Insurance Claims Adjuster

Placements24; Stellenbosch; Hybrid; ZAR 180,000 - 300,000; Full time

Benefits offered by this job

Hybrid work arrangement

Medical aid

Retirement fund

Paid annual leave

Career development

Job summary

Placements24 in Stellenbosch, Western Cape, is seeking an Insurance Claims Adjuster for a hybrid role combining office-based duties with remote work. You will investigate, evaluate, and negotiate claims to facilitate fair settlements while maintaining thorough documentation and excellent client service.

The ideal candidate has proven claims experience, solid policy knowledge, and strong analytical and communication skills, with the ability to engage with external experts as needed.

Qualifications

• Proven experience in claims adjusting or similar role.
• Solid understanding of insurance policies and investigation techniques.
• Strong analytical, negotiation, and communication skills.

Responsibilities

• Investigate insurance claims by gathering information, interviewing witnesses, and reviewing evidence.
• Evaluate policy coverage and determine the insurer's liability.
• Assess damages and negotiate settlements with policyholders or their representatives.
• Document investigation findings, communications, and decisions meticulously.
• Manage a portfolio of claims from initial report to final settlement.
• Ensure claims are processed in compliance with procedures and regulatory requirements.
• Identify potential fraud and escalate suspicious claims for review.
• Provide clear explanations of policy coverage and claims processes to clients.
• Coordinate with loss adjusters, engineers, and legal counsel as needed.
• Contribute to team meetings and process improvement initiatives.

Skills

Analytical skills

Negotiation

Communication skills

Claims investigation

Education

Insurance qualification

Tools

MS Office Suite

Claims software

Job description

About the Role Our client is seeking a competent and dedicated Insurance Claims Adjuster to join their growing team in Stellenbosch, Western Cape . This is a hybrid role, offering a flexible work arrangement that combines office-based duties with remote operational capabilities. The Claims Adjuster will be responsible for investigating, evaluating, and negotiating insurance claims to facilitate fair settlements. We are looking for an individual with strong analytical skills, excellent attention to detail, and a commitment to providing exceptional customer service during challenging times. You will manage a caseload of diverse claims, ensuring thorough investigations and timely resolutions. This role requires an understanding of policy terms, damage assessment, and liability determination. The successful candidate will play a key role in upholding the company's reputation for integrity and efficiency in claims handling. Working within a supportive team environment in Stellenbosch , you will have opportunities to expand your expertise in various claim types. The hybrid nature of this role ensures both collaboration and personal work management.

Key Responsibilities

• Investigate insurance claims by gathering information, interviewing witnesses, and reviewing evidence.
• Evaluate policy coverage and determine the extent of the insurer's liability.
• Assess damages and negotiate settlements with policyholders or their representatives.
• Document all investigation findings, communications, and decisions meticulously.
• Manage a portfolio of claims from initial report to final settlement.
• Ensure claims are processed in compliance with company procedures and regulatory requirements.
• Identify potential fraud and escalation suspicious claims for further review.
• Provide clear explanations of policy coverage and claims processes to clients.
• Coordinate with external experts such as loss adjusters, engineers, and legal counsel when necessary.
• Contribute to team meetings and process improvement initiatives.

Requirements

• Proven experience as an Insurance Claims Adjuster or in a similar claims handling role.
• Solid understanding of insurance policies, legal principles, and claims investigation techniques.
• Excellent analytical, problem-solving, and negotiation skills.
• Strong interpersonal and communication skills, both written and verbal.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to work independently and manage workload effectively in a hybrid setting.
• Must be able to travel to Stellenbosch, Western Cape as required by the hybrid work model.
• A relevant professional qualification or certification in insurance is advantageous.
• High attention to detail and accuracy in documentation.
• Commitment to ethical conduct and customer service excellence.

Benefits

• Competitive annual salary of ZAR.
• Hybrid work arrangement offering flexibility between office and remote work.
• Opportunities for professional development and specialized training.
• Supportive team environment with experienced claims professionals.
• Medical aid and retirement fund benefits.
• Paid annual leave and public holidays.
• Potential for career growth within the organization.