Hybrid Insurance Claims Assessor – Growth & Impact

Placements24; Kempton Park; Hybrid; ZAR 320.000 - 520.000; Vollzeit

Benefits dieser Stelle

Medical aid

Provident fund

Hybrid work model

Employee wellness programs

Zusammenfassung

Placements24 is assisting a reputable insurer in recruiting an Insurance Claims Assessor for a hybrid role in Gauteng. You will investigate, evaluate and settle claims, determining liability in line with policy terms while delivering excellent service.

You will collaborate with policyholders, claimants and third parties, maintain precise records, and identify potential fraud. The ideal candidate has solid claims experience, strong analytical skills and effective communication in a dynamic team

Qualifikationen

• Proven experience as a Claims Assessor or in a similar insurance claims handling role.
• Solid understanding of insurance policies, legal principles, and claims investigation techniques.
• Excellent analytical, critical thinking and problem-solving skills.
• Strong negotiation and conflict-resolution abilities.
• Exceptional communication and interpersonal skills, with the ability to handle sensitive situations with empathy.

Aufgaben

• Investigate insurance claims by gathering all necessary information, including policy details, incident reports, and witness statements.
• Assess the validity and value of claims, determining coverage and liability based on policy terms.
• Communicate effectively with policyholders, claimants, and third parties to explain coverage, processes, and decisions.
• Negotiate settlements with claimants and their representatives.
• Appoint and manage external adjusters and repair services when necessary.
• Maintain accurate and detailed records of all claim activities and decisions in the claims management system.
• Identify potential cases of fraud and elevate them for further investigation.
• Ensure compliance with company policies, procedures, and regulatory requirements.
• Contribution to improving claims handling processes and customer satisfaction.
• Participate in team meetings and provide insights on claim trends and best practices.

Kenntnisse

Claims assessment

Analytical skills

Negotiation

Communication

Fraud detection

Insurance policies

Ausbildung

Degree or diploma in a relevant field

Tools

Claims management software

Jobbeschreibung

Placements24 is assisting a reputable insurer in recruiting an Insurance Claims Assessor for a hybrid role in Gauteng. You will investigate, evaluate and settle claims, determining liability in line with policy terms while delivering excellent service.

You will collaborate with policyholders, claimants and third parties, maintain precise records, and identify potential fraud. The ideal candidate has solid claims experience, strong analytical skills and effective communication in a dynamic team