Insurance Claims Handler - Complex Claims

Placements24; United States; Hybrid; USD 29,000 - 42,000; Full time

Benefits offered by this job

Hybrid work model

Medical aid

Retirement fund

Professional development

Team collaboration environment

Job summary

Placements24 is seeking an experienced Insurance Claims Handler to manage complex claims in a hybrid team based in East London. You will evaluate, negotiate, and settle claims across policy types, conduct investigations, and communicate clearly with policyholders and third parties.

The role requires at least 4 years of experience, strong knowledge of policy wordings and claims procedures, and excellent analytical and negotiation skills.

Qualifications

• Minimum of 4 years of experience in handling complex insurance claims.
• Strong understanding of various insurance products, policy wordings, and claims procedures.
• Excellent analytical, problem-solving, and decision-making skills.
• Exceptional communication, negotiation, and interpersonal abilities.
• Ability to manage workload effectively in a hybrid work environment.
• Detail-oriented with a commitment to accuracy and compliance.

Responsibilities

• Manage a caseload of complex insurance claims from initiation to closure.
• Conduct detailed investigations, gather necessary documentation, and assess liability and coverage.
• Communicate effectively and empathetically with policyholders, claimants, and third parties.
• Negotiate settlements within authority limits, ensuring fairness and adherence to policy terms.
• Maintain accurate and up-to-date records of all claim activities and communications.
• Collaborate with legal counsel, loss adjusters, and other specialists as required.

Job description

About the Role

Our client is seeking an experienced and adept Insurance Claims Handler to manage complex claims within their hybrid team based in East London . This role demands a meticulous approach to evaluating, negotiating, and settling challenging insurance claims across various policy types. You will be responsible for thorough investigations, clear communication with all parties involved, and ensuring fair and efficient resolutions that align with policy terms and company standards. Your ability to navigate intricate claim scenarios and maintain professionalism under pressure will be essential to upholding our client's reputation for excellence in the Eastern Cape 's insurance sector.

Key Responsibilities

• Manage a caseload of complex insurance claims from initiation to closure.
• Conduct detailed investigations, gather necessary documentation, and assess liability and coverage.
• Communicate effectively and empathetically with policyholders, claimants, and third parties.
• Negotiate settlements within authority limits, ensuring fairness and adherence to policy terms.
• Maintain accurate and up-to-date records of all claim activities and communications.
• Collaborate with legal counsel, loss adjusters, and other specialists as required.

Requirements

• Minimum of 4 years of experience in handling complex insurance claims .
• Strong understanding of various insurance products, policy wordings, and claims procedures.
• Excellent analytical, problem-solving, and decision-making skills.
• Exceptional communication, negotiation, and interpersonal abilities.
• Ability to manage workload effectively in a hybrid work environment.
• Detail-oriented with a commitment to accuracy and compliance.

Benefits

• Competitive annual salary and performance-related bonuses.
• Hybrid work model providing a flexible work-life balance.
• Comprehensive medical aid and retirement fund benefits.
• Opportunities for professional development and specialized claims training.
• A supportive team environment fostering collaboration and skill enhancement in East London .