Claims & Coverage Specialist — Earn Fair Settlements

Placements24; Soweto; On-site; ZAR 240,000 - 360,000; Full time

Benefits offered by this job

Competitive salary

Medical aid

Retirement fund

Professional development

Fair environment

Job summary

Placements24 in Soweto seeks an Insurance Claims Adjuster to manage the end-to-end claims process, from reporting to settlement. You will investigate damages, assess coverage, and negotiate fair settlements with policyholders and third parties.

The role requires strong communication, negotiation, and problem-solving skills, with experience in claims handling and proficiency with claims management software. A customer-focused approach and adherence to regulatory requirements are essential.

Qualifications

• Proven experience as an Insurance Claims Adjuster or in a related claims handling role.
• Strong understanding of insurance policies, coverage, and claims investigation techniques.
• Excellent negotiation, communication, and customer service skills.

Responsibilities

• Investigate insurance claims by gathering information, interviewing policyholders and witnesses, and inspecting damaged property.
• Analyze policy coverage and determine the extent of the company's liability based on investigation findings.
• Negotiate settlements with policyholders and third parties within established guidelines.
• Document all claim activities, decisions, and communications accurately in the claims management system.
• Ensure claims are processed efficiently and in compliance with company procedures and regulatory requirements.

Skills

Negotiation

Communication

Claims investigation

Customer service

Caseload management

Education

Industry certifications or licenses

Tools

Claims management software

Job description

Placements24 in Soweto seeks an Insurance Claims Adjuster to manage the end-to-end claims process, from reporting to settlement. You will investigate damages, assess coverage, and negotiate fair settlements with policyholders and third parties.

The role requires strong communication, negotiation, and problem-solving skills, with experience in claims handling and proficiency with claims management software. A customer-focused approach and adherence to regulatory requirements are essential.