Durban: Claims Manager posted by Hire Resolve

Claims Manager

A reputable and well-established short-term insurance provider is seeking a highly skilled and analytical Claims Manager to oversee their claims department. This role is ideal for a seasoned insurance professional with deep expertise in personal and commercial lines, strong technical litigation knowledge, and a proven track record of handling complex or high-value claims efficiently.

Key Performance Areas:

• Claims Operations Oversight: Manage and streamline the end-to-end claims lifecycle for personal lines, commercial lines, and niche insurance portfolios.

• Complex & High-Value Claims: Evaluate, investigate, and authorize large or complex claims, ensuring accurate reserving and minimizing leakage.

• Litigation & Dispute Management: Oversee claims heading into legal processes, managing relationships with legal advisors, and resolving technical disputes or complaints.

• Vendor & Service Provider Management: Monitor the performance of external assessors, investigators, and repair networks to ensure high-quality, cost-effective service delivery.

• Compliance & Mandate Enforcement: Ensure all claims processing strictly adheres to internal mandates, service level agreements (SLAs), and statutory insurance regulations.

• Team Leadership: Provide guidance, technical support, and mentorship to junior claims technicians and administrators.

Minimum Requirements:

• Professional Qualifications: * Successful completion of the Regulatory Examination for Representatives (RE5).

  • Full FAIS compliance status (credits aligned with short-term insurance mandates).

  • A recognized qualification in Short-Term Insurance (NQF Level 4 or higher / COP / ICI).

• Professional Experience: * Minimum of 5 to 10 years of experience within a short-term insurance claims environment.

  • Proven experience managing or supervising a claims team or a complex technical portfolio.

  • Strong experience dealing with litigation, repudiations, and high-value commercial settlements.

• Technical Skills: * In-depth knowledge of policy wordings, underwriting principles, and the short-term insurance legal framework.

  • Proficiency in standard insurance management systems and Microsoft Office.

• Attributes: Exceptional negotiation skills, strong conflict resolution capabilities, and meticulous attention to detail.

Contact Hire Resolve for your next career-changing move.

Our client is offering a highly competitive salary for this role based on experience.

Apply for this role today, contact Lidene Pienaar at Hire Resolve or on LinkedIn.

You can also visit the Hire Resolve website: .zae.us

or email us your CV: .za

We will contact you telephonically in 3 days should you be suitable for this vacancy. If you are not suitable, we will put your CV on file and contact you regarding any future vacancies that arise.