Senior Claims Manager (AESCM)

Our client is seeking a hands-on high-level Senior Claims Manager that will be based in Johannesburg, South Africa, responsible for the professional handling of a broad portfolio of general property, engineering, mining, casualty / financial lines claims, underwritten in both retail and international wholesale markets. The position reports into the Head of UK Claims, London, with a dotted line into the South Africa branch executive leadership.

Main job function

• Deliver the highest quality claim handling and customer services.
• Handle claims of varying severity within defined technical authority including, coverage review, fact investigation, loss evaluation, and designing and executing on an appropriate claim resolution strategy.
• Set and maintain appropriate and timely indemnity and expense reserves in accordance with Claims Handling Expectations and Guidelines.
• Proactive diary management to drive claims toward a timely resolution.
• Develop and implement appropriate strategy for fair claim resolution, to include settlement negotiation where needed.
• Select, direct and manage external experts and vendors, including working with experts to set appropriate budgets and effectively manage costs. Select and manage outside attorneys, where needed, including working with attorneys to set appropriate resolution strategy and budget and proactively managing costs.
• Regularly provide actionable claims insights and input to internal stakeholders, including underwriters, sales and risk engineering, and studies review and analysis relating to claims, emerging risks, legal, regulatory and societal developments and other industry topics.
• Assist Underwriting and others with contractual wording and risk assessments associated with particular policies or risks.
• Keep Claim Management and Internal Stakeholders aware of loss potential and material claim developments, consistent with the Claim Handling Expectations and Standard Operating Procedures.
• Provide accurate information and data for Claims’ reporting. Comply with internal governance, legal and regulatory requirements.
• Regular Claims and Insurance Industry training/education, including obtaining applicable insurance certifications/designations. Participate in regional and global projects as requested and required.

Qualifications

Completed Matric. Degree / Diploma will be advantageous.

Experience/Criteria

Minimum 10 years Claims or Insurance Industry experience. Background working in the primary insurance market is preferred.

A desire to learn and develop as a person and as an insurance professional.

Curious, energetic, confident, collaborative, proactive, problem solver who is prepared to contribute towards all areas of the CorSo business.

Ability to work independently and as part of a team.

Strong coverage, investigation, loss evaluation and claim valuation skills. Strong negotiation skills with a desire to continue development of such skills.

Ability to engage and manage external experts, including proactive cost management.

Strong litigation and outside attorney management skills.

Strong understanding of underwriting and other insurance functions.

Strong computer skills including proficiency in the use of MS Office (Word, Excel, Power Point), MS Outlook, and the use of Internet for research and investigation.

Remuneration

R1.3 – R1.4 million Base Salary

A Consultant will be in touch if you are shortlisted for the position. Please consider your application unsuccessful should you not have been contacted within 2 weeks. We will keep your CV on our database and contact you should you match the criteria of any other vacancies.