Claims Assessor - Specialized Commercial Lines

Placements24; Cape Town; On-site; ZAR 420,000 - 540,000; Full time

Benefits offered by this job

Medical aid

Provident fund

Annual performance bonuses

Training & development opportunities

Generous leave entitlement

Job summary

Placements24 is seeking a diligent Claims Assessor in Cape Town to specialise in complex commercial insurance claims. You will investigate, assess and settle claims with strong attention to policy terms and regulatory requirements.

The role requires 4+ years in commercial claims, excellent negotiation and communication skills, and the ability to work independently within a team. A competitive salary and benefits package are provided.

Qualifications

• 4+ years of hands-on experience in assessing commercial insurance claims.
• In-depth knowledge of Property, Liability and Business Interruption classes.
• Strong understanding of SA insurance legislation and claims handling practices.
• Excellent negotiation, communication and interpersonal skills.
• Ability to work independently and meet tight deadlines.

Responsibilities

• Investigate and assess validity and quantum of commercial insurance claims.
• Conduct site inspections and gather documentation and evidence.
• Interpret policy wordings and legal documentation to determine coverage.
• Negotiate settlements with claimants, legal representatives and third parties.
• Manage a caseload of diverse claims and meet SLAs.
• Liaise with loss adjusters, engineers and counsel as needed.
• Prepare detailed assessment reports with settlement or repudiation recommendations.
• Identify potential fraud indicators and escalate accordingly.
• Maintain accurate records on the claims system.

Skills

Negotiation

Communication

Interpersonal skills

Time management

Integrity

Independence

Attention to detail

Education

Tertiary qualification in Law/Commerce/Risk Management

Tools

Claims management software

MS Office

Job description

About the Role Our client, a highly reputable insurance firm located in the scenic coastal city of Cape Town , is actively seeking a diligent and experienced Claims Assessor to specialize in complex commercial lines. This vital position involves the meticulous investigation, evaluation, and settlement of intricate insurance claims, ensuring fair and timely resolution while adhering strictly to policy terms and conditions. The ideal candidate will possess exceptional investigative skills, a keen eye for detail, and a robust understanding of commercial insurance principles. Working within a dedicated team in Cape Town, Western Cape , you will contribute significantly to the company's reputation for excellent customer service and claims handling.

Key Responsibilities

• Investigate and assess the validity and quantum of commercial insurance claims submitted by policyholders.
• Conduct thorough site inspections and gather all necessary documentation, reports, and evidence.
• Interpret complex policy wordings and legal documentation to determine coverage.
• Negotiate settlements with claimants, legal representatives, and third parties in a professional and ethical manner.
• Manage a caseload of diverse commercial claims, ensuring all deadlines and service level agreements are met.
• Liaise effectively with loss adjusters, engineers, legal counsel, and other relevant experts.
• Prepare detailed assessment reports, including recommendations for settlement or repudiation.
• Identify potential fraud indicators and elevate suspicious claims for further investigation.
• Maintain accurate and up-to-date records on the claims management system.

Requirements

• A relevant tertiary qualification in Law, Commerce, Risk Management, or a related field is advantageous.
• A minimum of 4 years of hands-on experience in assessing commercial insurance claims.
• In-depth knowledge of various commercial insurance classes (e.g., Property, Liability, Business Interruption).
• Strong understanding of insurance legislation and claims handling best practices in South Africa .
• Excellent negotiation, communication, and interpersonal skills.
• Proven ability to work independently, manage time effectively, and meet demanding deadlines.
• High level of integrity and ethical conduct.
• Proficiency in using claims management software and standard office applications.
• Familiarity with the unique business landscape of Cape Town and surrounding areas is a plus.

Benefits

• Attractive salary package commensurate with experience and expertise.
• Opportunity to work with a leading insurance brand in a challenging and rewarding role.
• Comprehensive medical aid and provident fund benefits.
• Annual performance-based bonuses.
• Ongoing training and professional development opportunities.
• A professional working environment in the heart of Cape Town .
• Generous leave entitlement.