Senior Claims Adjuster

Placements24; United States; Hybrid; USD 38,000 - 56,000; Full time

Benefits offered by this job

Hybrid work model

Professional development

Training workshops

Job summary

Placements24 is seeking a Senior Claims Adjuster to join our insurance team based in Midrand. The role focuses on fair and efficient settlement of complex claims, with emphasis on risk assessment, fraud detection, and customer service to policyholders during challenging times.

You will mentor junior adjusters, collaborate across departments, and contribute to the integrity of the claims process. The hybrid position offers in-office collaboration with remote engagement and opportunities for

Qualifications

• 5+ years of experience as an insurance claims adjuster.
• Knowledge of policies, legislation, and settlement procedures.
• Excellent negotiation, analytical and problem-solving skills.
• Proficiency with claims software and office applications.
• Certifications in insurance adjusting are desirable.

Responsibilities

• Investigate, evaluate, and negotiate complex insurance claims.
• Assess damages, liability, and coverage across claim types.
• Communicate with claimants, policyholders, counsel, and stakeholders.
• Identify potential fraud and conduct investigations.
• Prepare detailed investigation reports and settlement recommendations.
• Mentor junior adjusters on case management and best practices.

Skills

Negotiation

Analytical

Problem solving

Communication

Education

Insurance adjuster certification

Tools

Claims management software

Job description

About the Role

Our client is seeking an experienced and meticulous Senior Claims Adjuster to join their dynamic insurance team based in Midrand. This role is crucial in ensuring the fair and efficient settlement of complex insurance claims, providing a high level of customer service to policyholders during challenging times. You will play a pivotal role in risk assessment, fraud detection, and maintaining the integrity of the claims process, contributing significantly to client satisfaction and the company's reputation. This hybrid position offers a balance between collaborative in-office work and the flexibility of remote engagement, fostering a productive and supportive team environment.

Key Responsibilities

• Investigate, evaluate, and negotiate complex insurance claims, ensuring compliance with policy terms and legal regulations.
• Conduct thorough assessments of damages, liability, and coverage for various claim types, including property, casualty, and bodily injury.
• Communicate effectively and empathetically with claimants, policyholders, legal counsel, and other stakeholders throughout the claims process.
• Identify potential fraudulent claims and implement appropriate investigative procedures.
• Prepare detailed reports documenting claim investigations, findings, and settlement recommendations.
• Mentor junior adjusters and provide guidance on complex case management and best practices.

Requirements

• Minimum of 5 years of experience as an insurance claims adjuster, with a proven track record in handling complex cases.
• Strong understanding of insurance policies, relevant legislation, and claims settlement procedures.
• Excellent negotiation, analytical, and problem-solving skills.
• Proficiency in claims management software and standard office applications.
• Relevant professional certifications or qualifications in insurance adjusting are highly desirable.

Benefits

• Competitive annual salary with performance-based incentives.
• Comprehensive medical and retirement benefits package.
• Opportunities for professional development and career advancement within the insurance sector.
• Hybrid work model providing flexibility and work-life balance.
• Access to ongoing training and industry workshops to enhance skills.