Manager: Claims and Contract Wording

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 based in South Africa, with rapid expansion into emerging markets across Africa and Asia. Our success is rooted in our passion for our clients and our commitment to 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 claims 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 INCLUDE:

• Review and assess reinsurance treaty wordings for approximately 50 treaties.
• Review direct policy wordings with Business Units to ensure alignment with treaty coverages.
• Review broker SLAs in collaboration with 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).
• At least 5 years 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 is committed to transformation and growth, expanding beyond South Africa into emerging markets across Africa and Asia. We serve over 1 million policyholders, including 80 of the Top 100 JSE-listed companies. Our mission extends beyond providing insurance to offering peace of mind, enabling clients to focus on living in the moment.

We value diversity, inclusion, and belonging. As an equal opportunity employer, we encourage applications from all backgrounds, including persons with disabilities, and are dedicated to neuro-inclusivity.

Join us and take the next step in your career—apply now and be part of shaping the future of insurance. This is Freedom!

The Sanlam Group is committed to achieving transformation through diversity, inclusion, and equity, considering these factors in our employment practices and targets.