Hybrid Senior Claims Adjuster - Complex Claims & Mentorship

Placements24; Midrand; Hybrid; ZAR 650,000 - 950,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Professional development

Hybrid work model

Paid time off

Retirement plan

Job summary

Placements24 in Midrand seeks a Senior Claims Adjuster to manage complex claims end-to-end, ensuring accuracy, fairness, and regulatory compliance. The role involves mentoring juniors and collaborating across stakeholders in a hybrid work setup.

The ideal candidate brings 5+ years in senior claims, deep policy knowledge, and strong negotiation and communication skills. Familiarity with claims software is essential for documenting and resolving cases.

Qualifications

• Minimum 5 years in a senior claims role.
• In-depth knowledge of insurance policies and coverage analysis.
• Strong analytical and negotiation skills.
• Excellent communication and interpersonal abilities.
• Proficiency with claims management software.

Responsibilities

• Investigate, evaluate, and negotiate complex claims including property, casualty, and liability.
• Conduct policy analysis to determine coverage and liability for claims.
• Communicate with claimants, policyholders, legal counsel, and stakeholders throughout the process.
• Document all claim activities, decisions, and settlements in the claims system.
• Mentor and guide junior claims adjusters to foster expertise and continuous learning.
• Ensure adherence to company policies, procedures, and industry regulations in claim handling.

Skills

Claims adjustment

Negotiation

Analytical thinking

Policy analysis

Communication

Education

Insurance certifications

Tools

Claims management software

Job description

Placements24 in Midrand seeks a Senior Claims Adjuster to manage complex claims end-to-end, ensuring accuracy, fairness, and regulatory compliance. The role involves mentoring juniors and collaborating across stakeholders in a hybrid work setup.

The ideal candidate brings 5+ years in senior claims, deep policy knowledge, and strong negotiation and communication skills. Familiarity with claims software is essential for documenting and resolving cases.