5 Claims Adjuster jobs in Cape Town
Insurance Claims Assistant Manager
Posted today
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Job Description
Requirements:
- Grade 12
- Clear criminal and credit record.
- Advantageous:
- Knowledge of microinsurance claims and complaints regulations,
- Knowledge of Treating Customers Fairly principles,
- Additional South African Languages,
- Knowledge of Lewis Stores processes and procedures.
Ideal Experience:
- 3 years + experience in a managerial position (incl assistant management position)
- Claims and Complaints handling.
Competencies:
- Proficient in English
- Computer literate in MS Office (Word, Outlook and Excel)
- Proficient communication skills verbally and written
- Able to manage a team effectively
- Attention to detail
- Self-motivated, committed and a driver of performance
- Disciplined in meeting deadlines and agreed targets
Responsibilities:
Insurance claims – MANAGE CLAIMS ASSESSMENT team, REVIEW ASSESSMENT, assist & REPORT:
- Reporting into the Insurance Claims Manager.
- A team of Customer Protection Insurance claims clerks will report into you.
- Review and approve the assessment of authorised, declined or queried Customer Protection Insurance claims.
- Monitor daily claims reports and assist claims clerks to resolve difficult claims that are not being finalised.
- Ensure that the 48-hour SLA report and Pending Preview report is cleared daily by the claims team.
- Ensure that the Pending Complete report is followed-up and cleared daily and where required follow-up with Lewis Stores Branch Accounts regarding outstanding journals.
- Ensure that the Stock Replacement report is followed-up daily and escalate goods replacements with Lewis Stores senior management where required.
- Monitor the Claims Indexing clerk's workload through the incoming claims mailbox and Papertrail indexing queue and ensure that emails and incoming documents are cleared daily.
- Manage and guide the claims clerks daily to finalise claim assessments efficiently when dealing with queries, follow-up, goods replacements etc. as the claims team works with customers lodging a claim, branch operational staff, and/or head office branch accounts.
- Monitor claims follow-up processing ensuring approved processes and procedures are followed.
- Ensure that claim escalations or disputes are referred to Monarch senior management in a timely manner.
- Prepare and attend daily/weekly claims meetings with your claims team and management.
- Monitor claims team in line with the criteria documented in the monthly / quarterly staff incentive letters.
- Assist senior management with queries and / or follow-up requests from the insurance regulator (PA / FSCA), the National Finance Ombuds Scheme, South African Insurance Association (SAIA), South African Special Risks Insurance Association (SASRIA) etc.
- Assist with providing information on claims queries received from e.g.: the Lewis Stores finance department, Lewis Stores Internal Audit department or management.
STAFF MANAGEMENT – CLAIMS
- Monitor daily attendance and report to Insurance Claims Manager incorrect clock-ins where required.
- Monitor and request overtime and leave requests with the Insurance Claims Manager.
- Assist the Insurance Claims Manager to conduct interviews for claim clerk vacancies when necessary.
- Attend to daily staffing needs and queries.
- Assist with further developments/improvements where necessary.
- Identify areas of training needs.
Job Type: Full-time
Work Location: In person
Short-term Insurance Claims Administrator, Pinelands
Posted today
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Job Description
We’re seeking a detail-oriented and customer focused Short-term Insurance Administrator with a minimum of 3 years’ experience. The ideal candidate will have a solid understanding of short-term insurance products, policies and administrative processes, as well as strong client service skills. This is a 4-month maternity cover contract based in Pinelands, Cape Town.
Requirements :
- 3 years’ experience
- FAIS compliant
- Strong knowledge of short-term insurance products and legislation
- Excellent communication and customer service skills
- High attention to detail and accuracy
- Able to take up 4-month maternity contract
Bonuses :
Benefits :
Responsibilities :
Forward a detailed CV immediately so as to ensure you don’t miss out on this amazing opportunity!
Should you not hear from us within 10 working days, please consider your application to have been unsuccessful. We will keep your details for future placements – unless you advise that you wish for us to discard your details.
#J-18808-LjbffrShort-term Insurance Claims Administrator, Pinelands
Posted today
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Job Description
Are you a seasoned Short-term Insurance Claims Administrator with a passion for precision and client service? We’re looking for a dynamic individual to step into a 4-month maternity cover role at a leading short-term insurance provider.
Location: Pinelands, Cape Town
Duration: 4-month fixed-term contract
Start Date: Jan 2026 – Apr 2026
Key Requirements:
- Minimum 3 years’ experience in short-term insurance claims administration
- Valid RE5 certification
- NQF Level 5 qualification in insurance or related field
- Strong attention to detail and ability to manage claims efficiently
- Excellent communication and client service skills
Responsibilities:
- Administer and process short-term insurance claims efficiently and accurately
- Liaise with clients, insurers, service providers and internal teams to ensure smooth claims resolution
- Ensure compliance with regulatory and company standards
- Maintain accurate records and documentation
- Support the sales team with policy updates and client queries
If you're ready to hit the ground running and make an impact, we’d love to hear from you!
Should you not hear from us within 10 working days, please consider your application to have been unsuccessful. We will keep your details for future placements – unless you advise that you wish for us to discard your details.
Commercial Insurance Claims Consultant Cape Town market related
Posted 11 days ago
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Job Description
Claims Administration
Administer complete claims process according to defined claims procedures until claims are settled.
Apply policy terms and conditions.
Make assessment of claims validity and estimate value and administer mandated claims.
Act as intermediary between insurer and client and timeously relay communication, requests and documentation.
Engage with insurers regarding recoveries, diarise follow-ups and keep clients informed.
Ensure productivity targets are met.
Contribute towards and ensure continuous improvement in own and team performance.
Adhere to company mandates.
Participate and contribute in ad hoc projects.
Report any suspected fraud, misrepresentation and/or dishonesty.
Keep accurate record of own activities.
RE 5 A MUST
MATRIC A MUST
CREDITS WOULD BE GREAT
Salary: R20 000 - R25 000
- HR Services, Recruitment & Selection
Claims Manager - Long-term insurance
Posted 11 days ago
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Job Description
NOTE: This is a hybrid position - 2 days in the office and 3 days at home
Our client, an international global life and health reinsurance company, is urgently looking for a Claims Manager to be responsible for the day-to-day management of the claims administration team. This role ensures that the South Africa-based Treaty and Facultative business is administered appropriately and accurately in line with treaty specifications.
Duties & ResponsibilitiesIn order to be considered the following is required:
- Bachelors degree / qualification would be advantageous
- Minimum of 5 years previous experience in a team leader role
- 5 years experience in the life insurance industry
- Proven track record of coaching, developing, and mentoring direct reports
- Strong IT skills with a good understanding of MS Excel
- Superior oral and written communication and presentation skills
- Effective interpersonal skills; ability to interact with employees at all levels and across different departments
- Ability to focus on priorities, targets, and deadlines
- Ability to plan and manage resources within the team, handling several projects at once and delivering them to agreed schedules
Responsibilities:
- Ensure that claims relating to SA business are administered appropriately through the chain of companies, external retro companies, and the International Retro Pool
- Manage the work which includes tracking and reporting on progress
- Document claims processes and procedures, indicating where any variation exists, either by country, system, or client
- Ensure that the company’s claims administration standards and time service requirements are applied to the handling of all business received
- Provide claims administration data for input to accounting records, valuation systems, and regulatory returns
- Ensure claims administration data is provided to retrocession clients, including International Retro Pool, in a timely and accurate manner
- Undertake client audits, assurance reviews, and visits, engaging with Internal Audit to ensure risks are handled/mitigated appropriately
- Seek feedback from other departments who interact with the claims administration team
If you would like to email your CV directly – please send it to
Package & RemunerationPlus Medical Aid and Provident Fund
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