Insurance Claims Manager

Placements24; LegKraal Gate; Hybrid; ZAR 900,000 - 1,500,000; Full time

Benefits offered by this job

Hybrid work arrangement

Competitive executive salary

Bonuses and incentives

Medical aid and retirement fund

Job summary

Placements24 seeks an experienced Insurance Claims Manager to lead the North West claims department from Mahikeng in a hybrid setup. You will oversee the claims team, drive policy development, and ensure timely settlements while maintaining regulatory compliance.

You will collaborate with underwriting, legal and finance to optimize operations, improve cycle times, and manage costs. This leadership role offers strategic influence and development opportunities within a growing insurer.

Qualifications

• Extensive experience in insurance claims management with leadership responsibilities.
• Knowledge of property, casualty, auto and life insurance lines.
• Strong leadership, team management and motivation skills.
• Ability to analyze data, identify trends and implement improvements.
• Understanding of insurance regulations and compliance requirements.
• Excellent negotiation and interpersonal communication skills.
• Proficiency in claims management software and standard office tools.

Responsibilities

• Lead, mentor the claims team and foster a positive work environment.
• Oversee the full claims process from intake to settlement.
• Develop and refine claims handling policies and procedures.
• Monitor performance metrics and drive improvements.
• Ensure regulatory compliance and company policies.
• Manage claims reserves and authorize payments within authority.
• Collaborate with underwriting, legal and finance.
• Handle complex and escalated claims and provide guidance.
• Manage relationships with vendors (repair shops, legal).
• Prepare senior management reports on performance and financials.

Skills

Leadership

Data analysis

Negotiation

Communication

Claims management

Regulatory compliance

Team management

Problem solving

Education

Insurance certifications

Tools

Claims management software

Job description

About the Role

Our client is seeking an experienced and dynamic Insurance Claims Manager to lead their claims department in Mahikeng, North West . This hybrid role requires a strategic leader who can oversee all aspects of the claims process, ensuring efficiency, accuracy, and customer satisfaction. The Claims Manager will be responsible for managing a team of claims adjusters and handlers, developing claims handling procedures, and ensuring compliance with regulatory standards. We are looking for an individual with strong leadership capabilities, excellent analytical skills, and a deep understanding of insurance claims management. You will play a key role in optimizing claims operations, controlling costs, and enhancing the overall claims experience for policyholders. The ideal candidate will be adept at fostering a high-performance culture within their team and driving continuous improvement. The role involves working closely with other departments, including underwriting, legal, and finance, to ensure seamless operations. This is a significant leadership opportunity within a growing insurance company, offering the chance to influence departmental strategy and success, with the flexibility afforded by a hybrid work model. The office is based in Mahikeng .

Key Responsibilities

• Lead, manage, and mentor the claims adjusting and handling team, fostering a positive and productive work environment.
• Oversee the entire claims process from intake to settlement, ensuring timely and accurate resolution.
• Develop, implement, and refine claims handling policies, procedures, and best practices.
• Monitor claims performance metrics and implement strategies for improvement in areas such as cycle time, cost control, and customer satisfaction.
• Ensure compliance with all relevant insurance regulations, company policies, and legal requirements.
• Manage claims reserves and authorize claim payments within established authority levels.
• Collaborate with underwriting to provide feedback on policy coverage and risk assessment.
• Handle complex and escalated claims, providing expert guidance and resolution.
• Manage relationships with third-party vendors, such as repair shops and legal counsel.
• Prepare regular reports for senior management on claims department performance, trends, and financial outcomes.

Requirements

• Extensive experience in insurance claims management, with demonstrated leadership responsibilities.
• Strong knowledge of various insurance lines (e.g., property, casualty, auto, life) and claims handling procedures.
• Excellent leadership, team management, and motivational skills.
• Proven ability to analyze data, identify trends, and implement process improvements.
• Strong understanding of insurance regulations and compliance requirements.
• Exceptional negotiation, communication, and interpersonal skills.
• Proficiency in claims management software and standard office productivity tools.
• Must be able to effectively balance office-based work in Mahikeng, North West with remote responsibilities as part of the hybrid model.
• Relevant professional qualifications or certifications in insurance or claims management are highly desirable.
• Strategic thinking and problem-solving capabilities.

Benefits

• Competitive executive salary of ZAR per annum.
• Performance-based bonuses and incentives.
• Comprehensive medical aid and retirement fund benefits.
• Hybrid work arrangement providing flexibility.
• Opportunities for professional development and leadership training.
• A key role in shaping the future of the claims department.
• Supportive management team and collaborative work environment in Mahikeng .
• Generous annual leave.