Hybrid Insurance Claims Specialist (Cape Town)

Placements24; Cape Town; Hybrid; ZAR 300,000 - 540,000; Full time

Benefits offered by this job

Medical aid

Retirement fund contribution

Annual performance bonuses

Training programs & development

Wellness programs

Career advancement opportunities

Job summary

Placements24 is seeking an Insurance Claims Assessor in Cape Town, Western Cape, ZA. This hybrid role blends in-office collaboration with remote work to evaluate and process a variety of insurance claims, ensuring accuracy and timely settlements.

You will investigate liability, gather documentation, and communicate with claimants and third parties while adhering to policy terms and regulatory standards. A minimum of 3 years in claims assessment is expected.

Qualifications

• Minimum of 3 years in claims assessment or a related field within the insurance industry.
• Strong understanding of insurance principles, policies, and claims handling procedures.
• Excellent investigative, analytical, and problem-solving skills.
• Proficiency in using claims management software and standard office applications.
• Exceptional communication, negotiation, and interpersonal skills.

Responsibilities

• Investigate, assess, and process insurance claims promptly and efficiently.
• Interpret policy coverage and determine the extent of the company's liability.
• Gather necessary documentation, including police reports, medical records, and repair estimates.
• Communicate effectively with claimants, witnesses, and other relevant parties to obtain information and explain claim status.
• Negotiate settlements with claimants and their representatives within established guidelines.
• Identify potential cases of fraud and elevate them for further investigation.
• Maintain accurate and comprehensive claim records in the company's claims management system.
• Adhere to all company policies, procedures, and regulatory requirements.
• Collaborate with internal teams and external service providers to ensure efficient claim resolution.

Skills

Claims assessment

Investigative skills

Analytical thinking

Communication

Negotiation

Caseload management

Tools

Claims management software

Office applications

Job description

Placements24 is seeking an Insurance Claims Assessor in Cape Town, Western Cape, ZA. This hybrid role blends in-office collaboration with remote work to evaluate and process a variety of insurance claims, ensuring accuracy and timely settlements.

You will investigate liability, gather documentation, and communicate with claimants and third parties while adhering to policy terms and regulatory standards. A minimum of 3 years in claims assessment is expected.