Claims Technical Specialist MMH260731-11

Guardrisk; Sandton; On-site; ZAR 1,200,000 - 1,600,000; Full time

Job summary

Guardrisk is seeking a strategic claims leader to provide oversight across cell captive, binder and other delegated claims arrangements. The role entails guiding complex claims decisions, ensuring governance and regulatory compliance, and delivering robust management information.

You will influence stakeholders and drive capability in the claims portfolio. The candidate should have substantial senior technical experience in short-term insurance, with a track record in governance, risk and

Qualifications

• Matric/Grade 12 is required.
• Preferred: tertiary qualification in Insurance, Risk Management, Law, Commerce or related discipline.
• An insurance qualification at NQF Level 5 or above is advantageous.
• Minimum five years’ short-term insurance claims experience, including complex/high-value claims.
• Experience in a senior technical, advisory, oversight or decision-making role.

Responsibilities

• Strategic claims portfolio oversight.
• Complex claims and decision support.
• Complaints and regulatory matters.
• Claims governance and assurance.
• Policy and process improvement.
• Management information and insight.
• Stakeholder influence and capability building.
• Delivery and accountability.

Skills

Senior leadership

Claims oversight

Regulatory reporting

Stakeholder engagement

Education

Matric/Grade 12

Tertiary qualification in Insurance/Risk Mgmt/Law/Commerce

NQF Level 5 insurance qualification

Job description

Role Purpose

To provide strategic technical claims leadership and independent oversight across a diverse portfolio of cell captive, binder and other delegated claims arrangements.

Requirements

• Matric / Grade 12.
• Relevant tertiary qualification in Insurance, Risk Management, Law, Commerce or a related discipline is preferred.
• A recognised insurance qualification at NQF Level 5 or above is advantageous.
• Minimum five years’ short-term insurance claims experience, including substantial exposure to complex or high-value claims.
• Demonstrated experience in a senior technical, advisory, oversight or decision-making role.
• Experience across several of the following is strongly preferred: delegated claims arrangements, cell captive or binder business, complaints and NFO matters, litigation, liability claims, portfolio reviews, large-loss oversight, regulatory requirements and management reporting.

Duties and Responsibilities

• Strategic claims portfolio oversight
• Complex claims and decision support
• Complaints and regulatory matters
• Claims governance and assurance
• Policy and process improvement
• Management information and insight
• Stakeholder influence and capability building
• Delivery and accountability

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