Job Description

Job Summary

Our esteemed PMB Client is actively seeking a talented Claims Manager to become an integral part of their dynamic team.

THE MAIN RESPONSIBILITIES OF THE ROLE INCLUDES:

The Claims Manager will be responsible for efficiently handling and negotiating all claims within the designated mandates and insurers/third-party service level agreement (SLA) arrangements, which includes RI claims. They will be the primary point of communication with brokers and clients throughout the claims process for the allocated portfolio. Building and maintaining strong working relationships with brokers, colleagues, and service providers is a key aspect of the role. The manager will also engage in claim settlement negotiations with brokers and clients, ensuring the correct application of policy wording. Any broker or client queries, including rejection letters, will be promptly addressed and resolved. Additionally, the manager will attend compliance meetings with brokers, disseminating relevant changes to the team. To stay compliant with legislation and continuous professional development (CPD), they will register for and complete product training. Taking claims from notification to conclusion, the manager will facilitate the process by sending claim forms to clients, registering new claims, and sourcing relevant schedule, premium, and applicable excess information. They will meticulously check and approve settled claims for the entire department.

THE QUALIFICATIONS AND EXPERIENCE WE ARE LOOKING FOR:

• Minimum 5 to 7 years of relevant experience in claims handling or claims management.
• Previous experience in a similar role within the insurance industry, preferably in claims management or claims handling.

THE COMPETENCIES WE REQUIRE ARE

• Proficiency in the MS Office Suite with excellent Outlook, Excel, and Word skills.
• Adherence to the FSCA Fit and Proper requirements.
• Working knowledge and understanding of statutory and legislative requirements, e.g., Short-term Insurance Act/FAIS/Fit and Proper etc (advantageous).

If you meet all of the above, please send your CV to Please note due to high volume responses, only candidates that meet the advertised criteria will be contacted.

Pronel Consultants

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