Exceptional communication skills, both written and verbal.

Benefits

• Our client provides a competitive remuneration package, including a substantial base salary and performance-related incentives.
• Benefits include comprehensive medical aid, a provident fund, and generous annual leave.
• Opportunities for professional development and advancement within a well-established organization are abundant.

The company culture emphasizes collaboration, accountability, and continuous learning. This role offers the chance to make a significant impact within the insurance landscape from our scenic Cape Town, Western Cape office.