Claims Team Leader | Tygervalley at PSG Konsult Ltd

Job Description:

• Oversees and supports a claims team to ensure accurate, efficient, and compliant claim processing while driving performance and maintaining high customer service standards.

Responsibilities:

• Lead and support the handling of complex, high-value, or escalated claims, providing guidance to team members.
• Ensure all claims are processed in line with company policies, legal standards, and industry regulations.
• Maintain strong compliance oversight by monitoring quality controls and addressing any regulatory issues promptly.
• Drive excellent customer service by ensuring timely, accurate communication and resolving client complaints effectively.
• Promote fair, transparent, and consistent claims decisions while balancing customer needs with internal policies.
• Analyse performance data and identify opportunities to improve processes, efficiency, and cost-effectiveness.
• Collaborate with internal departments and other team leaders to ensure seamless claims handling and aligned practices.
• Manage team performance through setting targets, monitoring SLAs, and conducting regular coaching and feedback sessions.
• Support recruitment, training, and development of team members to ensure capability growth and adherence to standards.

Minimum requirements:

• Matric
• Relevant tertiary qualification in Insurance, risk management, Business Administration or a related field (preferred)
• Full FAIS-recognized insurance qualification (NQF4)
• RE5 certification
• At least 2–3 years in a supervisory or leadership role (e.g. property, liability, commercial claims)
• Proven experience handling complex and high-value claims
• Sound understanding of the full claims lifecycle (registration to settlement)
• Understanding of fraud detection and risk assessment
• Experienced in policy wording interpretation
• In-depth knowledge of claims procedures and best practices, claims management systems and relevant regulatory requirements (including FAIS and TCF principles in South Africa).

Competencies required:

• Good verbal and written communication skills 
• Able to identify system inefficiencies and implement solutions
• Leadership and team management skills
• Negotiation skills 
• Client service driven 
• Results and details orientated 
• Interpersonal skills 
• Time management skills
• Resilient and adaptable

Closing date:    15-Apr-2026