Senior Claims Manager: High-Value Claims & Strategy

PSG Konsult Ltd.; Wes-Kaap; On-site; ZAR 900,000 - 1,200,000; Full time

Job summary

PSG Konsult Ltd. seeks a skilled Claims Manager at TygerValley, Western Cape, for a permanent role. Lead end-to-end claims handling, drive high-value claim strategies, ensure compliance and client satisfaction.

Ideal candidates have 8+ years in claims, NQF4/5 in Short-term Insurance, and strong leadership and policy interpretation capabilities. Matric and related qualifications are required or preferred.

Qualifications

• Eight years’ claims handling experience required.
• Knowledge of policy interpretation, liability and settlements.
• Experience engaging with brokers, clients, loss adjusters and service providers.

Responsibilities

• Oversee end-to-end claims process from initiation to settlement.
• Manage complex, high-value claims, guiding strategy and decisions.
• Set, monitor claims performance standards meeting goals and regulations.
• Oversee investigations and validate claims, coverage and settlements.
• Lead, mentor, and manage claims team and staff.
• Train team on claims techniques and legal requirements.
• Develop strategies and policies reducing costs and ensuring compliance.
• Collaborate with stakeholders, resolve disputes, maintain client satisfaction.

Skills

Claims management

Team leadership

Policy interpretation

Stakeholder collaboration

Claims investigations

Regulatory compliance

Education

NQF4/NQF5 in Short-term Insurance

Matric

Degree or diploma in Insurance

Job description

PSG Konsult Ltd. seeks a skilled Claims Manager at TygerValley, Western Cape, for a permanent role. Lead end-to-end claims handling, drive high-value claim strategies, ensure compliance and client satisfaction.

Ideal candidates have 8+ years in claims, NQF4/5 in Short-term Insurance, and strong leadership and policy interpretation capabilities. Matric and related qualifications are required or preferred.