Lead Claims Adjuster

Placements24; South Africa; On-site; ZAR 900,000 - 1,600,000; Full time

Benefits offered by this job

Competitive salary package

Medical aid coverage

Provident fund

Life insurance

Job summary

Placements24 is seeking a highly experienced Lead Claims Adjuster to oversee claims operations in Tembisa, Gauteng. The role leads a team of adjusters, manages complex claims across property, casualty and motor, and drives efficient handling and customer service.

The successful candidate will mentor the team, shape best practices, and ensure timely resolutions while maintaining the company’s reputation for fairness and efficiency.

Qualifications

• Bachelor's degree in Business Administration, Law, or related field.
• Minimum 7 years of progressive experience in insurance claims adjusting, with at least 2 years in a supervisory/leadership capacity.
• In-depth knowledge of South African insurance laws, regulations and claims practices.
• Proven ability to manage a diverse caseload of complex claims, with strong leadership and negotiation skills.

Responsibilities

• Lead a team of claims adjusters, providing guidance, training and performance evaluations.
• Oversee investigations, evaluation and settlement of complex claims in compliance with policy terms and regulatory requirements.
• Develop and implement efficient claims handling procedures to optimize processing times and reduce costs.
• Analyze claims data to identify trends, potential fraud, and areas for underwriting and risk management improvement.
• Ensure exceptional customer service to policyholders throughout the claims process.
• Liaise with legal counsel, external investigators and other stakeholders as required.
• Maintain accurate claim files and documentation.
• Contribute to development and execution of departmental strategies and objectives.
• Act as escalation point for challenging claims and inquiries.

Skills

Leadership

Team management

Negotiation

Communication

Claims software

CIP

FCII

Education

Bachelor's degree in Business Administration or Law

Job description

About the Role

Our client is actively seeking a highly experienced and motivated Lead Claims Adjuster to manage and oversee all claims operations within the **Tembisa, Gauteng** region. This senior position requires a candidate with a proven track record in handling complex insurance claims across various lines of business, including property, casualty, and motor. The Lead Claims Adjuster will be responsible for supervising a team of adjusters, ensuring timely and accurate claim resolution, maintaining high customer satisfaction, and upholding the company's reputation for fairness and efficiency. This role is crucial in driving operational excellence and mentoring a team to achieve departmental goals. The successful candidate will play a key part in shaping claims handling best practices in **Tembisa**.

Key Responsibilities

• Manage and lead a team of claims adjusters, providing guidance, training, and performance evaluations.
• Oversee the investigation, evaluation, and settlement of complex insurance claims, ensuring compliance with policy terms and regulatory requirements.
• Develop and implement efficient claims handling procedures to optimize processing times and reduce costs.
• Analyze claims data to identify trends, potential fraud, and areas for improvement in underwriting and risk management.
• Ensure exceptional customer service is provided to policyholders throughout the claims process.
• Liaise with legal counsel, external investigators, and other stakeholders as necessary.
• Maintain accurate and detailed claim files and documentation.
• Contribute to the development and execution of departmental strategies and objectives.
• Act as a point of escalation for challenging claims and customer inquiries.

Requirements

• A Bachelor's degree in Business Administration, Law, or a related field.
• A minimum of 7 years of progressive experience in insurance claims adjusting, with at least 2 years in a supervisory or leadership capacity.
• In-depth knowledge of South African insurance laws, regulations, and claims practices.
• Proven ability to manage a diverse caseload of complex claims.
• Strong leadership, team management, and motivational skills.
• Excellent negotiation, conflict resolution, and decision‑making abilities.
• Proficiency in claims management software and standard office applications.
• Exceptional communication and interpersonal skills.
• Relevant professional certifications (e.g., CIP, FCII) are a significant advantage for this role in **Tembisa, Gauteng**.

Benefits

• Our client offers a competitive salary package commensurate with experience, along with performance-based incentives.
• Benefits include comprehensive medical aid coverage, a provident fund, and life insurance.
• Opportunities for professional growth through advanced training and industry accreditations are readily available.
• The company fosters a supportive work environment that encourages collaboration and continuous learning.
• This role offers a chance to make a significant impact within the Tembisa community and the broader insurance landscape.
• Employees will also benefit from a company vehicle and fuel allowance, along with a generous annual leave allowance.