Manager: Claims and Contract Wording

**Who are we?**

Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is centred on our delivery of Insurance Good and Proper.

**What will you do?**- The role of the Reinsurance Claims and Contract Wording Manager is to:

- Oversee and manage the processing, validation and ultimate recovery of reinsurance claims received from the various Santam Business Units.
- Ensure that reinsurance claims recoveries are handled efficiently, accurately and in accordance with the various reinsurance treaty coverages.
- Review and assess the Santam Group reinsurance treaty coverages.

KEY ACCOUNTABILITIES AND RESPONSIBILITIES WILL INCLUDE:

- Reinsurance Treaty wordings review. Review and assess reinsurance treaty coverage for +/- 50 reinsurance treaty wordings
- Review direct policy wording together with the various Business Units. Review direct policy wordings to ensure alignment with applicable treaty coverages.
- Review of broker Service Level Agreements (SLAs). Review broker SLAs in collaboration with Group Legal and Compliance Offices to ensure that these agreements accurately reflect the trading relationship between Santam and contracted reinsurance brokers.
- Market intelligence. Analyse and communicate trends in local and international (re)insurance law
- Claims framework. Draft and drive claims recovery philosophy framework which will include mandates and thresholds for claims handling and settlement processes
- Claims processing. Review and assess reinsurance claims received from business units, ensuring accuracy and completeness of documentation.
- Investigation. Conduct thorough investigations into complex or disputed claims, gathering relevant information and collaborating with internal teams and external parties as necessary.
- Recoveries. Negotiate reinsurance claims recoveries with reinsurers/ reinsurance brokers.
- 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).
- Stakeholder engagement. Build and maintain solid relationships with internal and external stakeholders.
- Process optimisation. Identify process improvements to continuously optimise operational deliverables.

**What will make you successful in this role?**
- QUALIFICATIONS, KNOWLEDGE AND EXPERIENCE
- Minimum Requirements:

- Bachelor’s degree in commerce or related field (Law degree advantageous)
- At least 5 years reinsurance claims experience within a leadership role
- At least 3 years of in-depth experience in reinsurance contract wording
- Professional qualification in (re)insurance (for example, FCII, FIISA)

**Our commitment to transformation**
- Santam is the market leader in the general insurance industry in Southern Africa. As a large, diversified, and expanding company, we are committed to transformation and growth. While our headquarters are in South Africa, we are rapidly extending our presence into emerging markets across Africa and Asia.
- With a client base of over 1 million policyholders, Santam serves individuals, commercial enterprises, specialist business owners, and institutions—including 80 of the Top 100 companies listed on the JSE. Our commitment to Insurance, Good and Proper goes beyond just providing cover—we offer peace of mind, ensuring our clients can focus on living in the moment, not worrying about the unexpected. Because at Santam, we believe the freedom to seize every day is worth protecting.
- People drive our business, and we are committed to attracting the best talent, whether for permanent roles or short-term opportunities.

The Sanlam Group is committed to achieving transformation and embraces diversity. This commitment is what drives us to achieve a diverse, inclusive and equitable workplace as we believe that these are key components to ensuring a thriving and sustainable business in South Africa. The Group's Employment Equity plan and targets will be considered as part of the selection process.