Senior Claims Investigation Manager
5 days ago
Reference: PE -LS-1 Our client in the Insurance / Financial Services industry is currently looking to employ a Senior Claims Investigation Manager based in Bryanston (Johannesburg). A wonderful career opportunity awaits you. Duties & Responsibilities Requirements: Completed Tertiary Qualification. Minimum of 5 to 10 years' experience in a similar or related role. Previous people management experience (Leadership Roles) - advantageous. Registration as a representative with the FSCA in terms of the FAIS Act – advantageous. Strong proficiency in Microsoft Excel and Internet navigation. Manage a high volume of claim reviews in a fast-paced environment. Ability to teach and coach junior team members. Time management. Results driven - history of consistently meeting targets. Ability to work under pressure. Analytical, negotiation, decision-making and problem-solving skills. Effective communication skills, both oral and written. Ability to work independently and as a member of a team. Strong process improvement and data analytics skills. Enjoy working within a team environment. Responsibilities and expectations include but are not limited to: Technical expert whose primary focus is driving a team of 5 desktop investigators (technicians) to achieve the required results. Oversight and management of the team. Conduct regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation techniques. Ensure team members achieve set targets and maintain quality standards through monitoring and course correction of daily performance. Provide effective leadership to create a team committed to the overall vision of the company. Perform performance management, offering continuous feedback to employees on strengths and development areas. Responsible for capacity planning of the team. Motivate and inspire team members, fostering consistent high performance. Recommend and implement best practices to ensure adherence to company policies and insurance industry regulations throughout the claims investigation process. Maintain a strong professional knowledge of claims regulatory and legal environments. Serve as a claims technical resource, providing guidance and support to desktop claim investigators. Coach or train less experienced desktop claim investigators and contribute to shaping training for the claims teams. Provide insights and enhancements to the claims process. Package & Remuneration Monthly #J-18808-Ljbffr
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Senior Claims Investigation Manager
1 week ago
Johannesburg, South Africa Headhunters Full timeReference : PE Our client in the Insurance / Financial Services industry is currently looking to employ a Senior Claims Investigation Manager based in Bryanston (Johannesburg). A wonderful career opportunity awaits you. Responsibilities Manage a high volume of claim reviews in a fast‑paced environment. Drive a team of 5 desktop investigators (technicians)...
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Senior Claims Manager
4 days ago
Johannesburg North, South Africa Network Building and Talent Acquisition Full timeYou will spearhead a dynamic team tasked with delving into motor claims investigations. In this pivotal role, thorough examinations of claims are conducted, to guarantee strict compliance with Company SOP’s and Regulatory mandates. Positioned at a senior level, the emphasis lies on propelling continuous enhancements, eradicating discrepancies, minimizing...
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Claims Assessor and Investigator
2 weeks ago
Johannesburg, South Africa Sanlam Full timeMWL is dedicated to supporting, growing and empowering clients with affordable, simple, and suitable solutions, primarily through telephonic intermediary channels. We have approximately 120 tied sales agents, all dedicated to meeting the financial needs of our clients and prospective clients. MiWayLife’s vision is to establish a world-class direct...
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Strategic Claims Investigation Team Lead
1 week ago
Johannesburg, South Africa Headhunters Full timeA recruitment agency is seeking a Senior Claims Investigation Manager based in Bryanston (Johannesburg). The role involves managing high volumes of claims, leading a team of investigators, and ensuring quality standards are met. Candidates should have 5-10 years of experience, strong leadership skills, and proficiency in Microsoft Excel. This is a great...
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Claims Manager/risk Manager
2 weeks ago
Johannesburg, South Africa Exclusively Remote Full timeRisk Manager specializing in the Healthcare Industry. This RM will be overseeing a team for claims management and claims consulting. Employee will have oversight of Risk Management policies and procedures and streamline the implementation and training of company employees. Employee should be knowledgeable in investigating and evaluating claims, determining...
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Senior Claim Handler
4 days ago
Johannesburg, Gauteng, South Africa Interdot Solutions Full time R400 000 - R800 000 per yearOverview:We are seeking a skilled Senior Claims Handler to join our client in the Insurance industry. The ideal candidate will have a strong background in insurance claims processing from registering to payment stage, exceptional communication skills, and a commitment to providing outstanding customer service.Responsibilities:Evaluate insurance claims...
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Specialist Investigator
6 days ago
Johannesburg, South Africa Nedbank Full time**Requisition Details & Talent Acquisition Consultant** - REQ 136707 Thembi Mtshali- Location: Johannesburg- Closing date: 11 November 2024- Job Family- Risk, Audit and Compliance - Career Stream- Forensics - Leadership Pipeline- Manage Self: Professional - FAIS Affected**Job Purpose** - To conduct complex and high-profile investigations by following...
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Senior Officer
4 weeks ago
Johannesburg, South Africa Road Accident Fund Full timeJob title: Senior Officer: Forensics Investigation x3 Job Location: Gauteng, Johannesburg Deadline: November 11, 2025 Purpose of the Job The Senior Officer: Forensics Investigation is responsible for the investigation of irregular business activities including misconduct by RAF employees and crime against the RAF. Key Performance Areas Conducting...
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Executive Head: Claims
1 week ago
Johannesburg, South Africa Sanlam Full time**OPPORTUNITY** - Santam Broker Solutions has a position available for an Executive Head of Claims at senior management level preferably based in Johannesburg. The position reports to the Chief Executive Officer of Broker Solutions.**WHAT WILL YOU DO** - To provide strategic and operational direction to optimise and manage the end-to-end claims value chain...
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Investigator Internal Control
7 days ago
Johannesburg, South Africa PPS Group Full time**Main duties and responsibilities**: Forensics Investigations: - Aiding with detecting and investigating fraud and suspected fraud and abuse within PPS, from initiation to finalisation of court cases. This would include the interviewing of witnesses and suspects as well as the examination of supporting evidence and documentation - Assisting with the...