Claims Manager

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 and technical claims expertise to oversee the end-to-end claims function. The successful candidate will be responsible for managing claims operations, leading a claims team, ensuring regulatory compliance and maintaining high service delivery standards while managing financial risk.

• Oversee the complete claims lifecycle, from initial notification through to final settlement.
  
• Manage complex and high-value claims, providing technical guidance and strategic direction.
  
• Establish, monitor and maintain claims performance standards in line with operational objectives and regulatory requirements.
  
• Oversee claims investigations and validate coverage, liability and settlement decisions.
  
• Lead, manage, mentor and develop the claims team.
  
• Provide ongoing training on claims handling techniques, procedures and legislative requirements.
  
• Conduct performance evaluations, set individual objectives and monitor team performance.
  
• Develop and implement claims strategies and policies aimed at controlling costs and ensuring compliance.
  
• Analyse claims data, prepare performance reports, forecast claims volumes and identify potential risks.
  
• Build and maintain effective relationships with internal and external stakeholders, including brokers, clients, loss adjusters and service providers.
  
• Handle escalated complaints and disputes while ensuring a high level of client satisfaction.
  
  

Requirements

• Matric certificate.
  
• NQF Level 4 or NQF Level 5 qualification in Short-Term Insurance.
  
• Minimum of 8 years' claims handling experience, within motor or non-motor claims.
  
• Strong technical understanding of policy interpretation, liability assessments and claims settlements.
  
• Proven experience managing teams, workloads and operational performance.
  
• Experience working with claims processes, Service Level Agreements (SLAs), Key Performance Indicators (KPIs) and turnaround times.
  
• Demonstrated experience handling escalations, complaints and complex or high-value claims.
  
• Experience engaging with brokers, clients, loss adjusters and external service providers.
  

Advantageous Qualifications

• Degree or Diploma in Insurance, Risk Management or Business Administration.
  
• Additional qualification in Management or Business Leadership.
  
• RE5 certification.