Claims Operations Manager

6 days ago


Johannesburg, South Africa Ultra Personnel Full time

Matric Certificate with Mathematics
Regulatory Exam and Higher Certificate in Short term Insurance - NQF 5
Degree in Law or Risk Management or similar is preferred
Leadership / Management Development Certification is preferred
Class of Business certification (Personal Lines & Commercial Lines)
Must be compliant with FAIS Fit and Proper requirements with track-record of supervising Reps
Experience in niche products such as Marine and Engineering highly beneficial
Computer literate Microsoft Word, Excel, and Outlook

The Claims Manager will be responsible for providing strategic direction and overall leadership in the total, large, and complex Short-Term Insurance Motor and Non Motor Claims process. This role operates in a deadline-driven environment, ensuring that all claims received are flawlessly assessed, evaluated, and investigated, within reasonably agreed turn-around times. The Manager ensures that claims are paid in accordance with policy cover and identifies and reports bad risks.

At least 12-15 years relevant work experience in Short-Term Insurance Claims validations and settlement for both Personal Lines and Commercial Lines Motor and Non-Motor claims
At least 8 years experience working for an Insurer/ Risk carrier in a managerial capacity essential
Experience required in process engineering strategy development and implementation, budget management, policy wording, claims guidelines and risk acceptance
The Claims Manager will be responsible for providing strategic direction and overall leadership in the total, large, and complex Short-Term Insurance Motor and Non Motor Claims process
This role operates in a deadline-driven environment, ensuring that all claims received are flawlessly assessed, evaluated, and investigated, within reasonably agreed turn-around times
The Manager ensures that claims are paid in accordance with policy cover and identifies and reports bad risks
The Claims Manager works closely with Senior Claims Management, and other operational business leaders to ensure that; estimates reserved are correct and reviewed quarterly, large movements are reported, and that files are complete at settlement
The Claims Manager is responsible for achieving optimal levels of efficiency of claims operating procedures so that highest standard of quality and customer service is maintained
The Manager ensures that ad hoc quality audits are performed on finalised claims files and implements corrective measures where unwanted findings occur.
Specialist level technical knowledge and understanding of relevant short term insurance policy wording required
Takes appropriate and calculated risks displaying high levels of integrity and transparency in decision making

**Key clients**
Brokers, internal staff and managers, service providers & policy holders



  • Johannesburg, South Africa Tree of New Beginnings Full time

    **Who we are** We’re different. We’re building digital insurance products that make people’s lives better through easy-to-use digital journeys, connected to clever AI algorithms, delivering world-first solutions to add true value to customers' lives. These innovations have resulted in partnerships with global giants like Google, multiple insurance...


  • Johannesburg, South Africa PPS Recruitment Full time

    **Job Advert Summary**: This is a senior position reporting to the CFO. This role will oversee the claims department responsible for the assessment and processing of Death, Sickness, Critical Illness and Hospital claims. If you have extensive experience in claims assessment in a life company, self-driven, confident to handle complex claims issues, possess...

  • Operational Manager

    14 hours ago


    Johannesburg, South Africa Munich Re Full time

    **Operational Manager - Life Claims Management**:Career Level 4 **Location**Johannesburg, South Africa Munich Reinsurance Company of Africa Limited (MRoA) has been operating in South Africa for over 50 years, although the Munich Re (Group) was active on the Continent via Munich Re in Munich for some years prior to commencing the Southern African operation...


  • Johannesburg, South Africa AIG Full time

    The Claims Operations Manager - South Africa, will report to the EMEA Head of Claims Operations with a matrix to the South Africa Head of Claims. This role will be responsible for claims governance & compliance, process optimization & continuous improvement, strategic execution, project delivery, claims system initiatives and where required, coordinate with...


  • Johannesburg, South Africa Absa Bank Limited Full time

    Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job...


  • Johannesburg, South Africa PPS Recruitment Full time

    **Job Advert Summary**: To effectively lead, guide, and manage the Operational Call Centers as directed by PPS Short Term Insurance. The role involves driving and delivering exceptional performance through maximum effectiveness in claims processing, underwriting, administration, and internal distribution to our members. This includes ensuring...

  • Claim Manager

    8 months ago


    Johannesburg, South Africa The Recruitment People Full time

    Gauteng _, JHB - Western Suburbs _ - Annually Cost To Company (Market related, Negotiable) _ - Our client, a specialised short-term insurance industry leader is looking for a Claims Manager to join their team in Roodepoort. _ **_Advert Title: _**_Claims Manager _ **_Subtitle: _**_Roodepoort _ **_Synopsis: _**: - Our client, a specialised short-term...

  • Claims Manager

    7 months ago


    Johannesburg, South Africa Insphired Recruitment Solutions Full time

    Our client in the Insurance industry is currently looking for a **Claims Manager** in Park Town, Johannesburg. **Responsibilities**: - Day to day management of staff. - Delegate and distribute workload as required. - Appraise and review performance targets/progress. - Staff recruitment and selection. - Manage efficiencies in department. - Claims strategy -...


  • Johannesburg, South Africa Trafalgar Property Management (Pty) Ltd Full time

    Trafalgar is the leading property rental agency across South Africa, letting and managing residential properties across all major metropolitan areas. Trafalgar has a wide selection of homes to rent, to suit all budgets, tastes and areas. Trafalgar offers full-service sectional title and home owners association (“HOA”) property management services across...


  • Johannesburg, South Africa PPS Recruitment Full time

    **Job Advert Summary**: A leadership role in the Life Operations team reporting to the Claims Manager. This role is responsible for managing a team responsible for assessing Sickness, Permanent Incapacity and Disability Claims as well as Case/Claims Management of ongoing claims. Ensure best practice and supporting the company in meeting its...


  • Johannesburg, Gauteng, South Africa Fidelity Services Group Full time

    Fidelity Services Group Job Description**Job Title:** Claims Administrator for CIT Operations**Location:** Gauteng, Johannesburg**Salary Estimate:** R250,000 - R350,000 per annumAbout the RoleWe are seeking a highly skilled and experienced Claims Administrator to join our team at Fidelity Services Group. The successful candidate will be responsible for...

  • Claims Manager

    1 month ago


    Johannesburg, Gauteng, South Africa Old Mutual Full time

    We are seeking an experienced Claims Manager to lead our strategic growth initiatives in the Claims function. This role will be responsible for developing and implementing a winning claims strategy that supports the growth and development of iWYZE business.Key ResponsibilitiesDevelop and manage a strategy and operating model for the Claims function that...

  • Senior Claims Manager

    4 months ago


    Johannesburg, South Africa Armstrong Appointments Full time

    Our client is seeking a hands-on high-level Senior Claims Manager that will be based in Johannesburg, South Africa, responsible for the professional handling of a broad portfolio of general property, engineering, mining, casualty / financial lines claims, underwritten in both retail and international wholesale markets. The position reports into the Head of...

  • Senior Claims Manager

    4 months ago


    Johannesburg, South Africa Armstrong Appointments Full time

    Our client is seeking a hands-on high-level Senior Claims Manager that will be based in Johannesburg, South Africa, responsible for the professional handling of a broad portfolio of general property, engineering, mining, casualty / financial lines claims, underwritten in both retail and international wholesale markets. The position reports into the Head of...

  • Manager: Claims

    7 months ago


    Johannesburg, South Africa Absa Bank Limited Full time

    Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job Summary Short...

  • Claims Manager

    7 months ago


    Johannesburg, South Africa Michelle Taylor Recruitment Full time

    Well established Logistics / Transport company seeking a Claims Manager. Experience required: - Matric - Relevant qualification will be advantageous - 5 years experience in **Claims, Logistics preferably Vehicle Carriers


  • Johannesburg, South Africa Aon Corporation Full time

    Posting Description: **Claims Relationship Manager** Extensive marine/mining claims management experience? Good with clients? Read on! Aon South Africa is recruiting a Claims Relationship Manager, based in the Claims Advocacy department at our offices in Sandton. This is a hybrid role. The role of the CRM is to maintain the relationship between the Aon...


  • Johannesburg, South Africa Aon Corporation Full time

    Posting Description: **Claims Relationship Manager** Extensive claims management experience? Good with clients? Read on! Aon South Africa is recruiting a Claims Relationship Manager, based in the Claims department at our offices in Sandton. This is a hybrid role. The role of the CRM is to maintain the relationship between the Aon claims department, the...


  • Johannesburg, South Africa Aon Corporation Full time

    Posting Description: **Claims Relationship Manager**: Extensive claims management experience? Good with clients? Read on! Aon South Africa is recruiting a Claims Relationship Manager, based in the Claims department at our offices in Sandton. This is a hybrid role. The role of the CRM is to maintain the relationship between the Aon claims department, the...

  • Claims Consultant

    7 months ago


    Johannesburg, South Africa Wellwishers Full time

    **Purpose of this role**: The purpose of this role is responsible to drive the formulation and implementation of the risk model and underwriting philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with relevant stakeholders, and utilise their skills, knowledge and experience to make appropriate and...