Senior Remote Insurance Claims Assessor

Placements24

Southampton

Hybrid

GBP 55,000 - 75,000

Full time

4 days ago
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Benefits offered by this job

Fully remote
Medical aid
Retirement fund
Training & development
Flexible schedule

Job summary

Placements24 is seeking a highly proficient Senior Remote Insurance Claims Assessor to join our remote operations supporting clients across South Africa. The role involves comprehensive assessment and management of complex insurance claims, ensuring accurate valuations, policy adherence, and timely resolutions.

You will work independently in a fully remote setting, mentor junior assessors, communicate with policyholders and internal teams, and contribute to best practice development while

Qualifications

  • Minimum 5 years of professional experience in insurance claims assessment.
  • Expertise in interpreting policy terms and evaluating evidence.
  • Strong written and verbal communication with remote collaboration ability.

Responsibilities

  • Conduct thorough remote investigations and assessments of insurance claims.
  • Interpret policy terms and determine liability and quantum for settlements.
  • Maintain professional communication with policyholders, third parties, and internal teams.
  • Provide guidance and support to junior remote claims assessors.
  • Document all claim activities and decisions in the claims system.
  • Identify opportunities to improve remote claims processing efficiency.

Skills

Insurance claims
Remote work
Analytical thinking
Communication
Regulatory knowledge

Job description

About the Role

Our client is seeking a highly proficient Senior Remote Insurance Claims Assessor to join their fully remote operations, supporting their client base across South Africa . This vital role involves the comprehensive assessment and management of complex insurance claims, executed entirely from a remote work environment. You will be responsible for ensuring accurate claim valuations, policy adherence, and timely resolutions, while acting as a key resource for the remote claims team. This opportunity is perfect for an experienced, self-motivated professional who excels in autonomous work settings and possesses outstanding communication and analytical abilities to serve clients effectively.

Key Responsibilities
  • Conduct thorough remote investigations and detailed assessments of a wide range of insurance claims.
  • Interpret policy terms, evaluate evidence, and determine liability and quantum for claim settlements accurately.
  • Maintain consistent and professional communication with policyholders, third parties, and internal departments using virtual tools.
  • Offer technical guidance, mentorship, and support to remote-based junior claims assessors to ensure high standards.
  • Meticulously document all claim activities, decisions, and correspondence within the digital claims management system.
  • Proactively identify opportunities for enhancing remote claims processing efficiency and contributing to best practice development.
Requirements
  • A minimum of 5 years of professional experience in insurance claims assessment, with demonstrated success in managing complex claims remotely.
  • Strong understanding of various insurance products, policy interpretation, and regulatory compliance.
  • Excellent analytical, critical thinking, and decision-making capabilities are crucial.
  • Superior written and verbal communication skills, along with proficiency in virtual collaboration tools.
  • Ability to work independently, manage time effectively, and maintain a high level of productivity in a remote setting.
  • Relevant professional certifications are a plus.
Benefits
  • A highly competitive annual salary, commensurate with your extensive experience and remote work contribution.
  • A fully remote position offering unparalleled flexibility and autonomy.
  • Comprehensive medical aid and retirement fund benefits package.
  • Access to ongoing training and professional development opportunities to further your career.
  • The chance to be part of an innovative and supportive remote team environment.
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