Insurance Claims Adjuster

Placements24; Vereeniging; Hybrid; ZAR 300,000 - 600,000; Full time

Benefits offered by this job

Hybrid work arrangement

Medical aid

Retirement fund

Generous annual leave

Training and development

Job summary

Placements24 is seeking a dedicated Insurance Claims Adjuster for a hybrid role based in Vereeniging. The position requires investigating, evaluating, and settling claims with strong analytical and customer service skills.

You will balance office and remote duties while ensuring timely, fair resolutions. Candidates should have proven claims experience, knowledge of policies and legislation, and proficiency with claims management systems.

Qualifications

• Proven experience as a Claims Adjuster or similar role in the insurance industry.
• In-depth knowledge of insurance policies, claims procedures, and relevant legislation.
• Strong investigative, analytical, and problem-solving skills.
• Excellent negotiation and communication abilities.
• Proficiency in using claims management systems and standard office software.

Responsibilities

• Investigate insurance claims by gathering information from claimants, witnesses, and other relevant sources.
• Assess the extent of damages or losses covered by the insurance policy.
• Analyze policy coverage and ensure claims are in line with policy terms and conditions.
• Determine liability and negotiate settlements with policyholders and third parties.
• Prepare detailed reports documenting claim investigations, findings, and settlement recommendations.
• Maintain accurate and organized claim files, ensuring all documentation is current.
• Communicate effectively with all parties involved throughout the claims process.
• Stay informed about relevant laws and regulations affecting claims adjustments.
• Utilize claims management software to process claims and manage workload efficiently.

Skills

Investigative skills

Analytical thinking

Negotiation

Communication

Claims software

Time management

Customer service

Tools

Claims management software

Job description

About the Role

Our client is looking for a dedicated and detail-oriented Insurance Claims Adjuster to join their team based in Vereeniging . This hybrid position requires you to spend time both in the office and working remotely, providing flexibility while ensuring collaborative engagement. You will be responsible for investigating, evaluating, and settling insurance claims accurately and efficiently. This role demands strong analytical skills, excellent customer service, and a thorough understanding of insurance policies and procedures. Your primary goal will be to ensure fair and timely resolution of claims, upholding our client's commitment to service excellence and integrity.

Key Responsibilities

• Investigate insurance claims by gathering information from claimants, witnesses, and other relevant sources.
• Assess the extent of damages or losses covered by the insurance policy.
• Analyze policy coverage and ensure claims are in line with policy terms and conditions.
• Determine liability and negotiate settlements with policyholders and third parties.
• Prepare detailed reports documenting claim investigations, findings, and settlement recommendations.
• Maintain accurate and organized claim files, ensuring all documentation is current.
• Communicate effectively with all parties involved throughout the claims process.
• Stay informed about relevant laws and regulations affecting claims adjustments.
• Utilize claims management software to process claims and manage workload efficiently.

Requirements

• Proven experience as a Claims Adjuster or similar role in the insurance industry.
• In-depth knowledge of insurance policies, claims procedures, and relevant legislation.
• Strong investigative, analytical, and problem-solving skills.
• Excellent negotiation and communication abilities.
• Proficiency in using claims management systems and standard office software.
• Ability to manage a caseload effectively and meet deadlines.
• Commitment to providing exceptional customer service.
• Ability to adapt to a hybrid work model, balancing office and remote responsibilities.
• Relevant insurance certifications or qualifications are preferred.

Benefits

• An annual salary of R , commensurate with your experience.
• Hybrid work arrangement offering flexibility.
• Opportunity to work with a reputable insurance company.
• Comprehensive medical aid and retirement fund benefits.
• Generous annual leave entitlement.
• Access to ongoing training and professional development opportunities.
• A supportive and collaborative work environment.