Claims Adjuster

Placements24; Gauteng; Presencial; ZAR 300.000 - 480.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Annual bonus

Medical aid

Provident fund

Training opportunities

Stable environment

Career growth

Descripción de la vacante

Placements24 in Gauteng seeks a diligent Claims Adjuster to manage insurance claims from report to settlement in a fast-paced, on-site environment in Tembisa.

You will investigate claims, assess coverage, negotiate settlements, and maintain accurate records, while traveling within Gauteng as required. The role emphasizes customer service and regulatory compliance.

Formación

• Matriculation certificate or equivalent; tertiary qualification or industry certification is a plus.
• Proven experience as a Claims Adjuster or in a similar insurance role.
• Comprehensive understanding of insurance policies and claims handling procedures.
• Strong investigative, analytical, and negotiation skills.
• Excellent customer service and communication abilities, both written and verbal.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to work independently and manage time effectively in a fast-paced Gauteng environment.
• A valid driver's license and willingness to travel within the Gauteng region as required.

Responsabilidades

• Investigate insurance claims thoroughly, gathering all necessary documentation, statements, and evidence.
• Evaluate policy coverage to determine the extent of the insurer's liability.
• Assess damages and calculate settlement amounts in accordance with policy terms and applicable laws.
• Negotiate settlements with policyholders, claimants, and legal representatives in a fair and professional manner.
• Manage a caseload of claims, ensuring all deadlines and service standards are met.
• Prepare detailed reports on claim investigations, findings, and recommendations.
• Maintain accurate and up-to-date claim records in the company's claims management system.
• Identify potential fraud and follow established procedures for investigation.

Conocimientos

Investigative skills

Analytical skills

Negotiation skills

Customer service

Written & verbal communication

Time management

Driver's license

Travel willingness

Educación

Matric certificate

Tertiary qualification or industry certification

Herramientas

Claims management software

Microsoft Office Suite

Descripción del empleo

About the Role

Our client is seeking a diligent and detail-oriented Claims Adjuster to join their growing insurance operations in **Tembisa, Gauteng**. This role is essential for efficiently and effectively managing insurance claims from initial report through to settlement. You will be responsible for investigating claims, determining coverage, negotiating settlements, and ensuring fair and timely resolution for policyholders. The ideal candidate has a strong understanding of insurance policies, excellent investigative skills, and a commitment to providing exceptional customer service during challenging times. This is a fantastic opportunity to build a stable career within the insurance industry in a key **Tembisa** location.

Key Responsibilities

• Investigate insurance claims thoroughly, gathering all necessary documentation, statements, and evidence.
• Evaluate policy coverage to determine the extent of the insurer's liability.
• Assess damages and calculate settlement amounts in accordance with policy terms and applicable laws.
• Negotiate settlements with policyholders, claimants, and legal representatives in a fair and professional manner.
• Manage a caseload of claims, ensuring all deadlines and service standards are met.
• Prepare detailed reports on claim investigations, findings, and recommendations.
• Maintain accurate and up-to-date claim records in the company's claims management system.
• Identify potential fraud and follow established procedures for investigation.

Requirements

• Matriculation certificate or equivalent qualification; relevant tertiary qualification or industry certification is a plus.
• Proven experience as a Claims Adjuster or in a similar role within the insurance sector.
• Comprehensive understanding of insurance policies and claims handling procedures.
• Strong investigative, analytical, and negotiation skills.
• Excellent customer service and communication abilities, both written and verbal.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to work independently and manage time effectively in a fast-paced Tembisa environment.
• A valid driver's license and willingness to travel within the Gauteng region as required.

Benefits

• Competitive salary package with potential for annual performance bonuses.
• Medical aid and provident fund benefits.
• Ongoing training and professional development opportunities.
• A stable and supportive work environment in Tembisa.
• Opportunity to make a real difference in the lives of policyholders.
• Career advancement prospects within a reputable insurance company.