Manager: Claims
2 weeks ago
Select how often (in days) to receive an alert: Create Alert
Location:
Bellville, Western Cape, South Africa
A great career opportunity exists in Santam Reinsurance's team in Cape Town for a Claims Manager (Inwards).
What will make you successful in this role?This role will be responsible for overseeing and managing the processing, validation and settlement of reinsurance claims received from ceding companies.
This person will ensure that claims are handled efficiently, accurately and in compliance with company policies and regulatory requirements.This role requires strong analytical skills, managerial experience, attention to detail and the ability to effectively communicate with internal as well as external stakeholders.
Claims processing Review and assess reinsurance claims received from ceding companies / brokers, ensuring accuracy and completeness of documentationInvestigation:
conduct thorough investigations into complex or disputed claims, gathering relevant information and collaborating with internal teams and external parties as necessary
Settlement:
Negotiate claims settlement with ceding companies / brokers, considering policy terms, coverage limits and any applicable internal policies and/or regulation
Documentation:
maintain accurate and up to date claims files, including all correspondence, reports and supporting documentation
Reporting:
prepare regular reports on claims activity, including status updates, trends and financial analysis for management and other stakeholders (as the case may be)
Claims framework:
Draft and drive claims settlement philosophy framework which will include mandates and thresholds for claims handling and settlement processes
Compliance:
ensure compliance with reinsurance contract, internal policies, regulatory requirements and industry best practices in claims handling. Drive Group claims policy implementation.
Relationship management Build and maintain strong relationships with ceding companies, brokers, internal and external stakeholders.
Serving as the primary point of contact for claim related enquiries and interface with internal Finance and Underwriting teams and external parties.
Process improvement:
Identify opportunities for process improvements and efficiency gains in claims handling, implementing changes as necessary to optimize operations. Analyze trends relative to territory, implement and improve efficiencies including by way of dashboards and other metrics and indicators.
Identify and communicate emerging market, cedant, broker and claim trends and patterns in claims frequency, severity, types of loss and potential implications for businessStrategy:
effectively set, implement, drive and manage strategy and targets as projected for the business area
General management and leadership:
Lead and manage a team of claims specialists and administrators. This will include managing employee engagement, well-being, recruitment, performance management and other line management functions.
Qualifications & ExperienceAppropriate Bachelors Degree at minimumTen or more years of experience in reinsurance claims management, with focus on inwards reinsurance.
Five or more years of experience in a managerial position or function.SkillsDetail orientated with focus on accuracy and quality.
Ability to work independently and collaboratively in a fast paced environment.
Strong organizational and time management skills, with the ability to prioritize and multitask effectively.
Adaptability and resilience in handling changing priorities and deadlines.
Professionalism and integrity in all interactions and decision making processes. Strong analytical and problem-solving skills, with the ability to evaluate complex claims and make sound decisions.
Excellent communication and negotiation skills, both written and verbal.
Proficiency in Microsoft Office suite and claims management software.#J-18808-Ljbffr
-
Motor Claims Consultant
2 weeks ago
South Africa The Recruitment Council Full timePrimary purpose of the position: Join an esteemed Financial Services company, who's on the hunt for a Motor Claims Consultant. You will need to ensure that the expectations of existing insurance clients are identified and met in the event of a claim, and to process claims swiftly and efficiently. To keep the client's Brand Promise of meeting and exceeding...
-
Claims Technician
2 weeks ago
South Africa Independent Appointments Full timeNorth West: Greater Manchester, Lancashire. Job ReferenceDFP52406Job ProfileA renowned National Loss Adjusting Organisation are now seeking an experienced Loss Adjuster Technician to join a growing team. The role will be working from the office, full time, Monday to Friday. Key Responsibilities: You will provide support to the Adjusters and working actively...
-
Claims Handler Subsidence
2 weeks ago
South Africa Independent Appointments Full timeJob ReferenceDFP52335Job ProfileClaims Handler Subsidence, up to £28,000 per annum - remote workingDue to internal promotions, a renowned National Loss Adjusting Organisation are now seeking an experienced Claims Handler to join their specialist Subsidence Team where you will proactively manage and be responsible for your own caseload of subsidence...
-
Living Benefits Claims Consultant
2 weeks ago
South Africa Sanlam Limited Full timePress Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Create Alert Location: Bellville, Western Cape, South Africa Who are we? The Sanlam Retail Affluent business (SRA) is dedicated to empower South Africans in the middle- and upper-income segments to be financially confident, secure and prosperous. With deep client...
-
First Line Manager: Death Claims
2 weeks ago
South Africa Sanlam Limited Full timePress Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Create Alert Location: Bellville, Western Cape, South Africa Who are we? The Sanlam Retail Affluent business (SRA) is dedicated to empower South Africans in the middle- and upper-income segments to be financially confident, secure and prosperous. With deep client...
-
South Africa Sanlam Limited Full timePress Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Create Alert Select how often (in days) to receive an alert: Insured Claims Handler: Recoveries and Liabilities (JG9)Location: Bellville, Western Cape, South Africa CAREER OPPORTUNITYSantam Specialist Claims Services has a position available for a CLAIMS HANDLER who...
-
Claims Assessor
2 weeks ago
Sandton, City of Johannesburg Metropolitan Municipality, Gauteng, , South Africa FreeRecruit Full timeResponsibilities and work outputs Contribute to the ongoing enhancement and execution of the claims assessment methodology across Critical Illness, Income Protection and Lump Sum Disability benefit lines.Approves or declines claim submissions without supervision within company guidelines.Selects and accepts major risks on behalf of the company, evaluating...
-
Claims Assessor
4 weeks ago
Sandton, City of Johannesburg Metropolitan Municipality, Gauteng, 2031, South Africa FreeRecruit Full timeResponsibilities and work outputs Contribute to the ongoing enhancement and execution of the claims assessment methodology across Critical Illness, Income Protection and Lump Sum Disability benefit lines.Approves or declines claim submissions without supervision within company guidelines.Selects and accepts major risks on behalf of the company, evaluating...
-
Claims Assessor
2 months ago
Sandton, City of Johannesburg Metropolitan Municipality, Gauteng, 2031, South Africa FreeRecruit Full timeResponsibilities and work outputs Contribute to the ongoing enhancement and execution of the claims assessment methodology across Critical Illness, Income Protection and Lump Sum Disability benefit lines.Approves or declines claim submissions without supervision within company guidelines.Selects and accepts major risks on behalf of the company, evaluating...
-
Area Manager
2 weeks ago
South Africa Sanlam Limited Full timePress Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Create Alert Location: Bloemfontein, Free State, South Africa Assume the overall responsibility for growth and profitability of Crop Insurance in the designated area, keeping and expanding contact with the clients, in line with Santam and Broker objectives. Provide...
-
Senior Project Manager/ Technical Lead
2 weeks ago
South Africa Communicate Finance Full timeJob description:Oversee the technical aspects of multiple HVAC projects, including both design and implementation phasesLead the design and execution of large-scale industrial HVAC applicationsPromote technical best practices within the office, including researching new methods and processesHandle estimation and cost control and assist with project tendering...
-
Project Manager
2 weeks ago
South Africa Black Tie Recruit Full timeMy client in Kwazulu-Natal has a vacancy for a PROJECT MANAGER with Civil/Structural contract management experience in their KZN officeKey Responsibilities:Contract Management of civil & structural infrastructure for Building services (Internal wetKey Requirements:Professional registration with ECSA as Pr Eng/Tech or with SACPCMP as a Pr. CPM. Minimum B.Sc /...
-
Rta Lawyer
2 weeks ago
South Africa Rbuk Legal Limited Full timeExperience: - 4 years of experience requiredJob Type: Full TimePosition DescriptionA growing law firm in Macclesfield is seeking an experienced RTA lawyer to join their team. This is an excellent opportunity for a dedicated legal professional to advance their career within a supportive and dynamic firm.Key Responsibilities: Manage a diverse caseload of RTA...
-
Contract Manager
2 weeks ago
South Africa Palesa Mbali Group Full timeRESPONSIBILITIESResponsible for all contracts of the company in pre-contract phase and execution phase, and supervision of all company's projects.Contracts Management in pre-contract phaseAnalyses the conditions of the contract, put forward countermeasures, review bidding documents, and chair the contract negotiation in the bidding process.Drafts and...
-
Warranty And Costing Clerk
2 weeks ago
South Africa Hire Resolve Full timeHire Resolve's client in the Vehicle Industry in Shelley Beach, is urgently seeking a Warranty and Costing Clerk. You will be responsible for managing warranty claims and performing costing activities for the service department. This role requires strong attention to detail and excellent organizational skills.Responsibilities:Manage warranty claims from...
-
Receiving Manager
2 weeks ago
South Africa Dis-Chem Pharmacies Full timeDis-Chem Pharmacies requires a Receiving Manager for their Walmer Park - Port Elizabeth Store. You will be responsible for managing the accurate receiving of incoming goods delivered to the branch, and facilitating the efficient flow of goods to the trading store.Minimum Requirements:Essential:Grade 12 / MatricMinimum of 3 years' relevant retail receiving...
-
Group Corporate Benefit Specialist
2 weeks ago
South Africa Staff Solutions Full timeQualifications and Requirements:Matric FAIS Qualification an advantageExperience working in the insurance industryDuties :General : Obtain relevant information to draft proposals to clientsAttain various quotations from the providersAttend appointment with broker to offer products, assist with queries and give specialist insights and advice on types of...
-
South Africa / Africa Professional Career Services Full timeEmployer Description Our client is a multidisciplinary, international award-winning construction company Job Description You will be flexible to work anywhere in South Africa You will have extensive heavy concrete experience inclusive of mining infrastructure/power plants/water retaining structures/dams You will have experience on mining projects You will be...
-
South Africa / Africa Professional Career Services Full timeEmployer Description Our client is a multidisciplinary, international award-winning construction company Job Description You will be flexible to work anywhere in South Africa You will have extensive heavy concrete experience inclusive of mining infrastructure/power plants/water retaining structures/dams You will have experience on mining projects You will be...
-
Project Manager
2 weeks ago
South Africa Communicate Finance Full timeThe Project Manager will be responsible for the successful implementation of all renewable energy projects undertaken by the company, including project managing the engineering, procurement, and construction stages of the implementation phase.Skills & Experience:Reviewing project pipeline in terms of available company and sub-contractor resources.Review...
