12 Claims Manager jobs in Cape Town

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

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Kick-start your career in the online gaming world and experience the very latest in technology and innovation.

Who We Are

We’re part of Super Group, the NYSE-listed digital gaming company behind some of the world’s leading Sports and iGaming brands.

At DigiOutsource, we bring passionate people and innovative tech together to create market-leading online gaming solutions. Our multidisciplinary teams are passionate about products, customer experience and security. We’re empowered to achieve the ultimate in high-performance gaming experiences using the best technology available.

Who We’re Looking For

We’re on a thrilling journey of growth and innovation, and we need passionate, driven individuals to join us. At DigiOutsource, every day is action-packed, and we expect you to bring your A-game. In return, you’ll find a supportive environment where your skills can flourish and your career can soar.

Ready to become a game-changer? Supercharge your career with us and be part of something extraordinary.

Why we need you

We’re on a mission to create extraordinary experiences for our customers, and we believe that your unique skills, passion and superdrive will help us achieve our vision.

As a Risk Management Specialist, you’ll be supporting and be responsible for assisting with the administration of the enterprise risk management system and associated responsibilities for us to stay ahead of the game.

What You’ll Be Doing

As part of your role, your responsibilities will include:

Enterprise Risk Management (ERM) System Maintenance

The role oversees and maintains the ERM framework to effectively identify, assess, monitor and report risks across the organization. The Risk Management Specialist ensures that risk management processes are integrated into strategic planning and daily operations. Regular updates to risk management policies and procedures are conducted to reflect changes in the regulatory environment and industry’s best practices.

System Administration And User Support

They serve as the system administrator for the Risk Management System (RMS), ensuring the live system and training environment are consistently maintained. The Risk Management Specialist provides first-level support to users on the RMS (example, Riskonnect, Onetrust), troubleshooting system issues and managing user access and permissions. The role requires working with the RMS supplier to resolve technical problems, implement system enhancements and manage updates.

To ensure that risks and incidents are reviewed according to the organisation’s Risk Methodology and Framework, the system automation needs to be monitored.

Training And Development

The Risk Management Specialist is responsible for designing and delivering risk-related training on the RMS to ensure all users are proficient in its use. This includes the development and maintenance of training materials ensuring that users are kept up to date with system enhancements. Providing basic governance and risk advice to all staff and managers, helping them understand the organisation’s risk management policies and practices is a key part of the role, creating a risk-aware culture among employees.

Data Quality

The Risk Management Specialist role involves regular review and analysis of information held on the RMS to ensure data accuracy and quality and collaborates with business units to improve the quality of risk and control data.

Ensuring alignment with internal frameworks by analysing risk information and control data and ensuring reporting alignment across the different entities. Assisting the audit function in the administration and documentation of self-certifications.

Reporting

Prepare insight reports for the Board of Directors and Risk committee on a periodic basis, identify and present key risks, facilitate Risk-focused discussions.

Regulatory Alerts And Compliance Support

Assisting in the distribution and tracking of regulatory alerts to ensure compliance across the organization.

The Risk Management Specialist offers support to the wider compliance team in analysing risk control information to identify potential areas of concern, including managing documentation, electronic filing systems, and team procedures.

Stakeholder Engagement

The Risk Management Specialist works closely with stakeholders to identify system enhancements and manage change requests. They manage stakeholders and users to meet deadlines and deliver on risk management objectives.

Continuous Improvement

Continuously seek ways to improve administrative processes for risk management training, compliance tracking, and risk reporting. Support the organisation in developing and refining risk management processes in line with industry best practices.

This job description is not intended to be an exhaustive list of responsibilities. You may be required to complete other reasonable duties in order to achieve business objectives.

Essential Skills You’ll Bring To The Table

The necessary skills that we require for this role include:

• Strong verbal and written communication skills, with the ability to convey complex ideas clearly and effectively
• Experience working collaboratively in cross-functional teams, with a focus on achieving shared goals
• Expertise in managing multiple projects simultaneously, with a track record of delivering on time and within scope
• Exceptional attention to detail, ensuring high standards of quality in all outputs
• Ability to adapt quickly to changing environments and priorities, maintaining effectiveness in dynamic situations
• BCom in Internal/ External Audit (preferred), Law or related fields or Certifications in Risk Management
• 3 + years proven experience in a risk management or audit environment.
• Qualification in Risk Management, Audit or related fields
• Experience in enterprise risk management
• Report writing experience and presentation skills intended for Senior Management and Boards
• An understanding and working knowledge of prevailing governance, risk and assurance standards and public-sector rules
• Understanding and Experience of ISO 31000 or COSO Frameworks
• Experience of problem solving and ability to make decisions within a level of authority
  
  

• In-depth knowledge of sports betting markets, including odds calculation, betting types and market trends
• Previous experience in the online gaming or casino industry, with a strong understanding of player behaviour and industry regulations
• Familiarity with gambling regulations and compliance requirements in various jurisdictions, ensuring adherence to legal standards
• Experience in developing and executing customer retention strategies
• Desirable would be experience in using ERM software
• Post Graduate certification or Diploma in Risk Management
• ISO 31000 Certification
  
  

• Adaptability
• Ownership and accountability
• Initiating action
• Resilience
• Team orientation
• Integrity
• Innovation
  
  

• We’re dedicated to your supergrowth. Our comprehensive learning and development programmes give you a range of resources and opportunities to expand your skills and advance your career.
• Your hard work and achievements won’t go unnoticed. Our innovative Performance Tool ensures you receive regular, constructive feedback, helping you to continuously improve and reach your full potential.
• Our Employee Assistance programme offers a variety of benefits which you and your family can benefit from.
• Free Daily Meals
• Free Massages On-site
• Free On-Site Gym
• Group Life Cover
• Funeral Fund Benefit
• Financial Services Assistance
• Employee Assistance Programme
• Curro School Fees Benefit
• Income Continuation Benefit
• Leadership Training
• Referral Bonus
• Medical Aid Subsidy
• Free Sleep Coaching
• On-site Barista
• Retirement Annuity Subsidy
• Team builds
  
  

• Please note we will apply relevance to our Talent Management and Talent Development Programme as part of our recruitment process.
• Shortlisted candidates may need to complete an assessment.
  
  

• Seniority level Mid-Senior level

• Employment type Full-time

• Job function Finance and Sales
• Industries IT Services and IT Consulting, Software Development, and Retail

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Cape Town, Western Cape, South Africa 1 month ago

Cape Town, Western Cape, South Africa 3 months ago

City of Cape Town, Western Cape, South Africa 3 weeks ago

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Cape Town, Western Cape, South Africa 1 week ago

City of Cape Town, Western Cape, South Africa 3 weeks ago

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Cape Town, Western Cape, South Africa 1 week ago

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Cape Town, Western Cape, South Africa 2 weeks ago

Cape Town, Western Cape, South Africa 2 weeks ago

Cape Town, Western Cape, South Africa 3 weeks ago

Cape Town, Western Cape, South Africa 1 month ago

Cape Town, Western Cape, South Africa 3 months ago

Cape Town, Western Cape, South Africa 3 months ago

Cape Town, Western Cape, South Africa 3 months ago

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Canonical is recruiting a Security Risk Management Specialist in Cape Town, Western Cape, South Africa.

In security risk management we harness industry best practices and drive innovation in security risk assessments and modelling. The security risk management team owns the strategy and practices for identifying, tracking, and reducing Canonical's security risk across the organisation. You will help establish and execute a broad strategic vision for the security risk program and will work cross-functionally with teams across Canonical. The team contributes ideas for Canonical product security, improving the resilience and robustness of Ubuntu customers and users subject to cyber attacks. The team also collaborates with our Organisational Learning and Development team to develop playbooks and facilitate security training.

• Define Canonical's security risk management standards and playbooks
• Analyse and improve Canonical's security risk practices
• Evaluate, select and implement new security requirements, tools and practices
• Grow the presence and thought leadership of Canonical security risk management practice
• Develop Canonical security risk learning and development materials
• Work with Security leadership to present information and influence change
• Participate in developing key risk indicators, provide inputs to the development of key control indicators, and key performance indicators for various programs
• Apply statistical models to risk frameworks (such as FAIR, sensitivity analysis, and others)
• Participate in risk management, decision-making, and collaborative discussions
• Lead quantified risk assessments and understand the value of qualitative data for improvements to quality and engineering processes
• Interpret internal or external cyber security risk analyses in business terms and recommend a responsible course of action
• Develop templates and materials to help with self-service risk management actions
• Monitor and identify opportunities to improve the effectiveness of risk management processes
• Launch campaigns to perform security assessments and help mitigate security risks across the company
• Build evaluation methods and performance indicators to measure efficiency of security functions and capabilities

• An exceptional academic track record
• Undergraduate degree in Computer Science or STEM, or a compelling narrative about your alternative path
• Drive and a track record of going above-and-beyond expectations
• Deep personal motivation to be at the forefront of technology security
• Leadership and management ability
• Excellent business English writing and presentation skills
• Problem-solver with excellent communication skills, a deep technical understanding of security assessments and risk management
• Expertise in threat modelling and risk management frameworks
• Broad knowledge of how to operationalize the management of security risk
• Experience in Secure Development Lifecycle and Security by Design methodology

• Distributed work environment with twice-yearly team sprints in person
• Personal learning and development budget of USD 2,000 per year
• Annual compensation review
• Recognition rewards
• Annual holiday leave
• Maternity and paternity leave
• Employee Assistance Programme
• Opportunity to travel to new locations to meet colleagues
• Priority Pass, and travel upgrades for long haul company events

Canonical is a pioneering tech firm at the forefront of the global move to open source. As the company that publishes Ubuntu, one of the most important open source projects and the platform for AI, IoT and the cloud, we are changing the world on a daily basis. We recruit on a global basis and set a very high standard for people joining the company. We expect excellence — in order to succeed, we need to be the best at what we do. Canonical has been a remote-first company since its inception in 2004. Working here is a step into the future, and will challenge you to think differently, work smarter, learn new skills, and raise your game.

Canonical is an equal opportunity employer.

We are proud to foster a workplace free from discrimination. Diversity of experience, perspectives, and background create a better work environment and better products. Whatever your identity, we will give your application fair consideration.

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Finance and Sales
• Industries: Software Development

Overview

An exciting opportunity exists for an experienced Senior Specialist : Clinical Risk Management Support to join a leading healthcare management organisation. The successful incumbent will play a key role in supporting clinical risk and fund management initiatives developing cost-containment strategies and contributing to the enhancement of managed care processes through data-driven insights and specialist input.

Position : Senior Specialist : Clinical Risk Management Support

Reference : MVG / SCRM

Closing Date : 15 October 2025

• Conduct research and provide analytical support for clinical risk management and fund management initiatives.
• Assist in identifying and managing cost drivers and efficiencies across the business.
• Provide technical input and specialist advice on clinical and medicines-related projects.
• Develop and present strategic reports, proposals, and presentations related to medicines, devices, and managed care.
• Support the coordination of expert panels, stakeholder meetings, and internal committees.
• Handle clinical and medicines-related queries including vaccination MEL / MPL analyses and stock-out impacts.
• Drive knowledge management, process improvement, and professional development within the clinical team.
• Engage with internal and external stakeholders to ensure effective management of clinical risk.

• 6–8 years experience in managed care, clinical coding, claims and data analysis.
• Strong understanding of healthcare legislation, PMBs and NHI frameworks.

• Qualified Pharmacist or Clinical Qualification (essential).

• Strong problem-solving and analytical ability.
• Excellent communication and business writing skills.
• Proficient in MS Office; data modelling and evaluation experience advantageous.
• High attention to accuracy and detail with a focus on service excellence.

Email your detailed CV to responseat quoting Ref : MVG / SCRM in the subject line.

Closing Date : 15 October 2025

Employment Type : Full-Time

Experience : Senior IC

Key Skills : Interventional Radiology, Information Technology Sales, Jdbc, Glass, Architecture

Vacancy : 1

Leading Insurance Company requires a Risk Specialist to assist with coordination, analysis, consolidation, mitigation, and escalation of Third Party Risk Management.

1. Regularly monitor and report on third-party risks, compliance and risk mitigation.
2. Provide technical inputs and support on third-party risk and compliance.
3. Support business projects with technical third-party risk and compliance inputs.

1. Grade 12 / Matric.
2. Tertiary Qualification - Third Party Risk Management Certification / Qualification highly advantageous.
3. Knowledge of Third Party Risk Management principles and practices.
4. Experience with third-party risk management (TPRM) tools.

Salary Market Related

Stay safe online. Now more than ever it’s important to be cybersafe. See Santam’s tips to help you stay safe online. Learn more.

This career opportunity is available at Santam for the Motor Assessing Department as a Motor Claims Relationship Manager: HCV & Farm Implements, who will be based in Cape Town.

1. Management and control of Motor Body Repairers’ KPI’s
2. Support Assessing team
3. Manage and handle complaints
4. Excellent complaints handling and report writing
5. Sound knowledge of Smart Repair Technology
6. Repair versus replace methodology
7. Application of below business standards:
1. Normalise Cost Ratio (NCR)
2. Average Repair Cost (ARC)
3. ARC plus Ancillary Cost (ACPC)
8. Utilisation of alternative and green parts
9. Additional cost after FRC
10. Management of MBR/Santam systems as below:
1. Abuntex
2. Qapter Connect
3. RPM
4. Parts Procurement Systems
5. PartSmart
11. Initiate, lead and manage Supplier Performance Measurement meetings as per schedule

1. At least 5 years Motor Assessing Experience
2. A minimum of 2 years’ experience in Heavy Commercial Vehicle and farming implements
3. Abuntex Certified
4. Claims Centre
5. Santam System knowledge
6. Technical Qualification

1. Works independently
2. Strong negotiation skills
3. Good understanding and application of service level agreements
4. Time management
5. Strategic Influence and thinking
6. Strong relationship, negotiation and networking skills
7. Ability to influence
8. Must be flexible
9. Must be able to adapt to change
10. Ability to function in a High-Pressured Environment

1. Results driven
2. Excellent communication skills, written and verbal
3. Excellent decision-making ability
4. Leading and supervising
5. Good organizational skills
6. Flexible and adaptable
7. Client service focus
8. Cultivates innovation
9. Analytical thinking
10. Influential
11. Sound business acumen
12. Coaching and development

Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding, and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is centred on our delivery of Insurance Good and Proper.

Qualified applicants are invited to submit their cover letter, CV, and salary requirements in MS Word format at / careers and apply online. Should you be aware of a qualified individual, please pass this vacancy on to them.

Please note this appointment will be made in line with the Santam Employment Equity strategy. People with disabilities are welcome to apply.

Purpose of the Role

The purpose of the role is to manage the Performance Analytics function to provide a service to various departments including Operations, Distribution and Investment teams. This role is responsible for supplying advanced quantitative performance-related data to the business. You will perform ongoing development and research of quantitative solutions for a variety of performance and analytics issues and will be required to provide valuable insights and an understanding into the funds’ performance and risk. In addition, you will come up with innovative ways to automate internal and external performance and general portfolio reporting so that stakeholders receive value-added information.

• Set up, manage and continuously improve the Performance Analytics function for the business.
• Investigate and attend to investment performance and related data queries from Operations, Distribution and Investment teams.
• Provide performance reporting on a total fund level as well as an asset class level and their corresponding benchmarks.
• Perform contribution to return and attribution calculations by security, asset class and geography among others.
• Generate and compile monthly, quarterly and bespoke performance attribution and risk management reports for internal and external clients, while ensuring the integrity of the data provided.
• Implement and drive the company’s compliance with GIPS standards.
• Maintain and update the internal performance reporting systems to ensure accurate and timely data integration and protect data integrity.
• Audit attribution and risk output, and research/resolve variances as necessary.
• Partner with the Investment and Distribution teams in the preparation of presentations and reports for clients and consultants.
• Conduct general data and performance analytics project work for the business.
• Understand and monitor market trends, benchmark index movements, macro-economics and industry on-goings to provide meaningful and relevant insights to stakeholders.
• Stay relevant and up to date with legislations and new developments.

Qualifications

• Honours degree in Computational & Applied Maths, Stats, Investment Management, Finance, Economics or similar
• Certificate in Investment Performance Management is an advantage

Experience and Skills

• Minimum 3 years portfolio performance analysis experience within a similar environment
• Advanced Excel skills
• Knowledge of Global Investment Performance Standards
• Demonstrate knowledge of the Asset management industry, including local and international best practice for performance calculation methods and standards
• Strong ability to work with technology applications, and databases
• Familiarity with risk analysis principles preferred
• Familiarity with performance attribution/risk management software preferred

Competencies

• Action and deadline orientated
• Analytical
• Attention to detail
• Initiative
• Innovation
• Interpersonal skills
• Motivation
• Planning and organising
• Problem solving
• Quality orientation
• Team work

To apply for this role please send your CV and supporting documentation to

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.

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.