Claims Adjuster

Placements24; Kempton Park; On-site; ZAR 180,000 - 280,000; Full time

Benefits offered by this job

Competitive salary package

Medical aid

Provident fund

Training and development

Job summary

Placements24 is seeking a diligent Claims Adjuster in Tembisa, Gauteng. You will investigate claims, determine coverage, negotiate settlements, and ensure timely resolutions for policyholders.

Strong investigative, analytical, and negotiation skills are essential, with the ability to travel within Gauteng as required. The role requires a matriculation certificate or equivalent, plus experience in insurance claims handling and proficiency with claims software and MS Office.

Qualifications

• Matriculation certificate or equivalent qualification; 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.

Responsibilities

• Investigate insurance claims thoroughly, gathering necessary documentation and evidence.
• Evaluate policy coverage to determine insurer liability.
• Assess damages and calculate settlement amounts.
• Negotiate settlements with policyholders and legal representatives.
• Manage a caseload of claims and meet deadlines and service standards.
• Prepare detailed investigation reports and recommendations.
• Maintain accurate claim records in the claims system.
• Identify potential fraud and follow investigation procedures.

Skills

Investigative skills

Analytical thinking

Negotiation

Customer service

Communication

Time management

Independent work

Driver's license

Education

Matriculation certificate

Tertiary qualification / industry certification

Tools

Claims management software

Microsoft Office

Job description

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.