Senior Claims Operations Lead - Pretoria

Placements24; Pretoria; Hybrid; ZAR 900,000 - 1,500,000; Full time

Benefits offered by this job

Competitive salary

Health insurance

Retirement plan

Paid time off

Training programs

Career development

Job summary

Placements24 in Pretoria is seeking an experienced Claims Operations Manager to oversee a high-volume claims team. You will optimize workflows, ensure timely settlements, and manage budgets while upholding regulatory standards.

The role requires 6+ years in claims management with 3+ years in leadership, strong leadership and communication skills, and proficiency with claims software. A key focus is improving customer experience and controlling costs.

Qualifications

• Bachelor's degree in Business Administration, Management, or a related field.
• Minimum of 6 years in insurance claims management, with at least 3 years in a leadership or supervisory role.
• Proven track record in managing high-volume claims operations.
• In-depth knowledge of Property, Casualty, Motor and other lines and claims best practices.
• Strong operational management and process improvement skills.
• Excellent leadership, communication, and interpersonal abilities.
• Proficiency in claims management software and systems.
• Strong analytical and problem-solving skills.
• Understanding of South African insurance regulations.

Responsibilities

• Lead the claims handling team to achieve operational excellence.
• Develop and implement efficient claims processing workflows and procedures.
• Monitor claims performance metrics and identify areas for improvement.
• Ensure accurate and timely settlement of claims in line with policy terms.
• Manage claims budgets and control operational costs.
• Build strong relationships with internal teams, service providers, and policyholders.
• Ensure compliance with regulatory requirements and company policies in Pretoria.
• Implement quality assurance programs to maintain high adjudication standards.
• Drive initiatives to enhance customer experience throughout the claims journey.

Skills

Leadership

Claims management

Process improvement

Budgeting

Communication

Regulatory compliance

Stakeholder management

Education

Bachelor's degree in Business Administration/Management

Job description

Placements24 in Pretoria is seeking an experienced Claims Operations Manager to oversee a high-volume claims team. You will optimize workflows, ensure timely settlements, and manage budgets while upholding regulatory standards.

The role requires 6+ years in claims management with 3+ years in leadership, strong leadership and communication skills, and proficiency with claims software. A key focus is improving customer experience and controlling costs.