Senior Claims Negotiator
Vacancy at a glance
- Employer
- Shoprite Group
- Location
- Cape Town, Western Cape
- Pay or stipend
- Not provided in listing
- Closing date
- 30 Oct 2026
These details come from the listing data. Confirm them on the original advert before applying. An unspecified detail has not been verified and should not be assumed.
Overview
To independently assess, negotiate and resolve complex insurance claims within an allocated mandate, ensuring fair, accurate and timely outcomes in line with policy terms, regulatory requirements and service standards. The role provides technical claims guidance, manages escalated matters, builds effective relationships with brokers and service providers, and supports the development of less experienced claims staff.
Requirements
- Degree or Diploma in insurance, risk management, business or claims qualification (essential)
- RE5 qualification and compliance with applicable FAIS fit and proper requirements, where required for the portfolio
- +4 years’ relevant short-term insurance claims experience, including experience handling complex or high-value claims
- Demonstrated experience in claims assessment, negotiation, policy interpretation, reserving and settlement within an allocated mandate
- Experience providing technical guidance, coaching or on-the-job support to other claims staff
- Proficiency in claims administration systems and Microsoft Office, particularly Outlook, Word and Excel
Responsibilities
- Manage assigned claims from registration through to settlement or closure
- Assess complex and high-value claims against policy wording, cover, exclusions, endorsements, warranties and applicable claims requirements
- Apply sound judgement to determine claim validity, liability, quantum and the appropriate resolution within the allocated authority mandate
- Authorise claims and payments within mandate and prepare clear recommendations for claims requiring higher-level approval
- Set and maintain accurate claim reserves based on available information, expected exposure and changes in claim circumstances
- Identify possible fraud, misrepresentation, non-disclosure, recovery or repudiation indicators and refer matters for specialist investigation or approval
- Negotiate appropriate claim outcomes with brokers, claimants, assessors, attorneys, repairers and other service providers
- Evaluate quotations, assessment reports, loss calculations and supporting evidence to agree reasonable repair, replacement, cash settlement or liability outcomes
- Resolve disputed, sensitive or escalated claims through clear policy interpretation, fact-based engagement and practical solution finding
- Communicate settlement, partial settlement, rejection or repudiation decisions clearly, professionally and with appropriate supporting reasons
- Drive outstanding actions and documentation to conclusion, ensuring claims are progressed within agreed service levels and diary requirements
- Identify and pursue recoveries, salvage opportunities, third-party contributions or other cost-reduction actions where applicable
- Act as a senior point of contact for complex claims queries and provide timely, accurate updates on requirements, progress, decisions and next steps
- Build constructive working relationships with brokers, insurers, assessors, suppliers and internal stakeholders
- Manage difficult conversations and service concerns professionally, escalating material risks or unresolved disputes when required
- Monitor service-provider performance on assigned matters and address delays, quality concerns or unreasonable costs
- Support the maintenance and administration of allocated schemes or portfolios
- Ensure claims decisions and records comply with policy wording, internal controls, delegated authority, regulatory requirements and applicable service standards
- Maintain complete and accurate electronic claim files
- Review claim information for inconsistencies, control gaps, leakage and emerging risk trends, and recommend corrective action where required
- Prepare claims information for audits, reviews, complaints, regulatory enquiries and management reporting
- Protect confidential and personal information and apply appropriate data-handling practices throughout the claims process
- Provide technical guidance to claims staff on policy interpretation, negotiation approach, reserving, documentation and claims procedures
- Coach and support less experienced colleagues through case reviews, feedback and practical knowledge sharing
- Assist with onboarding and training activities and promote consistent claims standards across the team
- Contribute to process improvements by identifying recurring issues, inefficiencies and opportunities to improve claims quality and turnaround times
- Coordinate effectively across claims and other business areas to resolve dependencies and support shared service objectives
How to apply
Application checklist and CV advice
SpanSam application guidance — these tips supplement the original advert; they are not additional employer requirements.
For Senior Claims Negotiator at Shoprite Group, compare your qualifications and experience with each requirement in the original listing. Identify the examples from your work, studies or volunteering that demonstrate your suitability. State your actual responsibilities and achievements clearly; do not add skills or experience you cannot support.
Check the submission instructions
Use the application route shown above and confirm that the vacancy is still open on the original source. Check the closing date, location, reference number and any requested document format before submitting. If a detail is missing here, consult the employer’s advert rather than assuming it is optional.
Prepare the documents requested
Keep your CV contact details current and tailor your profile to this opportunity. Include supporting documents only as requested by the employer. Check whether the employer requires an online profile, a cover letter or answers to screening questions. Complete required fields accurately and review attachments before sending.
Check the opportunity-specific conditions
Consider the practical details of the advertised position as well as its title. Check the stated workplace, schedule and employment arrangement on the employer’s page before deciding whether to apply. If salary or working hours are not advertised, treat them as unconfirmed rather than relying on estimates from similar roles. Where the source provides an enquiries contact, use it to clarify the advert; send applications only to the designated submission destination.
Explain how your experience fits
Read the responsibilities alongside the requirements before editing your CV. For each relevant skill, choose a concrete example that explains what you did, the setting in which you did it and the result. Use dates and qualification names consistently across your CV and application form. If you are applying for an early-career opportunity, relevant projects, practical training and volunteering can help explain your experience, but should be labelled honestly rather than presented as paid employment.
Keep the strongest relevant information easy to find. A short professional profile, clear section headings and readable bullet points help a recruiter locate your education, skills and experience. Avoid copying every phrase from the advert into your CV. Use the employer’s terminology only where it accurately describes your background. Do not include identity documents or private financial information in a public CV unless the verified application process specifically requests them through a suitable channel.
Review before you submit
Open your final attachments to check that the files are readable, the correct versions are included and your contact details are accurate. Where an application portal is used, check for a confirmation screen or email rather than assuming an upload completed successfully. If the advert requests a reference number in an email subject or application form, copy it exactly from the official advert. Submit through the stated route; sharing a CV in a social-media comment is not a substitute for applying.
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Prepare your free CVAbout this listing: SpanSam is an opportunity discovery service and is not the hiring employer unless explicitly stated. Application decisions and source-listing changes are controlled by the employer or institution.