Claims Adjuster Specialist

Placements24; Cape Town; On-site; ZAR 360,000 - 540,000; Full time

Job summary

Placements24 is seeking a meticulous Claims Adjuster Specialist to manage a portfolio of complex insurance claims in Cape Town. You will apply expert analysis, negotiate settlements, and interpret policy wording to ensure fair outcomes for clients.

Based in Cape Town, you will join a well-established team focused on integrity, service excellence, and regulatory compliance within the South African insurance market. The role offers opportunities for growth and a professional working environment.

Qualifications

• Proven experience as a Claims Adjuster or similar role in insurance.
• Knowledge of claims processing, investigation techniques, and regulatory requirements.
• Strong negotiation, communication, and interpersonal skills.
• Ability to manage a caseload independently in Cape Town.
• Relevant industry qualifications or certifications are advantageous.

Responsibilities

• Investigate, evaluate, and settle insured claims accurately and efficiently.
• Gather evidence, interview claimants and witnesses, assess damages.
• Negotiate settlements with policyholders and third parties.
• Interpret policy wording and coverage to ensure appropriate handling.
• Maintain detailed claim files documenting actions and decisions.

Skills

Negotiation

Communication

Interpersonal skills

Investigations

Independent work

Education

Insurance qualifications (preferred)

Job description

About the Role

Our client is looking for a meticulous and dedicated Claims Adjuster Specialist to manage a portfolio of complex insurance claims in Cape Town . This role is crucial for maintaining customer satisfaction and ensuring the efficient and fair settlement of claims. You will be part of a well-established team, providing expert analysis and resolution for claims across various insurance products. The position requires a proactive approach to investigation, negotiation, and policy interpretation, contributing directly to the company's reputation for integrity and service excellence within the South African insurance market.

Key Responsibilities

• Investigate, evaluate, and settle insurance claims accurately and efficiently, adhering to company policies and regulatory standards.
• Conduct thorough investigations, gathering evidence, interviewing claimants and witnesses, and assessing damages.
• Negotiate settlements with policyholders and third-party representatives in a fair and professional manner.
• Interpret policy wording and coverage details to ensure appropriate claim handling.
• Maintain detailed and accurate claim files, documenting all activities and decisions made.

Requirements

• Proven experience as a Claims Adjuster or similar role within the insurance industry.
• In-depth knowledge of claims processing, investigation techniques, and legal/regulatory requirements.
• Strong negotiation, communication, and interpersonal skills.
• Ability to work independently and manage a caseload effectively in Cape Town .
• Relevant industry qualifications or certifications are advantageous.

Benefits

• Competitive salary package commensurate with experience.
• Excellent medical aid and provident fund benefits.
• Opportunities for career advancement within the organization.
• Company vehicle provided for fieldwork in and around Cape Town .
• A professional and collaborative working environment focused on high standards of service.