Insurance Claims Manager

Placements24; George; Hybrid; ZAR 900,000 - 1,200,000; Full time

Benefits offered by this job

Competitive salary package

Medical aid and retirement fund

Professional development opportunities

Hybrid work model

Company vehicle or travel allowance

Employee assistance program

Job summary

Placements24 is seeking an experienced Insurance Claims Manager to lead the George claims department. The role combines in-office collaboration with remote flexibility in a hybrid setup and focuses on efficient, fair settlements and outstanding customer service.

You will lead a team of claims adjusters and administrators, guiding performance, training, and policy compliance to support the George hub’s success.

Qualifications

• Tertiary qualification in Insurance, Law, Business Administration or related field.
• 7+ years in insurance with at least 3 years in claims management or supervision.
• Proven leadership and team management skills.
• Strong knowledge of short-term and long-term policies and best practices.

Responsibilities

• Oversee the end-to-end claims handling process from notification to settlement.
• Lead, train and motivate a team of claims adjusters and administrative staff.
• Develop and implement effective claims management strategies and procedures.
• Ensure compliance with relevant legislation, regulations and policies.
• Monitor claims performance metrics and identify improvement opportunities.
• Handle complex/high-value investigations and resolution processes.
• Build relationships with policyholders, brokers and external providers.
• Conduct regular performance reviews and provide constructive feedback.
• Control costs and identify fraud detection/prevention opportunities.
• Contribute to development of new policy wordings related to claims.

Skills

Leadership

Team management

Negotiation

Communication

Report writing

Education

Insurance/Law/Business Admin degree

Tools

Claims management software

Job description

About the Role

Our client is seeking an experienced and highly motivated Insurance Claims Manager to lead their dedicated claims department in George. This is a hybrid role, requiring a balance of in-office presence for team collaboration and oversight, and remote flexibility. The successful candidate will be responsible for managing all aspects of the claims process, ensuring efficient and fair settlement of claims while upholding the company's reputation for excellent customer service. You will lead a team of claims adjusters and administrators, providing guidance, training, and performance management. This role demands strong leadership, excellent decision-making capabilities, and a deep understanding of insurance policies and claims handling procedures. The George branch is a key operational hub, and this position is critical to its success.

Key Responsibilities

• Oversee the entire claims handling process from notification to settlement.
• Manage, train, and motivate a team of claims adjusters and support staff.
• Develop and implement effective claims management strategies and procedures.
• Ensure compliance with all relevant legislation, regulations, and company policies.
• Monitor claims performance metrics and identify areas for improvement.
• Handle complex and high-value claims investigations and resolutions.
• Build and maintain strong relationships with policyholders, brokers, and external service providers.
• Conduct regular performance reviews and provide constructive feedback to team members.
• Control claims costs and identify opportunities for fraud detection and prevention.
• Contribute to the development of new insurance products and policy wordings related to claims.

Requirements

• Relevant tertiary qualification in Insurance, Law, Business Administration, or a related field.
• Minimum of 7 years of experience in the insurance industry, with at least 3 years in a claims management or supervisory role.
• Proven leadership and team management skills.
• In-depth knowledge of various insurance policies (e.g., short-term, long-term) and claims handling best practices.
• Excellent understanding of South African insurance law and regulatory frameworks.
• Strong negotiation, conflict resolution, and decision-making abilities.
• Proficiency in claims management software and standard office applications.
• Excellent communication, interpersonal, and report-writing skills.
• Ability to work effectively in a hybrid work environment, balancing remote and office-based duties.
• A commitment to ethical conduct and customer satisfaction.

Benefits

• Competitive salary package.
• Performance-based incentives.
• Medical aid and retirement fund contributions.
• Opportunities for professional development and further certifications.
• A supportive management structure.
• Access to modern office facilities in George.
• Hybrid work model for improved work-life balance.
• Company vehicle or travel allowance.
• Employee assistance program.