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Short-Term Claims Manager (RE5 and FAIS) - Pretoria East

Talent Evolution (Pty) Ltd
Pretoria Full-day Full-time

Description:

Role Overview

The Short-Term Claims Manager is responsible for overseeing the full spectrum of claims operations, including First Notification of Loss (FNOL), processing, assessment, and resolution across multiple short-term insurance lines (e.g., building, contents, and portable possessions). This role is central to driving customer satisfaction, operational efficiency, and compliance, while building a high-performing, accountable claims team.

The successful candidate will combine technical insurance knowledge with strong leadership, process improvement capability, and data-driven decision-making. This is a strategic, high-impact role for someone with a passion for operational excellence and innovation in claims management.

Key Responsibilities

  • Lead day-to-day claims operations across multiple functions and insurance lines.

  • Ensure claims processes adhere to SLAs, KPIs, and regulatory standards (FAIS, TCF).

  • Continuously improve claims workflows, leveraging system capabilities and process innovation.

  • Use management information (MI) and dashboards to monitor performance and identify areas for improvement.

  • Handle high-risk, complex, or escalated claims in a professional and timely manner.

  • Collaborate with external vendors, assessors, and service providers to ensure effective and cost-efficient claims fulfilment.

  • Monitor and analyse claims trends, flagging risk and recommending corrective actions.

  • Promote a performance culture through strong people management, coaching, and development plans.

  • Support strategic business initiatives, including budgeting, reporting, and audit preparation.

  • Foster a culture of service innovation, accountability, and compliance within the claims team.

Requirements:

  • Lead day-to-day claims operations across multiple functions and insurance lines.

  • Ensure claims processes adhere to SLAs, KPIs, and regulatory standards (FAIS, TCF).

  • Continuously improve claims workflows, leveraging system capabilities and process innovation.

  • Use management information (MI) and dashboards to monitor performance and identify areas for improvement.

  • Handle high-risk, complex, or escalated claims in a professional and timely manner.

  • Collaborate with external vendors, assessors, and service providers to ensure effective and cost-efficient claims fulfilment.

  • Monitor and analyse claims trends, flagging risk and recommending corrective actions.

  • Promote a performance culture through strong people management, coaching, and development plans.

  • Support strategic business initiatives, including budgeting, reporting, and audit preparation.

  • Foster a culture of service innovation, accountability, and compliance within the claims team.

  • Claims Manager: 2 to 3 years
  • Short-Term: 2 to 3 years
  • 5–10 years of experience in short-term insurance claims, with at least 3 years in a leadership or operational management role.

  • Deep expertise in home/property insurance products and the complete claims lifecycle.

  • Proficiency with claims systems, reporting tools, and operational dashboards.

  • Proven experience managing large, multi-functional teams.

  • Demonstrated success in achieving business objectives through process optimisation and performance management.

  • Strong understanding of regulatory compliance, governance, and risk management frameworks in the insurance industry.

  • Strategic thinker with the ability to drive operational transformation.

  • Strong leadership and people development skills.

  • Confident decision-maker who thrives in fast-paced, results-driven environments.

  • Excellent communication and collaboration abilities.

  • Analytical and metrics-oriented, with a proactive problem-solving mindset.

  • Customer-focused, with a high standard of professionalism and integrity.

Requirements

  • 5–10 years of experience in short-term insurance claims, with at least 3 years in a leadership or operational management role.

  • Deep expertise in home/property insurance products and the complete claims lifecycle.

  • Proficiency with claims systems, reporting tools, and operational dashboards.

  • Proven experience managing large, multi-functional teams.

  • Demonstrated success in achieving business objectives through process optimisation and performance management.

  • Strong understanding of regulatory compliance, governance, and risk management frameworks in the insurance industry.

Key Attributes

  • Strategic thinker with the ability to drive operational transformation.

  • Strong leadership and people development skills.

  • Confident decision-maker who thrives in fast-paced, results-driven environments.

  • Excellent communication and collaboration abilities.

  • Analytical and metrics-oriented, with a proactive problem-solving mindset.

  • Customer-focused, with a high standard of professionalism and integrity.

Should you not receive a response within 10 working days, please consider your application unsuccessful.

13 May 2025;   from: careers24.com

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