Senior Claims Operations & Audit Lead

Affirmative Portfolios; Centurion; On-site; ZAR 1,234,000 - 1,508,000; Part time

Job summary

Affirmative Portfolios in Centurion seeks a Senior Manager: Claims (Claims Audit) for a 12-month contract. The role oversees all claims operations, drives efficiency, and ensures payments are processed within regulatory timelines.

The ideal candidate has 9–10 years in claims operations, with at least 3 years in management, and a strong grasp of PFMA, claims systems, and motor vehicle accident legislation. This position offers a challenging, high-impact leadership role.

Qualifications

• Bachelor’s Degree/Advanced Diploma in Business Management / Business Administration related qualification.
• Post graduate qualification in Business Management / Business Administration related qualification.
• 9-10 years of experience in Claims Operations with at least 3 years in management.
• PFMA knowledge and Motor Vehicle Accident legislation knowledge beneficial.

Responsibilities

• Oversee Claims Operations to improve efficiencies and ensure processing of claims within target timelines.
• Develop and implement strategic plans for Claims Operations aligned with company objectives.
• Lead policy development and ensure compliance with legislative requirements and PFMA.
• Manage daily operations across processing and customer experience centers to ensure accurate assessment and adjudication of claims.
• Drive digitization initiatives within claims operations and deliver regular reporting to management.

Education

Bachelor’s Degree/Advanced Diploma in Business Management / Business Administration related qualification

Post graduate qualification in Business Management / Business Administration related qualification

Job description

Affirmative Portfolios in Centurion seeks a Senior Manager: Claims (Claims Audit) for a 12-month contract. The role oversees all claims operations, drives efficiency, and ensures payments are processed within regulatory timelines.

The ideal candidate has 9–10 years in claims operations, with at least 3 years in management, and a strong grasp of PFMA, claims systems, and motor vehicle accident legislation. This position offers a challenging, high-impact leadership role.