Qualifications and Experience: Bachelor's Degree/Advanced Diploma in Business Management / Business Administration related qualification. Post graduate qualification in Business Management / Business Administration related qualification. Relevant 9-10 years' experience in Claims Operations environment of which 3 (three) years must have been on a management level. Advanced knowledge in claims management systems, insurance/reinsurance principles and Motor Vehicle Accident legislation will be advantageous. Technical: Claims management process/ processes and systems (including handling, verification and validation, investigation, assessment/settlement, litigation, legal costs assessment and settlement). Post claim management and settlement. Medical bill reviewing. Medical case management. Complex problem identification, solving and decision making. Customer value proposition. Good financial management skills. Strong analytical capabilities. Knowledge of Motor Vehicle Accident legislation. PFMA knowledge. Please note that if you have not received a response within 14 days of submitting your application that your application was unsuccessful. However, please keep a lookout on our website, for available positions which may be inline with your career aspirations.