Manager: Short Term Insurance Claims

Reposted Yesterday
Be an Early Applicant
2 Locations
Remote or Hybrid
Senior level
Fintech • Software • Financial Services
The Role
Lead end-to-end short-term insurance claims operations, overseeing an outsourced Claims Administrator, ensuring regulatory compliance, strong financial controls, and high-quality customer experience. Manage complaints, governance, reporting, process improvement, SLA/SOP implementation, and stakeholder engagement while developing the claims team.
Summary Generated by Built In

Lead. Challenge. Improve. Make an impact.
We’re looking for an experienced Short-Term Insurance Claims leader who is ready to take ownership of a claims operation and make a real difference to how we deliver for our customers, our business and our partners.
This is not simply a claims administration role.
As Manager: Short-Term Insurance Claims, you will have end-to-end responsibility for the performance of the claims function, including oversight of our outsourced claims administrator, management of complex claims and escalations, claims cost and leakage, customer experience, compliance, supplier performance and continuous improvement.
You’ll be the person who looks at the claims operation and asks:
Can we do this better? Can we do it faster? Can we improve the customer experience? And are we getting the right commercial outcome for the business?

What you’ll be responsible for

•    Lead the end-to-end Short-Term Insurance Claims function and drive high standards of claims performance.
•    Take ownership of the performance of our outsourced Claims Administrator, including SLAs, turnaround times, quality and operational delivery.
•    Manage complex and escalated claims, ensuring fair, consistent and customer-focused outcomes.
•    Monitor claims trends, leakage, reserves, fraud indicators and claims costs, identifying opportunities to improve the loss ratio.
•    Manage relationships with insurers, assessors, suppliers and other key claims partners.
•    Drive improvements to claims processes, controls, systems and ways of working.
•    Own claims-related complaints and ensure strong customer outcomes.
•    Ensure the claims environment remains compliant with relevant regulatory and policy requirements.
•    Lead, coach and develop a high-performing claims team.
•    Turn claims data and trends into meaningful business insights and recommendations.
The opportunity
You’ll join a business where claims is a critical part of the customer proposition and the overall insurance result.
We want someone who will challenge the status quo, bring ideas, use data to make better decisions and build strong relationships with both internal and external stakeholders.
You’ll have the autonomy to identify problems, influence partners and implement improvements — while balancing three things that matter equally:
Customer. Compliance. Commercial performance.
What we’re looking for
We’re looking for someone with strong Short-Term Insurance Claims experience, ideally with exposure to Homeowners Insurance or similar personal-lines products.
You’ll need:
•    Proven experience managing a Short-Term Insurance Claims function or significant claims operation.
•    Strong technical knowledge of the claims lifecycle and claims decision-making.
•    Experience managing a Third-Party Administrator (TPA) or outsourced service provider will be highly advantageous.
•    A strong understanding of claims costs, leakage, loss ratios, fraud and operational performance.
•    Experience managing SLAs, supplier relationships and service delivery.
•    Strong understanding of insurance governance and regulatory requirements.
•    Excellent analytical and problem-solving capability.
•    The confidence to challenge stakeholders and hold service providers accountable.
•    Strong leadership skills and a track record of developing people.
•    The ability to operate at both strategic and operational level — seeing the bigger picture while still being close enough to the detail to know what is really happening.
What will make you successful…
We’re looking for someone who is commercially minded, curious and energetic.
Someone who doesn't simply say “that's how claims works”.
Someone who sees a problem and wants to fix it.
Someone who can build a strong team, challenge a service provider, understand the numbers, navigate a difficult customer escalation and still keep sight of the bigger picture.
If that sounds like you, we’d like to hear from you.
Our values
Partner | Knowledge | Challenge | Fun
If you’re ready for a role where you can genuinely influence the claims function and make a measurable difference, apply now.
 

ResponsibilitiesClaims Oversight & TPA Management
Complaints management
Governance & compliance
Talent management & people leadership
Operations & process management
Reporting & analysis
Partner & stakeholder engagement
Compliance leadership
Customer experience
Qualifications
QUALIFICATIONS

- Matric certificate (or equivalent)
- NQF level 5 Higher certificate in Short Term Insurance
- Completed RE5 regulatory exam 
- Proof of registration and compliance with FSCA

REQUIRED SKILLS & KNOWLEDGE

- Strong leadership and people development capability
- Technical knowledge of short term claims processes, specifically for Home Owners Cover (HoC)
- Expertise in Third-Party Administrator TPA) management and oversight
- Process design, SLA management and SOP implementation
- Analytical and reporting capability (loss ratios,  complaints, claims trends)
- Strong negotiation and conflict resolution skills
- Excellent communication, with ability to handle escalated customer issues
- Adaptability, resilience and attention to detail

REQUIRED COMPETENCIES

- Results-driven delivery
- Strategic problem-solving
- Customer focus and empathy
- Coaching and talent development
- Organisational sensitivity

Skills Required

  • Matric certificate (or equivalent)
  • NQF Level 5 Higher Certificate in Short Term Insurance
  • Completed RE5 regulatory exam
  • Proof of registration and compliance with FSCA
  • Strong leadership and people development capability
  • Technical knowledge of short term claims processes, specifically Home Owners Cover (HoC)
  • Expertise in Third-Party Administrator (TPA) management and oversight
  • Process design, SLA management and SOP implementation
  • Analytical and reporting capability (loss ratios, complaints, claims trends)
  • Strong negotiation and conflict resolution skills
  • Excellent communication and ability to handle escalated customer issues
  • Adaptability, resilience and attention to detail
Am I A Good Fit?
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The Company
HQ: Cape Town, Western Cape
7 Employees
Year Founded: 1998

What We Do

Make ooba a new home for your career! At ooba (www.ooba.co.za), we’re proudly contributing to the growth of our country and the economy by transforming the South African home ownership market. Not only do we empower people by ‘opening doors’ to a secure financial asset for them and their families, we also help them protect their assets through our competitive range of insurance products. We do this by being pioneer and the leading brand in home loans origination for South Africa. We’re a growing and innovative business offering meaningful work with rewarding careers. At ooba, we believe in empowering our people by the introduction of innovative technology enablers and progressive people practices. Want to find out more about a career at ooba, check out our careers site at: www.careers.ooba.co.za

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