Remote Senior Complex Insurance Claims Adjuster

Placements24; Queenstown; Hybrid; NZD 51,000 - 68,000; Full time

Benefits offered by this job

Fully remote

Competitive salary

Bonuses

Medical aid and retirement fund

Job summary

Placements24 in South Africa is seeking a seasoned Remote Insurance Claims Adjuster to manage complex claims end-to-end from initiation to closure. The role requires investigating claim validity, reviewing documentation, and negotiating settlements with policyholders and legal representatives.

A strong analytical mindset and familiarity with niche insurance products are essential. The position is fully remote, offering flexibility to work from anywhere within South Africa.

Qualifications

• Minimum of 5 years of experience as an Insurance Claims Adjuster with complex or specialized claims (e.g., liability, professional indemnity, cyber).
• Strong policy interpretation and claims adjudication expertise.
• Excellent analytical, problem-solving, and decision-making skills.

Responsibilities

• Manage and process complex and specialized insurance claims independently from initiation to closure.
• Conduct thorough investigations into the circumstances and validity of claims.
• Obtain and review all necessary documentation, including expert reports and legal opinions.
• Communicate professionally and empathetically with policyholders, claimants, legal representatives, and other stakeholders.
• Assess policy coverage and determine appropriate claim settlements based on policy terms and conditions.
• Negotiate settlements effectively, striving for fair and timely resolutions.

Skills

Analytical thinking

Negotiation

Communication

Claims handling

Education

ACII

FLMI

Tools

Claims management software

Job description

Placements24 in South Africa is seeking a seasoned Remote Insurance Claims Adjuster to manage complex claims end-to-end from initiation to closure. The role requires investigating claim validity, reviewing documentation, and negotiating settlements with policyholders and legal representatives.

A strong analytical mindset and familiarity with niche insurance products are essential. The position is fully remote, offering flexibility to work from anywhere within South Africa.