Claims Manager - Cape Town


Salary:                  R50 000 CTC per month

Location:             Cape Town CBD 

About the company:

Our Client is a leader in long-term insurance and they are seeking to employ a Claims Manager.


·         Work independently making basic disability assessment decision and to actively pursue claims management opportunities  

·         To consulting with medical and paramedical professionals in the medical and legal industry 

·         To manage a portfolio of clients which will include clients at the medium and high end of the market

·         Presentations in PowerPoint to clients on process and feedback on portfolio scheme management

·         Innovative proposals on process and business improvements e.g. re-arranging same decision letter to make it look better.

·         All claims assessment decisions within limits of
• R 1,000,000 to R 1,250,000 lump sum disability
• R 20,000 p.m. to R 25,000 p.m. Income Replacement Plan
• R 500,000 dread disease

·         Ongoing and expert recommendations on retraining, re-skilling or realignment of claimants

·         Renegotiations on reinsurance treaties and give opinions on which re-insurer will be good from a claims perspective


·         At least 5 years claims management experience in assessment or clinical medicine

·         Must have minimum 2 years’ experience working in Long Term Insurance industry

·         Previously handled all aspects of disability claims assessment financial risks

·         Liaised with clients, trustees and employers to present reports and make recommendations

·         Preparing replies to Ombudsman letters and issues

·         Dealt with complex situations

·         Legal experience 



·         Expert claims assessment processes

·         Dealing with complex queries

·         Making adverse decisions

·         System development

·         Negotiate terms and conditions with the reinsures

·         Long Term Insurance industry knowledge 

What to include:

1.      Detailed cv

2.      Motivational letter 


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