Hybrid Insurance Claims Handler: Complex Cases

Placements24; LegKraal Gate; Hybrid; ZAR 320,000 - 440,000; Full time

Benefits offered by this job

Hybrid working arrangements

Medical aid and retirement fund

Professional development opportunities

Job summary

Placements24 is seeking an experienced Insurance Claims Handler based in Mahikeng, North West. The role focuses on managing complex claims, thorough investigations, and fair settlements, with a hybrid work model balancing on-site and remote work.

The ideal candidate has 4+ years in complex claims handling, strong policy interpretation, and excellent negotiation and communication skills. Hybrid collaboration with legal and loss adjusting teams is essential for success.

Qualifications

• Minimum 4 years of experience as an Insurance Claims Handler.
• Ability to analyze and interpret complex policy documents.
• Strong negotiation and communication skills.
• Experience in hybrid work environments (remote + in-office).
• Willing to reside in or commute to Mahikeng, North West.

Responsibilities

• Manage a caseload of complex insurance claims from initiation to settlement.
• Conduct investigations and gather evidence.
• Interpret policy terms, conditions, exclusions, and endorsements.
• Assess liability and coverage to determine settlement amounts.
• Negotiate settlements with claimants and third parties.
• Coordinate with internal and external stakeholders and ensure regulatory compliance.
• Maintain detailed records in the claims management system.

Skills

Analytical skills

Negotiation

Investigations

Communication

Education

NQF Level 4 in Short-Term Insurance

Tools

Claims management software

Job description

Placements24 is seeking an experienced Insurance Claims Handler based in Mahikeng, North West. The role focuses on managing complex claims, thorough investigations, and fair settlements, with a hybrid work model balancing on-site and remote work.

The ideal candidate has 4+ years in complex claims handling, strong policy interpretation, and excellent negotiation and communication skills. Hybrid collaboration with legal and loss adjusting teams is essential for success.