Hybrid Insurance Claims Investigator

Placements24; Bloemfontein; Hybrid; ZAR 250,000 - 360,000; Full time

Benefits offered by this job

Hybrid work

Medical aid

Retirement fund

Training & development

Career advancement

Job summary

Placements24 in Bloemfontein is seeking an experienced Insurance Claims Assessor for a hybrid role, combining home and local office work. You will investigate, evaluate, and settle a range of claims, liaising with policyholders, gathering evidence, and determining coverage in line with policy terms, while maintaining excellent customer service and accuracy.

Candidates should have at least two years of claims experience, strong investigative skills, and a matric certificate; a valid driver's

Qualifications

• Minimum of 2 years in insurance claims assessment or related field.
• Solid understanding of claims process and policy terms.

Responsibilities

• Investigate claims to determine cause and extent of loss.
• Evaluate coverage and assess validity of claims per policy terms.
• Conduct site inspections and collect documentation (witness statements, reports).
• Negotiate settlements with policyholders and involved parties.
• Approve or deny claims based on findings and policy provisions.
• Maintain detailed records in claims management system.
• Communicate status updates to policyholders and stakeholders.
• Identify and report suspected fraudulent claims.
• Ensure timely processing to minimize costs and improve customer satisfaction.
• Adhere to company policies and regulatory requirements.

Skills

Insurance claims

Investigation

Communication

Education

Matric

Tools

Claims management software

Job description

Placements24 in Bloemfontein is seeking an experienced Insurance Claims Assessor for a hybrid role, combining home and local office work. You will investigate, evaluate, and settle a range of claims, liaising with policyholders, gathering evidence, and determining coverage in line with policy terms, while maintaining excellent customer service and accuracy.

Candidates should have at least two years of claims experience, strong investigative skills, and a matric certificate; a valid driver's