Claims Adjuster Specialist

Placements24; Centurion; Hybrid; ZAR 300,000 - 520,000; Full time

Benefits offered by this job

Fully remote work

Health and wellness benefits

Professional development opportunities

Retirement savings plan

Job summary

Placements24 is seeking an experienced Claims Adjuster Specialist for a remote role based in Centurion, Gauteng. You will investigate, evaluate and settle insurance claims with autonomy and a customer-focused approach.

The ideal candidate has a Bachelor’s degree or equivalent experience, 5+ years of claims adjusting, strong knowledge of policies, and proficient use of claims management software. This role emphasizes analytical skills and independent remote work.

Qualifications

• Bachelor's degree in a relevant field or equivalent experience.
• 5+ years of experience as a Claims Adjuster handling complex claims.
• Strong knowledge of insurance policies, liability and coverage.
• Excellent written and verbal communication; negotiation skills.
• Proficient with claims management software and office apps.
• Ability to work independently in a remote setting.
• Certified claims adjusting certification a plus.

Responsibilities

• Investigate insurance claims through interviews, documents, and site visits when needed.
• Evaluate liability and coverage based on policy terms.
• Assess damages value and negotiate settlements.
• Prepare detailed claim reports with findings and recommendations.
• Manage a caseload from report to final resolution.
• Maintain organized claim files using the claims system.
• Communicate clearly with claimants, providing updates.
• Identify subrogation or salvage opportunities.

Skills

Analytical thinking

Negotiation

Communication skills

Problem solving

Remote work

Education

Bachelor's degree

Tools

Claims management software

Office applications

Job description

About the Role

Our client, a highly respected insurance provider, is actively seeking an experienced and detail-oriented Claims Adjuster Specialist to join their team. While the role is based out of our Centurion, Gauteng hub, this position is designed for remote work, offering flexibility and autonomy. You will be responsible for investigating, evaluating, and settling insurance claims efficiently and equitably. This role requires a meticulous approach to assessing damages, determining coverage, and negotiating settlements in line with policy terms and company procedures. The ideal candidate will possess strong analytical skills, a keen eye for detail, and a commitment to providing exceptional customer service during challenging times. We are looking for a professional who can manage a caseload effectively and contribute to the smooth operation of our claims department.

Key Responsibilities

• Investigate insurance claims by gathering information through interviews, reviewing documents, and conducting site visits (if necessary and feasible remotely or locally).
• Evaluate the extent of liability and coverage based on policy terms and conditions.
• Assess the value of damages and negotiate fair settlements with policyholders and third parties.
• Prepare detailed claim reports, documenting findings, actions taken, and settlement recommendations.
• Manage a caseload of assigned claims from initial reporting through to final resolution, ensuring timely processing.
• Maintain accurate and organized claim files, utilizing company claims management systems effectively.
• Communicate clearly and empathetically with claimants, providing updates and explaining the claims process.
• Identify potential subrogation or salvage opportunities.

Requirements

• A Bachelor's degree in a relevant field is preferred, or equivalent professional experience.
• Relevant claims adjusting certifications are a plus.
• A minimum of 5 years of experience as a Claims Adjuster, with demonstrated expertise in handling complex claims.
• Solid understanding of insurance policies, legal principles, and claims investigation techniques.
• Exceptional analytical and problem-solving skills, with a strong ability to interpret policy language and assess damages.
• Excellent written and verbal communication skills, with the ability to negotiate effectively.
• Proficiency in using claims management software and standard office applications.
• High level of organization, attention to detail, and ability to work independently in a remote setting.
• Must be capable of managing a remote workload effectively and collaborating with colleagues via digital platforms.

Benefits

• An annual salary of ZAR , commensurate with experience.
• Fully remote work arrangement offering flexibility.
• Comprehensive health and wellness benefits package.
• Opportunities for continuous professional development and advanced training.
• Contribution to a retirement savings plan.
• A collaborative virtual team environment, supporting a healthy work-life balance.