Claims Manager - WhatJobs Direct

Placements24; LegKraal Gate; Hybrid; ZAR 900,000 - 1,400,000; Full time

Benefits offered by this job

Hybrid work arrangement

Medical aid

Pension fund

Performance bonuses

Job summary

Placements24 is seeking an experienced Claims Manager to lead its claims department in Mahikeng, North West. The role demands strategic leadership, strong analytics, and a focus on efficient, fair settlements while controlling costs.

You will oversee the end-to-end claims process, drive policy development, monitor performance metrics, and mentor a team of claims professionals in a hybrid work setup. The ideal candidate has 7+ years in claims and a solid track record in fraud risk management.

Qualifications

• Minimum 7 years of progressive experience in claims management within insurance.
• Proven leadership and team management experience.
• In-depth knowledge of various insurance lines and claims handling procedures, especially for Mahikeng, North West region.
• Strong understanding of risk management, fraud detection, and cost containment strategies.
• Excellent analytical, problem-solving, and decision-making skills.
• Exceptional communication, negotiation, and interpersonal skills.
• Proficiency in claims management systems and relevant software.
• Ability to work effectively under pressure and manage a complex workload.
• Commitment to ethical conduct and customer service excellence.

Responsibilities

• Lead and motivate the claims team to achieve departmental goals.
• Oversee end-to-end claims handling for efficiency, accuracy, and compliance.
• Develop and implement claims policies, procedures, and best practices.
• Monitor performance metrics (settlement times, costs, satisfaction) and drive improvements.
• Manage claim reserves and financial controls for accurate reporting.
• Mitigate fraudulent claims and reduce loss ratios.
• Ensure compliance with South African insurance legislation and regulatory requirements.
• Foster relationships with external stakeholders (legal counsel, loss adjusters, service providers).
• Provide training and development for the claims team.
• Contribute to strategic planning and product development from a claims perspective.

Skills

Leadership

Team management

Analytical skills

Problem solving

Communication

Negotiation

Interpersonal skills

Fraud detection

Risk management

Education

Tertiary qualification in Law or Business Administration

Tools

Claims management software

Job description

About the Role

Our client, a significant presence in the South African insurance market, is seeking a highly experienced and results-driven Claims Manager to lead their claims department in Mahikeng, North West . This leadership role requires a strategic thinker with a deep understanding of claims management principles, operational efficiency, and customer service excellence. The Claims Manager will be responsible for overseeing all aspects of the claims process, managing a team of claims professionals, and ensuring the effective and fair settlement of claims while controlling costs and mitigating fraud. This is a key position within the organization, vital for maintaining customer satisfaction and upholding the company's reputation.

Key Responsibilities

• Lead, manage, and motivate the claims team to achieve departmental goals and objectives.
• Oversee the end-to-end claims handling process, ensuring efficiency, accuracy, and compliance.
• Develop and implement claims policies, procedures, and best practices.
• Monitor claims performance metrics, including settlement times, costs, and customer satisfaction, and implement improvements.
• Manage claim reserves and financial controls to ensure accurate financial reporting.
• Develop and execute strategies to mitigate fraudulent claims and reduce loss ratios.
• Ensure compliance with all relevant South African insurance legislation and regulatory requirements.
• Foster strong relationships with external stakeholders, including legal counsel, loss adjusters, and service providers.
• Provide training and development opportunities for the claims team.
• Contribute to the strategic planning and product development of the company from a claims perspective.

Requirements

• A relevant tertiary qualification in Law, Business Administration, or a related field.
• A minimum of 7 years of progressive experience in claims management within the insurance industry.
• Proven leadership and team management experience.
• In-depth knowledge of various insurance lines and claims handling procedures, particularly relevant to the Mahikeng, North West region.
• Strong understanding of risk management, fraud detection, and cost containment strategies.
• Excellent analytical, problem-solving, and decision-making skills.
• Exceptional communication, negotiation, and interpersonal skills.
• Proficiency in claims management systems and relevant software.
• Ability to work effectively under pressure and manage a complex workload.
• A commitment to ethical conduct and customer service excellence.

Benefits

This Claims Manager position offers a highly competitive annual salary of , commensurate with your extensive experience and leadership capabilities. Our client provides a comprehensive benefits package, including medical aid, a pension fund, and performance-driven bonuses. Opportunities for professional development and career advancement within the company are substantial. The hybrid work arrangement allows for a productive blend of on-site leadership and flexible remote work, enhancing work-life balance. Join a leading insurer in Mahikeng, North West and make a significant impact on their claims operations.