Leadership that starts at the bedside

Accisure CEO Rikus Scheepers shares how leadership in financial services can start at the human level—beside a hospital bed, in the first hour after an accident. By building systems that multiply expertise and enable immediate care, he shows how purpose-driven leadership transforms access, recovery, and impact at scale.
Written by
Rikus Scheepers
Published on
February 2, 2026

Leadership is often framed as strategy, scale, and market share. But some of the most meaningful leadership in financial services begins somewhere far more human: beside a hospital bed, in the first hour after a life-changing accident, when fear is high and options feel limited.

My path to Accisure didn’t start in insurance. It started in healthcare. I’m a chiropractor by trade. I grew up in a farming community, studied in Johannesburg, and qualified in 2006. Like many healthcare professionals, my early career was anchored in one simple goal: help people recover. But it didn’t take long to realise that healing doesn’t depend only on clinical skill. It also depends on access, and access, for most South Africans, is where the system breaks down.

In my practice, I saw a recurring pattern: people injured in road accidents who needed immediate, quality care, but didn’t have medical aid. They would be moved through overcrowded public facilities, often without the treatment they truly needed, and by the time longer-term compensation processes caught up, the damage was already done. The problem wasn’t only medical. It was structural.

The gap no one talks about - South Africa has statutory systems designed to support people after serious incidents. In road accidents, the Road Accident Fund exists. For injuries on duty, workers’ compensation exists. In theory, these mechanisms provide a safety net. In practice, most ordinary people don’t know how to access them, and most service providers don’t have the capacity to navigate the documentation, compliance, and administrative burden required to claim.

In the Road Accident Fund environment, there are two main types of claims. The first is the well-known legal route, lengthy, lawyer-driven, slow, and often stretching across years. The second is less understood but incredibly important: supplier claims.

Supplier claims allow medical service providers to claim qualifying accounts directly from the statutory body. The client doesn’t receive money. The client receives treatment, and the provider gets paid. It’s faster, more practical, and far more aligned with what people actually need in the aftermath of an accident.

That insight became the starting point. I realised that the real need wasn’t only a future payout. The real need was immediate care, care that could reduce disability, accelerate recovery, and prevent a temporary injury from becoming a lifelong burden. But for that to happen, someone had to make the process work in the real world.

Building a service, not just a business - The first version of our business was called AcciCare. It started with a simple, high-risk idea: pre-fund treatment for legitimate accident victims, then recover the costs through the statutory claims process.

In the early days, we tested this using our own resources. My wife and I financed much of what we had to validate the model. We would take a patient who qualified, get them into private care, pre-fund the accounts, then recover from the statutory body through the proper claims channel.

When the model proved viable, we brought in capital partners and moved from a small experiment to a scalable platform. We built networks across South Africa, doctors, hospitals, service providers, all aligned around one goal: get the injured person the care they deserve, without delay.

Over time, it became clear that the service needed to extend beyond funding and admin. People didn’t just need a claims intermediary. They needed someone who would arrive in the moment of crisis, help them navigate the system, coordinate the documentation, ensure the right providers were engaged, and make sure no one fell through the cracks. That’s when Accisure evolved from funding to membership: making access simple

Accisure became the membership layer, the part that helps individuals, families, employees and brokers access the service quickly, confidently, and with peace of mind.

The concept is simple: people should be able to store essential information in one place, know who to call, and activate support immediately after an accident. Within an hour or two, someone should be at the bedside assisting, not days later, not after a call centre loop, not after “please email and wait”.

This is not a “submit a claim and we’ll get back to you” model. This is a “you need us today” model. In parallel, the original funding and service-delivery engine continues through XI Care, the part that works with providers, validates documentation, compiles the claim packs, and ensures the statutory processes are followed properly.

“Leadership is not knowing everything; it’s building the capability to deliver. Our role is to create a system where people get help when it matters most.”

Rikus Scheepers
CEO, Accisure

Expanding the idea from road to work, and recoveries - As the business matured, we recognised that what worked in motor accident claims also applied to another large and painful gap: injuries at work.

Small business owners often don’t know how to access workers’ compensation support. They don’t know the process, the paperwork, the submissions, or how to protect themselves from disputes later. They pay the levies, but when the crisis hits, they’re alone, standing in queues, chasing forms, trying to keep operations running while an employee is injured and anxious.

That’s where the “AcciWork” capability was developed: immediate assistance after workplace injuries, including medical coordination and claims support against the Compensation Commissioner, right through to longer-term disability assessments where required.

We also began supporting underwriters and benefit providers more directly. Many personal injury or medical-related benefits in insurance products can, in certain cases, be recovered through statutory mechanisms. We help ensure claims are directed correctly, reducing unnecessary payouts where appropriate and strengthening the sustainability of the system.

The theme across all of this remains consistent: South Africans contribute to these statutory frameworks, but accessing them is often the hardest part. We exist to close that gap.

What leadership looked like for me - Transitioning from healthcare to business was not automatic. Healthcare professionals are trained to focus intensely: one patient, one diagnosis, one treatment plan. Business requires you to step back and see the whole system, the ambulance report, the police report, the casualty notes, the X-rays, the paperwork chain, the payment structures, the compliance obligations, the capital requirements.

No doctor has the time to drive to a police station and collect documentation. No hospital wants to dedicate staff to chasing forms and compiling claim packs. And an injured person in distress can’t be expected to manage it either.

The breakthrough was realising that the “secret” isn’t one brilliant individual. It’s a team, aligned around a shared purpose, built to handle the messy work behind the scenes so that professionals can focus on what they do best, and injured people can focus on recovery.

Leadership, in this context, became the discipline of building a system that multiplies expertise. If I see 20 or 30 patients a day in practice, that’s meaningful. But if we can enable hundreds of people every month to receive care, they wouldn’t otherwise access, the impact is on a different scale. That is why I increasingly see myself as a businessman, not because I’ve left healthcare behind, but because I’ve found a way to extend its reach.

A message for anyone sitting on an “adjacent opportunity” - If you’re a broker, advisor, practitioner, or specialist who sees a complementary opportunity, a gap close to your existing work, my advice is simple: Start with the end in mind: how do you build a process that makes access easier and creates benefit for everyone involved?

A good idea is one thing. Execution is another. It takes time, learning, setbacks, and constant refinement. But the difference-maker is whether you love the process, not just the destination. If the only goal is money, it will feel like a long road. If the goal is solving a real problem, every day becomes a lesson worth learning.

And surround yourself with people who know what you don’t: compliance, marketing, distribution, finance, technology, partnerships. Leadership is not knowing everything, it’s building the capability to deliver.

Why brokers matter in this vision - If the goal is for every South African to have access to this kind of support, distribution matters. Brokers already have what no call centre can replicate: trusted relationships with clients and business owners. They are in the conversation before the crisis happens, which is exactly when this kind of protection needs to be in place.

Accisure is designed to strengthen that broker-client relationship with something beyond a financial promise. It offers a service promise: immediate, practical support in a moment that changes everything.

Ultimately, that is what leadership looks like to me: not a title, not a position, but a commitment to building an ecosystem where people get help when it matters most.

AcciSure

AcciSure partners with insurers and brokers to deliver real, hands‐on accident support that builds trust and lasting client relationships. In a commoditised market, AcciSure gives brokers an edge with Care, Support and Outcomes. - helping them move beyond policy wording with practical support.