Insurance Claims Adjuster

Placements24; Gauteng; On-site; ZAR 300,000 - 420,000; Full time

Benefits offered by this job

Competitive salary

Company vehicle

Travel allowance

Health insurance

Retirement plan

Training & development

Supportive team

Job summary

Placements24 is seeking an Insurance Claims Adjuster to serve the Tembisa community, guiding policyholders through the claims process with empathy and efficiency. You will investigate claims, determine coverage, negotiate settlements, and ensure fair and timely resolution.

You will document all claim activities in the management system and work to close cases efficiently while maintaining high customer service standards.

Qualifications

• Proven experience as an Insurance Claims Adjuster or similar role.
• Knowledge of insurance policies, claims procedures, and applicable laws.
• Excellent investigative, analytical, and problem-solving skills.
• Strong negotiation and communication abilities, both written and verbal.
• Proficiency with claims management software and standard office applications.
• Valid driver's license and willingness to conduct site inspections.

Responsibilities

• Investigate claims by gathering facts, interviewing witnesses, and reviewing policy documents to determine liability and coverage.
• Assess damages and estimate repair or replacement costs for property and casualty claims.
• Negotiate settlements within policy limits and company guidelines.
• Document all claim activities in the claims management system.
• Provide clear explanations of policy coverage and the claims process to policyholders.
• Work towards efficient claim closure while managing a caseload.

Skills

Investigation

Analytical skills

Negotiation

Communication

Tools

Claims management software

Office applications

Job description

About the Role

Our client is seeking a diligent and detail-oriented Insurance Claims Adjuster to serve the Tembisa community. In this role, you will be the primary point of contact for policyholders experiencing an insured loss, guiding them through the claims process with empathy and efficiency. You will investigate claims, determine coverage, negotiate settlements, and ensure fair and timely resolution. This is a crucial position that directly impacts customer satisfaction and upholds the integrity of our client's insurance services, contributing to their reputation for reliability and support during challenging times.

Key Responsibilities

• Investigate insurance claims by gathering facts, interviewing witnesses, and reviewing policy documents to determine liability and coverage.
• Assess damages and estimate repair or replacement costs for property and casualty claims.
• Negotiate settlements with claimants and third parties within policy limits and company guidelines.
• Document all claim activities, communications, and decisions accurately in the claims management system.
• Provide clear explanations of policy coverage and the claims process to policyholders.
• Work towards efficient claim closure while managing a caseload effectively.

Requirements

• Proven experience as an Insurance Claims Adjuster or similar role.
• In-depth knowledge of insurance policies, claims procedures, and relevant legislation.
• Excellent investigative, analytical, and problem-solving skills.
• Strong negotiation and communication abilities, both written and verbal.
• Proficiency with claims management software and standard office applications.
• A valid driver's license and willingness to conduct site inspections.

Benefits

• Competitive salary commensurate with experience.
• Company vehicle or travel allowance.
• Comprehensive health insurance and retirement savings plan.
• Ongoing training and professional development opportunities in the insurance sector.
• A supportive team environment focused on customer service excellence.