Senior Claims Manager - Lead High-Value Claims & Team

Red Ember Recruitment (Pty) Ltd; Wes-Kaap; On-site; ZAR 800,000 - 1,200,000; Full time

Job summary

Red Ember Recruitment is currently seeking an experienced Claims Manager on behalf of our client, based in Tygervalley, Bellville. This is an excellent opportunity for an experienced short-term insurance professional with strong leadership capabilities to oversee the end-to-end claims function.

The successful candidate will manage claims operations, lead a claims team, ensure regulatory compliance and maintain high service delivery standards while managing financial risk.

Qualifications

• Matric certificate is required.
• NQF 4 or 5 in Short-Term Insurance.
• Minimum 8 years of claims handling experience in motor or non-motor claims.
• Strong technical understanding of policy interpretation and liability assessments.
• Proven leadership of teams, workloads and performance.
• Experience with SLAs, KPIs and turnaround times.
• Experience handling escalations, complaints and high-value claims.

Responsibilities

• Oversee the complete claims lifecycle from notification to final settlement.
• Lead and mentor the claims team and provide training on handling techniques and legislative requirements.
• Establish performance standards in line with regulatory requirements.
• Oversee investigations and validate coverage, liability and settlement decisions.
• Develop claims strategies and policies to control costs and ensure compliance.
• Analyse claims data, forecast volumes and identify risks.
• Build relationships with brokers, clients, loss adjusters and service providers.
• Handle escalated complaints and disputes with focus on client satisfaction.

Skills

Team leadership

Policy interpretation

Liability assessments

Claims settlements

SLA / KPI management

Escalation handling

Stakeholder management

Data analysis

Education

Matric certificate

NQF Level 4/5 in Short-Term Insurance

Job description

Red Ember Recruitment is currently seeking an experienced Claims Manager on behalf of our client, based in Tygervalley, Bellville. This is an excellent opportunity for an experienced short-term insurance professional with strong leadership capabilities to oversee the end-to-end claims function.

The successful candidate will manage claims operations, lead a claims team, ensure regulatory compliance and maintain high service delivery standards while managing financial risk.