Claims Handler - Specialized Insurance

Placements24; Gqeberha; Hybrid; ZAR 240,000 - 420,000; Full time

Benefits offered by this job

Medical aid contributions

Life insurance

Remote work

Training & development

Performance bonuses

Work-life balance

Job summary

Placements24 is seeking a diligent Claims Handler for its fully remote team. You will manage end-to-end claims for specialized insurance products, ensuring timely assessment and settlement while delivering excellent customer service.

The role emphasizes strong communication, attention to detail, and the ability to work independently in a remote environment. You’ll use claims software, collaborate with providers, and contribute to process improvements, with a supportive culture and growth

Qualifications

• Minimum 2 years in an insurance claims handling role.
• Solid understanding of insurance policies and claims principles.
• Excellent communication, interpersonal, and negotiation skills.
• Strong organizational skills to manage multiple tasks and deadlines.
• Ability to work independently in a remote team environment.

Responsibilities

• Receive, register, and process claims accurately and efficiently.
• Investigate claims by gathering information and evidence.
• Assess liability, coverage, and quantum per policy terms.
• Communicate with policyholders and third parties throughout the lifecycle.
• Negotiate settlements within authorized limits.
• Manage external service providers when required.
• Maintain up-to-date records on the claims system.
• Identify potential fraudulent claims and escalate.
• Ensure regulatory and company policy compliance.
• Contribute to continuous improvement of claims handling.

Skills

Claims handling

Insurance knowledge

Communication

Negotiation

Remote work

Organizational skills

Education

High school diploma or equivalent

INSETA qualifications advantageous

Tools

Claims management software

Job description

About the Role

Our client, a niche provider of specialized insurance solutions, is looking for a diligent and customer-focused Claims Handler to join their fully remote team. This role is central to delivering exceptional service and efficient claim resolution for our policyholders. You will manage the end-to-end claims process for a portfolio of specialized insurance products, ensuring timely and accurate assessment, investigation, and settlement. As a remote-first organization, we foster a collaborative virtual culture and provide the tools and support necessary for success. The ideal candidate will possess strong communication skills, a keen eye for detail, and a deep understanding of insurance principles. This position offers an excellent opportunity to gain in-depth experience in specialized insurance claims and to contribute to a company that values integrity and client satisfaction. We are committed to providing our employees with a flexible and rewarding work environment where they can thrive professionally. This is a fantastic entry point into the specialized insurance sector for motivated individuals.

Key Responsibilities

• Receive, register, and process insurance claims accurately and efficiently.
• Investigate claims by gathering necessary information, documentation, and evidence.
• Assess liability, coverage, and quantum of claims in accordance with policy terms and conditions.
• Communicate clearly and empathetically with policyholders, claimants, and third parties throughout the claims lifecycle.
• Negotiate settlements within authorized limits and in line with company guidelines.
• Appoint and manage external service providers, such as loss adjusters or repair networks, when required.
• Maintain accurate and up-to-date records of all claims activities on the claims management system.
• Identify potential fraudulent claims and elevate them according to established procedures.
• Ensure compliance with all relevant regulatory requirements and company policies.
• Contribute to the continuous improvement of claims handling processes and customer service standards.

Requirements

• A minimum of 2 years of experience in an insurance claims handling role.
• Demonstrable understanding of insurance policies and claims principles.
• Excellent communication, interpersonal, and negotiation skills.
• Strong organizational skills with the ability to manage multiple tasks and deadlines effectively.
• Proficiency in using claims management software and standard office applications.
• A proactive approach to problem-solving and attention to detail.
• Ability to work independently and collaboratively within a remote team environment.
• High school diploma or equivalent qualification; tertiary education or relevant professional certifications (e.g., INSETA qualifications) are advantageous.
• A stable internet connection and a dedicated workspace conducive to remote work.
• A commitment to providing excellent customer service.

Benefits

• Our client offers a competitive salary package and a range of benefits designed to support employee well-being and professional growth.
• These include medical aid contributions and life insurance.
• As a fully remote role, you will enjoy the flexibility of working from home.
• Opportunities for ongoing training and development in specialized insurance areas are provided.
• We foster a positive and supportive virtual work culture.
• Performance bonuses are available based on individual and company success.
• Potential for career advancement within the claims department or other areas of the organization.
• A strong emphasis is placed on work-life balance.
• This role offers a unique opportunity to excel in the specialized insurance field from the comfort of your own home.

We are committed to creating an inclusive and diverse workplace where all employees feel valued and respected.