Head: Claims Operations

Six Sense Consulting; Centurion; On-site; ZAR 1,200,000 - 1,600,000; Full time

Job summary

Six Sense Consulting seeks a Head: Claims Operations for a well-established financial services firm. You will lead end-to-end claims processing, drive automation, and manage risk to ensure a smooth claims experience.

The ideal candidate holds a Bachelor's and a Postgraduate qualification in Business Management with 10–12 years' claims experience, including 5 in senior management, plus strong leadership and budgeting skills.

Qualifications

• Bachelor's degree in Business Management or related field.
• Postgraduate qualification in Business Management or related field.
• 10–12 years' claims administration experience including 5+ years in senior management.

Responsibilities

• Oversee end-to-end claims operations and automated processes.
• Implement risk management procedures and PFMA-compliant controls.
• Lead budgeting, long-term planning and strategic direction for claims.
• Drive continuous improvement in claims handling and service quality.

Skills

Leadership

Analytical thinking

Communication

Strategic planning

Budget planning

Critical thinking

Education

Bachelor's degree in Business Management

Postgraduate qualification in Business Management

Tools

Claims management systems

Job description

Annually Cost To Company (Market related)

A well-established financial services business is seeking to appoint a Head: Claims Operations
The incumbent is responsible to ensure a smooth claims experience through the implementation of automated processes of direct and indirect claims handling procedures and risk management processes

Qualifications and Experience:

• Bachelor’s Degree in Business Management / Business Administration or related qualification.
• Post graduate qualification in Business Management / Business Administration or related qualification.
• At least 10-12 years’ relevant claims administration experience of which 5 (five) years must have been at a senior management level.
• Advanced knowledge in claims management systems, insurance/reinsurance principles and MVA legislation.
• Experience in the claims administration environment in the private and/or public sector

Technical

• Advanced knowledge of claims management systems.
• MVA legislation knowledge.
• Strong analytical, communication, leadership, managerial and organizational skills.
• Skilled in critical thinking, creativity in resolving unique and challenging business problems.
• Ability to do long-term planning, to create and manage budgets and to be a strategic thinker.
• Ability to achieve results by taking a proactive long-term view of business goals and objectives.
• Knowledge on continuous improvement/innovation and optimization methodologies.
• PFMA knowledge.
• Communication (Written and Verbal).

Please note that if you have not received a response within 14 days of submitting your application that your application was unsuccessful.
However, please keep a lookout on our website, www.sixsense.co.za for available positions which may be inline with your career aspirations.