Senior Claims Leader | Mentoring & Process Excellence

Placements24; Kempton Park; On-site; ZAR 900,000 - 1,200,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive health insurance

Pension and provident fund

Career advancement opportunities

Training and development

Annual performance bonuses

Job summary

Placements24 is seeking an experienced Lead Claims Assessor to oversee operations at the Tembisa, Gauteng branch. You will lead and mentor a team of claims assessors, drive end-to-end claims processing, and ensure fairness, timeliness, and regulatory compliance across complex claims.

You will develop procedures, monitor performance, and collaborate with legal and loss adjusters while maintaining high ethical standards and exceptional customer service.

Qualifications

• Bachelor's degree in Law, Business Administration, or related field; CIP certification advantageous.
• 7+ years in insurance claims assessment, with at least 2 years in a supervisory role.
• Strong knowledge of SA insurance policy frameworks and claims procedures.
• Proven ability to lead and motivate a team and maintain high ethical standards.

Responsibilities

• Lead and mentor a team of claims assessors.
• Oversee end-to-end claims assessment ensuring fairness and timeliness.
• Investigate and adjudicate complex/high-value claims.
• Develop procedures to improve efficiency and customer satisfaction.
• Ensure compliance with SA insurance law and company policies.
• Conduct quality assurance on assessments and documentation.
• Handle escalated complaints and resolve disputes.
• Train staff and support professional development.
• Analyze data to identify fraud risks and process improvements.
• Collaborate with legal and loss adjusters on complex cases.

Skills

Leadership

Analytical skills

Negotiation

Communication

Education

Bachelor's degree in Law or Business Administration

Tools

Claims management software

Job description

Placements24 is seeking an experienced Lead Claims Assessor to oversee operations at the Tembisa, Gauteng branch. You will lead and mentor a team of claims assessors, drive end-to-end claims processing, and ensure fairness, timeliness, and regulatory compliance across complex claims.

You will develop procedures, monitor performance, and collaborate with legal and loss adjusters while maintaining high ethical standards and exceptional customer service.