Insurance Claims Manager

Placements24; Soweto; Hybrid; ZAR 900,000 - 1,300,000; Full time

Benefits offered by this job

Competitive salary

Performance bonus

Medical aid

Retirement benefits

Remote work

Job summary

Placements24 is seeking an experienced Insurance Claims Manager to lead the claims department in a fully remote South Africa role. You will oversee a team of adjusters, develop policies, and drive cost efficiency while ensuring fair, high-quality service nationwide.

The ideal candidate has strong leadership, regulatory knowledge, and proficiency with claims software and MS Office, with a proven track record across personal, commercial, motor and property lines.

Qualifications

• Bachelor's degree in Business, Law, Risk Management or related field.
• 7+ years in insurance claims management with leadership experience.
• Knowledge of personal, commercial, motor and property claims handling.
• Strong leadership and regulatory/compliance understanding.

Responsibilities

• Lead and motivate the claims team to meet service standards.
• Develop and enforce claims policies and procedures.
• Oversee investigation, evaluation and settlement of claims.
• Monitor trends and implement cost containment and process improvements.
• Ensure compliance with insurance regulations and company guidelines.
• Manage relationships with external service providers.
• Budget planning and team development.
• Contribute to product and underwriting guidelines from a claims perspective.

Skills

Leadership

Stakeholder management

Data analysis

Claims software

Regulatory compliance

Education

Bachelor's degree in Business/Law/Risk Management

Tools

Claims management software

MS Office

Job description

About the Role

Our client, a well-established insurance provider, is seeking an experienced and dynamic Insurance Claims Manager to lead their claims department. This is a fully remote position, offering the flexibility to work from anywhere in South Africa. The Claims Manager will be responsible for overseeing all aspects of the claims handling process, ensuring efficiency, fairness, and customer satisfaction. This includes managing a team of claims adjusters, developing and implementing claims policies, and controlling claim costs. The ideal candidate will possess strong leadership skills, a deep understanding of insurance claims procedures, and a commitment to delivering exceptional service. We are looking for a strategic thinker who can drive continuous improvement within the claims function and uphold the company's reputation for integrity and reliability, supporting operations nationally, including the Soweto region.

Key Responsibilities

Lead, manage, and motivate the claims adjusting team to achieve departmental goals and service standards. Develop, implement, and enforce claims policies, procedures, and best practices. Oversee the accurate and timely investigation, evaluation, and settlement of insurance claims across various lines of business. Monitor claims trends, analyze data, and identify opportunities for cost containment and process improvement. Ensure compliance with all relevant insurance regulations, laws, and company guidelines. Manage relationships with external service providers, such as loss adjusters and repair networks. Handle escalated claims and complex cases, providing expert resolution. Develop and manage the claims department budget. Conduct performance reviews and provide ongoing coaching and development for team members. Contribute to the development of new insurance products and underwriting guidelines from a claims perspective.

Requirements

A Bachelor's degree in Business, Law, Risk Management, or a related field. A minimum of 7 years of experience in insurance claims management, with proven leadership experience. Extensive knowledge of different insurance lines (e.g., personal, commercial, motor, property) and claims handling processes. Strong understanding of relevant legislation and regulatory requirements impacting claims. Excellent leadership, communication, negotiation, and interpersonal skills. Proficiency in claims management software and MS Office Suite. Strong analytical and problem-solving abilities, with a focus on cost control and efficiency. Ability to work independently, manage a remote team effectively, and make sound decisions. A commitment to upholding ethical standards and delivering excellent customer service. Experience within the Gauteng insurance market, particularly understanding the needs relevant to areas like Soweto, is advantageous.

Benefits

Our client offers a competitive salary, a performance-based bonus structure, comprehensive medical aid, and retirement benefits. This fully remote role provides significant autonomy and flexibility. Employees benefit from ongoing professional development opportunities, including training and support for advanced qualifications. Our client is committed to fostering a positive and inclusive work culture, valuing collaboration and employee well-being.