Claims Assessor - Remote

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

Benefits offered by this job

Remote work

Competitive salary

Medical, dental, and vision coverage

Training and development opportunities

Job summary

Placements24 is seeking a diligent Claims Assessor to join a fully remote claims handling team. You will manage and process insurance claims from start to finish, serving as the main point of contact for policyholders with clarity and empathy.

Ideal candidates have strong investigative, analytical, and communication skills, with experience in insurance claims and proficiency in claims software. The role offers remote work, competitive salary, and opportunities for professional development.

Qualifications

• Minimum of 3 years of experience in insurance claims assessment or a related field.
• Solid understanding of insurance policies, legal requirements, and claims procedures.
• Excellent investigative, analytical, and problem-solving capabilities.
• Strong written and verbal communication skills, with a professional and empathetic demeanor.

Responsibilities

• Receive, review, and validate incoming insurance claims, ensuring all required documentation is submitted.
• Investigate claim details by gathering evidence, obtaining statements, and consulting policy documents.
• Assess the validity of claims against policy terms and conditions, determining liability and coverage.
• Communicate claim status, decisions, and required next steps clearly to policyholders via phone, email, or virtual meetings.
• Negotiate settlements with claimants or their representatives, ensuring fair and timely resolution.
• Maintain accurate and detailed records of all claim activities within the claims management system.

Job description

About the Role

Our client is actively seeking a diligent and empathetic Claims Assessor to join their fully remote claims handling department. In this crucial role, you will be responsible for managing and processing insurance claims efficiently and accurately from start to finish. You will serve as the primary point of contact for policyholders, guiding them through the claims process with clarity and compassion. This position is ideal for an individual who excels at investigation, analysis, and communication within a virtual setting, contributing to a company culture that prioritizes integrity, customer support, and technological innovation in claims management.

Key Responsibilities

• Receive, review, and validate incoming insurance claims, ensuring all required documentation is submitted.
• Investigate claim details by gathering evidence, obtaining statements, and consulting policy documents.
• Assess the validity of claims against policy terms and conditions, determining liability and coverage.
• Communicate claim status, decisions, and required next steps clearly to policyholders via phone, email, or virtual meetings.
• Negotiate settlements with claimants or their representatives, ensuring fair and timely resolution.
• Maintain accurate and detailed records of all claim activities within the claims management system.

Requirements

• Minimum of 3 years of experience in insurance claims assessment or a related field.
• Solid understanding of insurance policies, legal requirements, and claims procedures.
• Excellent investigative, analytical, and problem-solving capabilities.
• Strong written and verbal communication skills, with a professional and empathetic demeanor.
• Proficiency with claims processing software and standard office applications.
• Ability to manage a caseload effectively and meet performance targets in a remote environment.

Benefits

• Competitive annual salary commensurate with experience.
• Fully remote work arrangement with flexible scheduling options.
• Comprehensive medical, dental, and vision coverage.
• Paid time off and public holidays.
• Access to online training resources and professional development opportunities.