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Manager: Short Term Insurance Claims at ooba · Western…
Skills
Job Description
The Manager: Short-Term Insurance Claims is responsible for leading the end-to-end claims function, ensuring efficient, fair and customer-centric claims handling while maintaining regulatory compliance, operational excellence and strong financial controls, primarily through effective management of the outsourced Claims Administrator (CLC). The role provides leadership to the Claims team, driving service excellence, continuous improvement and a high-performance culture that reflects oobainsure's values.
The Manager: Short-Term Insurance Claims is responsible for leading the end-to-end claims function, ensuring efficient, fair and customer-centric claims handling while maintaining regulatory compliance, operational excellence and strong financial controls, primarily through effective management of the outsourced Claims Administrator (CLC). The role provides leadership to the Claims team, driving service excellence, continuous improvement and a high-performance culture that reflects oobainsure's values.
Responsibilities
Claims 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