Claims Handler - Personal Lines (Remote)

Placements24; Queenstown; Hybrid; NZD 33,000 - 56,000; Full time

Benefits offered by this job

Fully remote work arrangement

Bonuses

Medical aid

Retirement fund

Training and development

Supportive virtual team

Job summary

Placements24 is recruiting a Claims Handler for personal lines, offered on a fully remote basis with the role linked to a Queenstown team in the Eastern Cape. You will manage the end-to-end claims process from notification to settlement, ensuring fair and efficient resolutions for policyholders.

You will investigate, assess coverage, negotiate settlements, maintain records, and stay compliant with regulatory requirements while delivering excellent service.

Qualifications

• Minimum 2 years in personal lines claims.
• Relevant insurance qualification preferred.
• Strong understanding of personal insurance products.
• Excellent communication and negotiation skills.
• Remote-work capable with a stable home setup.
• Proficient in claims software and MS Office.

Responsibilities

• Receive, register and manage personal lines claims from notification to settlement.
• Investigate claims by gathering documentation, statements and evidence.
• Assess policy coverage and determine claim validity.
• Communicate with policyholders empathetically and provide updates.
• Negotiate settlements within defined authority limits.
• Appoint and manage service providers and maintain records.
• Identify potential fraudulent claims and escalate per procedures.
• Stay updated on claims handling best practices and regulatory requirements.

Skills

Claims handling

Communication

Negotiation

MS Office

Claims software

Education

NQF Level 4 in Short-Term Insurance

Tools

MS Office

Claims software

Job description

About the Role

Our client, a national insurance provider renowned for its customer-centric approach, is actively seeking a dedicated Claims Handler to manage personal lines claims on a **fully remote** basis. While the operational oversight is linked to **Queenstown, Eastern Cape**, this position allows you to work from anywhere within South Africa. The role involves managing a caseload of claims from initial notification through to settlement, ensuring fair and efficient resolution for policyholders. You will be responsible for investigating claims, assessing coverage, negotiating settlements, and providing excellent customer service throughout the claims process. This is an excellent opportunity for an experienced claims professional to leverage their skills in a flexible, remote work environment, supporting customers across the nation and contributing to the team based in the **Eastern Cape**.

Key Responsibilities

• Receive, register, and manage personal lines insurance claims (e.g., household, personal accident, travel).
• Investigate claims by gathering necessary documentation, statements, and evidence.
• Assess policy coverage and determine the validity of each claim.
• Communicate effectively and empathetically with policyholders, providing updates and explanations.
• Negotiate settlements with claimants and third parties within defined authority limits.
• Appoint and manage service providers such as assessors and repairers where required.
• Ensure claims are settled accurately and efficiently, adhering to service level agreements.
• Maintain detailed and accurate records of all claims activities in the claims management system.
• Identify potential fraudulent claims and elevate according to internal procedures.
• Stay updated on claims handling best practices, policy wordings, and regulatory requirements.

Requirements

• A minimum of 2 years of experience in handling personal lines insurance claims.
• A relevant insurance qualification (e.g., NQF Level 4 in Short-Term Insurance) is highly advantageous.
• Strong understanding of personal insurance products and claims processes.
• Excellent communication, interpersonal, and negotiation skills.
• Proficiency in claims management software and MS Office Suite.
• Ability to manage a caseload effectively and prioritize tasks in a **fully remote** setting.
• A high level of accuracy and attention to detail.
• A customer-focused attitude with a commitment to service excellence.
• Stable internet connection and a suitable home office environment conducive to remote work, supporting our **Queenstown**-based team.

Benefits

• Competitive salary package reflecting claims handling experience.
• Fully remote work arrangement with excellent flexibility.
• Performance-based bonuses.
• Comprehensive medical aid and retirement fund.
• Opportunities for further training and career development within claims.
• Supportive virtual team and management structure.
• Contribution to a respected national insurance brand.