Manager: Claims and Contract Wording

Santam Business; Bellville; On-site; ZAR 60 000 - 120 000; Full time

Job summary

Join a forward-thinking company as a Reinsurance Claims and Contract Wording Manager, where you will lead the management of reinsurance claims and ensure compliance with treaty coverages. This role offers the opportunity to work with a diverse team, drive process improvements, and shape the future of insurance in emerging markets. Your expertise will be pivotal in negotiating recoveries, analyzing trends in (re)insurance law, and building strong stakeholder relationships. If you are passionate about making an impact and fostering an inclusive workplace, this is the perfect opportunity for you.

Qualifications

• 5+ years of reinsurance claims experience in a leadership role.
• In-depth experience in reinsurance contract wording.

Responsibilities

• Oversee processing and recovery of reinsurance claims.
• Review treaty wordings and ensure alignment with policies.
• Negotiate recoveries with reinsurers and brokers.

Skills

Reinsurance Claims Management

Contract Wording Analysis

Negotiation Skills

Stakeholder Relationship Management

Financial Analysis

Education

Bachelor's Degree in Commerce

Law Degree

Professional Qualification in (Re)insurance

Job description

Who are we?

Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding, and transforming company. While based in South Africa, we are rapidly entering emerging markets across Africa and Asia. Our success is rooted in our passion for our clients, and everything we do is centered on delivering Insurance Good and Proper.

What will you do?

Job Description

The role of the Reinsurance Claims and Contract Wording Manager is to:

1. Oversee and manage the processing, validation, and recovery of reinsurance claims from various Santam Business Units.
2. Ensure reinsurance claim recoveries are handled efficiently, accurately, and in accordance with treaty coverages.
3. Review and assess the Santam Group reinsurance treaty coverages.

Key Accountabilities and Responsibilities

• Review and assess approximately 50 reinsurance treaty wordings for coverage.
• Review direct policy wordings to ensure alignment with treaty coverages.
• Review broker Service Level Agreements (SLAs) with Group Legal and Compliance to ensure accuracy.
• Manage changes to treaty wordings, endorsements, and subjectivities to protect Santam’s coverage.
• Analyze and communicate trends in local and international (re)insurance law.
• Draft and implement claims recovery frameworks, including mandates and thresholds.
• Review and assess reinsurance claims for accuracy and completeness.
• Conduct investigations into complex or disputed claims.
• Negotiate recoveries with reinsurers and brokers.
• Maintain accurate claims documentation.
• Prepare reports on claims activity, trends, and financial analysis.
• Build and maintain relationships with stakeholders.
• Identify and implement process improvements.

What will make you successful in this role?

Qualifications, Knowledge, and Experience

• Bachelor’s degree in commerce or related field (Law degree advantageous)
• Minimum 5 years of reinsurance claims experience in a leadership role
• At least 3 years of in-depth experience in reinsurance contract wording
• Professional qualification in (re)insurance (e.g., FCII, FIISA)

Our commitment to transformation

Santam, as a market leader, is committed to transformation and growth. While headquartered in South Africa, we are expanding into emerging markets across Africa and Asia. Serving over 1 million policyholders, we cater to individuals, businesses, and institutions, including 80 of the Top 100 JSE-listed companies. Our philosophy of Insurance, Good and Proper, aims to provide peace of mind so clients can focus on living in the moment.

We value our people and are committed to attracting top talent, fostering diversity, inclusion, and belonging. As an equal opportunity employer, we encourage applications from all backgrounds, including persons with disabilities. We also prioritize neuro-inclusivity and a workplace where everyone can thrive.

Take the next step in your career—apply now and join a company shaping the future of insurance. This is Freedom!

The Sanlam Group is dedicated to achieving transformation and embraces diversity as key to a thriving, sustainable business in South Africa. Our Employment Equity plan and targets will be considered during the selection process.