214 Claims Manager jobs in South Africa

Bsure Insurance Advisors is one of South Africa's most progressive and people-centric brokerages. We partner with a multitude of insurers and handle key binder functions across underwriting, claims management, and renewals — all while maintaining an obsessive focus on service, empowerment, and culture.

We don't micromanage. We believe in accountability, execution, and ownership. Our leaders operate with autonomy and integrity, constantly looking for better ways to structure, improve, and evolve the business.

We are looking for a dynamic, hands-on Head of Claims with 6–10 years' experience in the short-term insurance industry, the majority of which should be within the claims environment. You'll bring both leadership and operational depth — someone who can drive strategy and lead teams, but who also understands the nuances of claims workflows, client service, and insurer engagement.

This is a role for someone who thrives in a fast-paced, empowered environment — someone who can make decisions, solve problems, and constantly challenge the status quo to make our claims experience best-in-class.

Key Responsibilities

Leadership & Strategy

• Lead and manage the entire Claims Department across all lines of business.

• Develop and execute claims strategies aligned with company growth and service goals.

• Empower, mentor, and hold your team accountable for performance and client outcomes.

• Drive innovation and continuous improvement in claims processes and customer experience.

Operational Excellence

• Oversee front-end claims management and ensure efficient turnaround times.

• Identify process gaps and implement practical, measurable solutions.

• Maintain strong relationships with insurer partners, assessors, and service providers.

• Ensure claims compliance with all binder and regulatory obligations.

Culture & Collaboration

• Actively contribute to the leadership team — challenging and supporting where needed.

• Foster a positive, high-performance culture that reflects Bsure's values of empowerment, integrity, and accountability.

• Be proactive in suggesting restructuring, process improvements, or new initiatives that drive better outcomes for clients and teams.

Performance & Reporting

• Monitor and manage claims ratios, turnaround times, and customer satisfaction metrics.

• Provide data-driven insight and recommendations to the executive team.

• Ensure operational reporting and performance tracking is accurate, clear, and actionable.

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Requirements

• 6–10 years' experience in short-term insurance, with a significant portion in claims.

• Proven leadership or management experience within a claims environment.

• Strong understanding of insurer relationships, binder structures, and compliance requirements.

• Excellent communication, problem-solving, and decision-making skills.

• Able to operate autonomously while collaborating across multiple departments.

• Driven, accountable, and motivated by results and continuous improvement.

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Who You Are

• Dynamic, decisive, and take ownership of outcomes.

• You don't need to be micromanaged — you manage your space, your people, and your results.

• Thrive in a culture that values empowerment, execution, and personal accountability.

• Love working with people, solving problems, and finding better ways to do things.

• Understand that leadership means both guarding and growing your team.

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Why Bsure

At Bsure, our people are the priority.

We work hard, grow fast, and build together. You'll be joining a culture that believes in genuine empowerment, high accountability, and mutual respect — all in a team that's constantly expanding its footprint in the short-term insurance space.

MVIA Southern Suburbs, Western Cape, South Africa

Join to apply for the Claims Manager role at MVIA

MVIA is seeking an experienced, driven, and solutions-oriented Claims Manager to lead and oversee the full spectrum of our claims operations within the short-term insurance space. This is a key management role that will suit someone with a strategic mindset, strong operational expertise, and a passion for delivering exceptional service and results.

You will be responsible for the effective management of a claims team of 20 to 30 professionals and for ensuring that all claims are processed accurately, efficiently, and in line with company policies, industry regulations, and client expectations.

• Oversee the end-to-end daily claims function, including administration, assessment, validation, and payment processes
• Lead, manage, and develop a high-performing team across various claims disciplines
• Ensure optimal use and continuous improvement of claims processing systems
• Manage and enforce both internal and external Service Level Agreements (SLAs)
• Define and monitor Key Performance Indicators (KPIs) for the department
• Coordinate with and manage external assessors and service providers
• Produce and deliver accurate and insightful daily, weekly, and monthly claims reports
• Develop and implement new Standard Operating Procedures (SOPs) while refining existing ones to improve efficiency and service delivery
• Support the resolution of complex and escalated claims queries
• Identify, assess, and mitigate potential risks affecting clients or the business
• Collaborate with other departments and senior stakeholders to align claims operations with broader business goals and deliver a seamless client experience

In this pivotal role, you’ll drive initiatives that ensure timely, cost-effective, and high-quality outcomes, all while enhancing customer satisfaction.

• Perform Sample Checks: Regularly review claims to ensure accuracy and compliance.
• Daily Clearance of Exceptions: Maintain operational efficiency by clearing exceptions daily.
• Intra-Day Stats and Check-Ins: Monitor progress and adjust strategies as needed.
• Authorise Expert Appointments: Review and approve requests for expert consultations.
• Queue Management: Ensure all necessary queues are cleared daily.
• Market Conduct Meetings: Actively participate to stay updated and compliant.
• Claims Approval: Review claims over R75,000 and authorize approvals up to R100,000.
• Team Objectives: Ensure your team meets set objectives and delivers required results.
• Plan of Action (POA): Review and test projected POAs for the upcoming days and weeks.
• ECD Management: Authorize changes to Estimated Completion Dates beyond 5 days.
• Greenline Process Adherence: Ensure compliance with internal processes.
• Capacity Planning: Oversee resource allocation and workload distribution.
• Technical Resource: Provide guidance and support on claims processes.
• Continuous Training: Offer ongoing training and upskilling opportunities.
• Auto Approval Process: Review and adjust to ensure maximum accuracy.
• Exception Statistics: Monitor and manage exception statistics proactively.
• Team Motivation: Inspire and motivate team members to foster a culture of high performance.
• Process Improvement: Provide insights and recommendations for enhancing the claims process.
• Performance Management: Offer ongoing feedback to support professional development.
• High Volume Management: Ability to manage a high volume of claim reviews in a fast-paced environment.
• Teaching and Coaching: Strong ability to teach and coach team members.
• Results-Driven: Proven history of consistently meeting targets.
• Work Under Pressure: Ability to perform well under pressure.
• Analytical Skills: Strong analytical, negotiation, decision-making, and problem-solving skills.
• Effective Communication: Excellent oral and written communication skills.
• Team Player: Ability to work independently and as part of a team.
• Technical Proficiency: Strong proficiency in Microsoft Excel and Internet navigation.
• Process Improvement: Strong skills in process improvement and data analytics.
• Team Environment: Enjoy working within a team environment.

Ready to embark on an exciting career journey with us? Apply now!

Are you an experienced leader with a passion for driving efficiency and excellence in claims resolution and management? We're seeking a dynamic Claims Manager to oversee our clients' end-to-end claims process and lead a dedicated team of claims analysts. We are looking for an individual with a strong personality, a collaboration mindset and the capability to identify trends, fraud and implement strategies for claims prevention. Position is based in Randpark Ridge.

• Supervise and lead the team of claims analysts.
• Assist the claims analysts with technical queries relating to claims.
• Provide guidance, training and performance feedback to your team members.
• Auditing and authorising of daily claims from the daily claims list to ensure accuracy.
• Auditing of daily claims payments before payments are uploaded and finalized.
• Develop and implement effective and efficient claims processing procedures.
• Monitor the performance of the claims team, track key performance indicators (KPIs) and implement improvements as needed.
• Ensure timely and accurate claims assessment, investigation and resolution.
• Regularly analyse recovery possibilities, identify trends and implement strategies to improve recovery efforts. This may involve refining legal processes, analysing data for identification of recovery opportunities and collaborating with legal or investigative teams to strengthen recovery outcomes.
• Work closely with brokers to address client inquiries, complaints and concerns.
• Liaison with the risk carriers including scheduled and ad-hoc reporting on various claims reports as required.
• Strive to enhance broker/client satisfaction through efficient claim processing.
• Analyse claims data to identify patterns, trends and areas for improvement.
• Generate reports on claims performance and present findings to management.
• Collaborate with underwriting teams to assess risk factors and improve risk management strategies.
• Develop and implement strategies to prevent fraudulent claims.
• Communicate effectively with internal stakeholders, external partners, clients and brokers.
• Provide regular updates to senior management on claims status, performance metrics and challenges.
• Stay current on industry regulations and compliance requirements.
• Implement and enforce compliance with company policies and procedures (claims check lists).
• Collaborate with legal and compliance teams to address regulatory issues.
• Handle and oversee claim complaints.

• Completed Matric.
• RE5 regulatory examination completed.
• 5 years’ experience with end-to-end claims processing.
• At least 2 years’ experience in a supervisory role.
• Works with urgency and manages the team and claims with a no-nonsense attitude.

R 60 000 - R 70 000 - Monthly

Are you ready to take the next step from middle management into a senior leadership role? This opportunity is for a dynamic Claims Operations Manager with exposure to both long-term and short-term insurance. You will take ownership of the full operational and strategic claims function, driving performance, streamlining processes, and working closely with key stakeholders, including the actuarial team, to influence business direction. To secure an interview, you will need a relevant degree and a minimum of eight years proven experience across claims, operations, and insurance systems. If youre ambitious, results-driven, and ready to make your mark at senior level, this role will give you the platform to lead with impact. Apply today and take the step into senior leadership

Please note that if you do not receive a response within one week of applying, your application has been unsuccessful.

MVIA is seeking an experienced, driven, and solutions-oriented Claims Manager to lead and oversee the full spectrum of our claims operations within the short-term insurance space. This is a key management role that will suit someone with a strategic mindset, strong operational expertise, and a passion for delivering exceptional service and results.

You will be responsible for the effective management of a claims team of 20 to 30 professionals and for ensuring that all claims are processed accurately, efficiently, and in line with company policies, industry regulations, and client expectations.

Key Responsibilities

• Oversee the end-to-end daily claims function, including administration, assessment, validation, and payment processes
• Lead, manage, and develop a high-performing team across various claims disciplines
• Ensure optimal use and continuous improvement of claims processing systems
• Manage and enforce both internal and external Service Level Agreements (SLAs)
• Define and monitor Key Performance Indicators (KPIs) for the department
• Coordinate with and manage external assessors and service providers
• Produce and deliver accurate and insightful daily, weekly, and monthly claims reports
• Develop and implement new Standard Operating Procedures (SOPs) while refining existing ones to improve efficiency and service delivery
• Support the resolution of complex and escalated claims queries
• Identify, assess, and mitigate potential risks affecting clients or the business
• Collaborate with other departments and senior stakeholders to align claims operations with broader business goals and deliver a seamless client experience

Qualifications and Experience

• A relevant qualification in short-term or long-term insurance (preferred)
• 5 to 10 years of proven experience in claims management within the short-term insurance industry
• Mechanical or technical knowledge/experience (advantageous)

Skills and Knowledge

• Demonstrated leadership and team management skills
• Strong stakeholder management and communication abilities at senior and executive levels
• In-depth understanding of claims processes, industry regulations, and risk mitigation
• Experience in process improvement, automation, and workflow optimisation in high-volume administrative environments
• Familiarity with technical/ mechanical claims (advantageous)
• Proficiency in using claims and reporting systems

Core Competencies

• Innovation: Continuously seeks and implements new ways to improve operations
• Client Focus: Builds strong client relationships and prioritises client-centric solutions
• Results Driven: Achieves high performance even under pressure
• Collaboration: Works well with teams and partners across the business
• Resilience: Remains effective under stress and adapts to challenges

Behavioural Competencies

• Organisational Savvy: Navigates policy and people dynamics with tact and insight
• Complexity Management: Handles complex information and makes sound decisions
• Employee Engagement: Creates an inclusive and motivating work environment
• Business Acumen: Understands market dynamics and aligns decisions with business goals
• Integrity & Ethics: Operates with a strong moral compass and a high level of accountability
• System-Orientation: Skilled in using and optimising technology systems to drive efficiency

Why Join Us?

We're a purpose-driven organisation committed to innovation, excellence, and putting clients first. In this role, you'll play a pivotal part in shaping the claims experience and driving operational success in a dynamic and rewarding environment.

Ready to make an impact? Apply now and help us redefine excellence in claims management.

MVIA is seeking an experienced, driven, and solutions-oriented Claims Manager to lead and oversee the full spectrum of our claims operations within the short-term insurance space. This is a key management role that will suit someone with a strategic mindset, strong operational expertise, and a passion for delivering exceptional service and results.

You will be responsible for the effective management of a claims team of 20 to 30 professionals and for ensuring that all claims are processed accurately, efficiently, and in line with company policies, industry regulations, and client expectations.

Key Responsibilities

• Oversee the end-to-end daily claims function, including administration, assessment, validation, and payment processes


• Lead, manage, and develop a high-performing team across various claims disciplines


• Ensure optimal use and continuous improvement of claims processing systems


• Manage and enforce both internal and external Service Level Agreements (SLAs)


• Define and monitor Key Performance Indicators (KPIs) for the department


• Coordinate with and manage external assessors and service providers


• Produce and deliver accurate and insightful daily, weekly, and monthly claims reports


• Develop and implement new Standard Operating Procedures (SOPs) while refining existing ones to improve efficiency and service delivery


• Support the resolution of complex and escalated claims queries


• Identify, assess, and mitigate potential risks affecting clients or the business


• Collaborate with other departments and senior stakeholders to align claims operations with broader business goals and deliver a seamless client experience

Qualifications and Experience

• A relevant qualification in short-term or long-term insurance  (preferred)


• 5 to 10 years of proven experience in claims management  within the short-term insurance industry


• Mechanical or technical knowledge/experience  (advantageous)

Skills and Knowledge

• Demonstrated leadership and team management skills


• Strong stakeholder management and communication abilities at senior and executive levels


• In-depth understanding of claims processes, industry regulations, and risk mitigation


• Experience in process improvement, automation, and workflow optimisation in high-volume administrative environments


• Familiarity with technical/ mechanical claims (advantageous)


• Proficiency in using claims and reporting systems

Core Competencies

• Innovation:  Continuously seeks and implements new ways to improve operations


• Client Focus:  Builds strong client relationships and prioritises client-centric solutions


• Results Driven:  Achieves high performance even under pressure


• Collaboration:  Works well with teams and partners across the business


• Resilience:  Remains effective under stress and adapts to challenges

Behavioural Competencies

• Organisational Savvy:  Navigates policy and people dynamics with tact and insight


• Complexity Management:  Handles complex information and makes sound decisions


• Employee Engagement:  Creates an inclusive and motivating work environment


• Business Acumen:  Understands market dynamics and aligns decisions with business goals


• Integrity & Ethics:  Operates with a strong moral compass and a high level of accountability


• System-Orientation:  Skilled in using and optimising technology systems to drive efficiency

Why Join Us?

We’re a purpose-driven organisation committed to innovation, excellence, and putting clients first. In this role, you’ll play a pivotal part in shaping the claims experience and driving operational success in a dynamic and rewarding environment.

Ready to make an impact? Apply now and help us redefine excellence in claims management.

My client is a leading insurance provider in Mozambique, committed to exceptional service and innovative solutions for their clients.

Role's Purpose:
Lead claims operations, ensuring efficient processing and customer satisfaction. Manage a team, implement best practices, and collaborate with stakeholders.

Experience & Qualification Criteria:

• Degree in Commerce, Insurance, Law or other related field
• 5 years of claims management experience as well as short term insurance
• Certificate of proficiency in insurance, or higher
• Strong knowledge of insurance principles and regulations
• Excellent communication and leadership skills
• Proficiency in English and Portuguese

Primary Responsibilities:

• Claims Management: Oversee end-to-end claims process, ensuring compliance and accuracy.
• Team Leadership: Lead and support claims team for optimal performance.
• Quality Assurance: Maintain high standards in claims handling and documentation.
• Customer Service: Address inquiries and concerns, providing timely assistance.
• Fraud Detection: Identify and investigate potential fraud cases.
• Compliance: Ensure adherence to insurance regulations and guidelines.
• Performance Management: Analyze trends and metrics to optimize operations.
• Stakeholder Collaboration: Work with other departments to address complex issues.
• Reporting: Prepare reports and analyses for management review.

How to Apply:
If you meet the above requirements, please send your resume DIRECTLY to: For more finance jobs, please visit our website: . If there is no reply within two weeks, please assume that your application for the vacancy was unsuccessful. Your profile will be kept on our database for any other suitable roles/positions.