Insurance Claims Adjuster

Placements24; Queenstown; On-site; NZD 34,000 - 55,000; Full time

Benefits offered by this job

Medical aid

Retirement fund

Company vehicle / travel allowance

Professional development opportunities

Employee assistance program

Job summary

Placements24 is seeking an Insurance Claims Adjuster for the Queenstown area. You will manage claims from report to settlement, assess liability, coordinate inspections, and communicate clearly with policyholders throughout the process.

The role requires 2–4 years of claims experience, solid knowledge of policies, and the ability to travel within the Queenstown region. A matric and relevant certifications are advantageous; a supportive team offers development and stability.

Qualifications

• Matric required; tertiary or insurance certs (e.g., RE 1) advantageous.
• 2–4 years experience as a Claims Adjuster or in a similar role within insurance.
• Solid understanding of insurance policies, claims procedures, and relevant legislation.

Responsibilities

• Investigate claims to determine liability and coverage.
• Interview claimants, policyholders, and witnesses.
• Inspect damaged property; assess repair/replacement costs; negotiate settlements.
• Review policies to ensure coverage aligns with claim.
• Maintain detailed records of claim activities and decisions.
• Communicate with policyholders; provide updates on process.
• Liaise with repair shops, medical providers, and legal counsel when needed.
• Identify potential fraud or misrepresentation and report it.
• Ensure timely processing to meet SLAs.
• Adhere to insurance regulations and company policies.

Skills

Investigative skills

Analytical skills

Negotiation skills

Communication skills

Empathy

Time management

Education

Matric/Grade 12

Relevant tertiary qualification or RE 1

Tools

Claims management software

MS Office

Job description

About the Role

Our client, a trusted provider of insurance services, is looking for a diligent and detail-oriented Insurance Claims Adjuster to join their team in Queenstown, Eastern Cape. This essential role involves managing insurance claims from initial report to final settlement, ensuring accuracy, fairness, and adherence to policy terms and conditions. You will be the primary point of contact for policyholders during a critical time, requiring strong communication and problem-solving skills. This is an excellent opportunity to build a stable career within the insurance industry, contributing to customer satisfaction and the company's reputation for reliability in the Queenstown area. We are committed to supporting our employees' professional growth and well-being within a dedicated team environment.

Key Responsibilities

• Investigate insurance claims to determine the extent of liability and coverage.
• Interview claimants, policyholders, and witnesses to gather all necessary information.
• Inspect damaged property, assess the cost of repairs or replacement, and negotiate settlements.
• Review insurance policies to ensure coverage aligns with the circumstances of the claim.
• Maintain accurate and detailed records of claim activities, correspondence, and decisions.
• Communicate effectively with policyholders, providing updates and explaining the claims process.
• Liaise with external parties such as repair shops, medical providers, and legal counsel when necessary.
• Identify potential cases of fraud or misrepresentation and report them to the appropriate department.
• Ensure timely and efficient processing of claims to meet service level agreements.
• Adhere to all relevant insurance regulations and company policies.

Requirements

• A Matriculation Certificate (Grade 12) is required; a relevant tertiary qualification or insurance-specific certifications (e.g., RE 1) are advantageous.
• Minimum of 2-4 years of experience as a Claims Adjuster or in a similar claims handling role within the insurance industry.
• Solid understanding of insurance policies, claims procedures, and relevant legislation.
• Excellent investigative, analytical, and negotiation skills.
• Strong interpersonal and communication skills, with the ability to empathize and build rapport with clients.
• Proficiency in using claims management software and standard office applications.
• Ability to work independently, manage workload effectively, and meet deadlines.
• A valid driver's license and willingness to travel within the Queenstown region for property inspections and client meetings.
• High level of integrity and attention to detail.
• Adaptability and resilience in handling diverse claim scenarios.

Benefits

• Competitive salary package commensurate with experience.
• Medical aid and retirement fund benefits.
• Company vehicle or travel allowance for site visits.
• Opportunities for professional development and advanced claims training.
• A stable and supportive work environment.
• Clear career path within the claims department.
• Annual performance bonuses.
• Employee assistance program.
• Opportunity to make a tangible difference in policyholders' lives during challenging times.
• Work within a community-focused setting in Queenstown.