Senior Claims Officer

Senior Claims Officer

Qualifications: A bachelor's degree in insurance, law, risk management, business administration, or a related field. Professional certifications like the IISA are strongly preferred. Minimum of 5 years of experience in reinsurance claims handling, with a focus on complex and high-value claims. Demonstrated ability to lead and mentor claims teams in a senior role. Skills: A deep understanding of reinsurance contracts claims processes, and industry best practices. Strong analytical and problem-solving abilities, with the capacity to make informed decisions under pressure. Excellent leadership and people management skills, demonstrated by the ability to motivate and develop team members. Exceptional negotiation skills,





particularly in handling complex claims and resolving disputes effectively. Proficiency in claims management systems and Microsoft Office Suite. Job description: Conduct in-depth investigations of complex reinsurance claims to determine coverage, liability, and loss amounts. Interpret reinsurance contracts and policies to determine coverage and obligations. Accurately assess and quantify losses, considering factors such as physical damage, business interruption, and liability. Negotiate with cedents, claimants, and other parties involved in the claim to reach fair and equitable settlements. Resolve disputes and conflicts that may arise during the claims process. Authorize and process claim settlements within established guidelines and procedures. Estimate and manage loss reserves to ensure adequate financial provisions for future claim payments. Adjust reserves based on claim developments and changes in loss estimates. Identify and investigate potential fraudulent claims. Implement measures to prevent fraudulent claims and minimize losses.





Lead and mentor junior claims staff, providing guidance and support. Evaluate the performance of team members and provide feedback and coaching. Identify training needs and develop training programs for team members. Ensure compliance with all relevant insurance regulations and industry standards. Stay informed about changes in regulations and adjust practices accordingly. Analyze claim data to identify trends, risks, and opportunities for improvement. Prepare and submit reports on claim activities and performance to management. Please visit our website

▶️ Senior Claims Officer
🖊️ Findojobs South Africa
📍 Johannesburg