Senior Manager: Claims

Six Sense Consulting; Centurion; On-site; ZAR 1,000,000 - 1,400,000; Full time

Job summary

Six Sense Consulting in Centurion, South Africa, seeks a Senior Manager: Claims to oversee all claims operations and drive efficiency improvements. The role requires 9–10 years in Claims Operations, including at least 3 years in management, with advanced knowledge of claims systems and PFMA.

You will lead cross-functional teams, manage complex claims processes, and ensure regulatory compliance, while aligning with market expectations for an experienced leadership role.

Qualifications

• Bachelor’s or advanced diploma in business management or related qualification.
• Postgraduate qualification in business management or related field.
• 9–10 years’ experience in Claims Operations, with at least 3 years in a management level.

Responsibilities

• Oversee all claims operations to improve efficiencies.
• Lead teams and drive process improvements within Claims.

Skills

Claims management systems

Analytical skills

Financial management

Decision making

Customer value proposition

Motor Vehicle Accident legislation

PFMA knowledge

Education

Bachelor/Advanced Diploma in Business Management / Business Administration

Postgraduate qualification in Business Management / Business Administration

Job description

Annually Cost To Company (Market related)

A well-established financial services business is seeking to appoint a Senior Manager: Claims who is accountable to oversee all the claims related operations to improve efficiencies.

Qualifications and Experience:

• Bachelor’s Degree/Advanced Diploma in Business Management / Business Administration related qualification.
• Post graduate qualification in Business Management / Business Administration related qualification.
• Relevant 9-10 years’ experience in Claims Operations environment of which 3 (three) years must have been on a management level.
• Advanced knowledge in claims management systems, insurance/reinsurance principles and Motor Vehicle Accident legislation will be advantageous.

Technical:

• Claims management process/ processes and systems (including handling, verification and validation, investigation, assessment/settlement, litigation, legal costs assessment and settlement).
• Post claim management and settlement.
• Medical bill reviewing.
• Medical case management.
• Complex problem identification, solving and decision making.
• Customer value proposition.
• Good financial management skills.
• Strong analytical capabilities.
• Knowledge of Motor Vehicle Accident legislation.
• PFMA knowledge.

Please note that if you have not received a response within 14 days of submitting your application that your application was unsuccessful.
However, please keep a lookout on our website, www.sixsense.co.za for available positions which may be inline with your career aspirations.