Insurance Claims Manager

Placements24; East London; Hybrid; ZAR 1,000,000 - 1,500,000; Full time

Benefits offered by this job

Competitive salary

Medical aid and retirement fund

Generous annual leave

Hybrid work model

Career development and leadership培训

Job summary

Placements24 is partnering with a leading insurer in East London to recruit an experienced Insurance Claims Manager. You will lead the claims department, oversee a team of adjusters and staff, and drive efficient, compliant claims handling while mitigating fraud and controlling costs.

The role requires a strong leadership presence, deep knowledge of claims processes, and a commitment to exceptional service in a hybrid work setup in the East London area.

Qualifications

• 7+ years in insurance claims management with proven leadership.
• Strong knowledge of claims adjudication, negotiation and settlement processes.
• Experience leading teams and driving performance.

Responsibilities

• Lead and manage the claims department, ensuring efficient handling.
• Supervise, train, and mentor claims adjusters and staff.
• Develop and implement claims policies, procedures and best practices.
• Monitor performance metrics, identify trends and drive improvements.
• Ensure timely assessment and settlement of claims in line with policy terms.
• Manage relationships with external service providers (loss adjusters, repair networks).
• Implement measures to control costs and detect fraudulent claims.
• Ensure compliance with insurance laws and regulations.

Skills

Leadership

Claims management

Process improvement

Stakeholder communication

Team supervision

Education

Bachelor's degree in Insurance/Law/Business

Tools

Claims software

Job description

About the Role

Our client, a leading insurer, is seeking an experienced and dynamic Insurance Claims Manager to lead their claims department in East London, Eastern Cape . This critical role involves overseeing all aspects of the claims process, from initial reporting to final settlement, ensuring efficiency, accuracy, and excellent customer service. You will manage a team of claims adjusters and support staff, develop claims handling procedures, and work to mitigate fraudulent activities. The successful candidate will possess strong leadership skills, a deep understanding of claims management, and a commitment to delivering exceptional service. This is an outstanding opportunity to advance your career in a key management position within a reputable financial services organization based in the coastal city of East London .

Key Responsibilities

• Lead and manage the claims department, ensuring efficient and effective claims handling processes.
• Supervise, train, and mentor a team of claims adjusters and administrative staff.
• Develop and implement claims policies, procedures, and best practices.
• Monitor claims performance metrics, identify trends, and implement strategies for improvement.
• Ensure timely and accurate assessment and settlement of claims, adhering to policy terms and conditions.
• Manage relationships with external service providers, such as loss adjusters and repair networks.
• Implement measures to control claims costs and detect and prevent fraudulent claims.
• Ensure compliance with all relevant insurance laws and regulations.

Requirements

• A minimum of 7 years of experience in insurance claims management, with proven leadership experience.
• Extensive knowledge of various insurance lines and claims handling best practices.
• Strong understanding of claims adjudication, negotiation, and settlement processes.
• Excellent leadership, communication, interpersonal, and problem-solving skills.
• Experience in managing teams and driving performance.
• Proficiency in claims management software and relevant technologies.
• Relevant tertiary qualification in Insurance, Law, Business, or a related field is highly desirable.
• Ability to work effectively in a hybrid work environment.

Benefits

• Competitive salary and performance-based bonus structure.
• Comprehensive medical aid and retirement fund contributions.
• Generous annual leave allowance.
• Opportunities for professional development and leadership training.
• A supportive and collaborative work environment in East London .
• Potential for career advancement within the organization.
• Hybrid work model flexibility.