Insurance Claims Adjuster - Durban

Placements24; Durban; On-site; ZAR 240,000 - 420,000; Full time

Benefits offered by this job

Competitive salary

Performance-based bonus

Medical aid

Group life cover

Retirement annuity

Professional development

Job summary

Placements24 is seeking an Insurance Claims Adjuster in Durban, KwaZulu-Natal. The role focuses on investigating, evaluating, and settling claims with a strong emphasis on customer care and compliance.

You will be the primary contact for policyholders during claims, ensuring a supportive and efficient process. Requires a minimum of 3 years’ experience, solid knowledge of policy terms and legislation, and proficiency with claims software.

Qualifications

• Matriculation or equivalent; a tertiary qualification is advantageous.
• Minimum of 3 years' experience as a Claims Adjuster or in a similar role.
• Strong understanding of insurance policies, investigations, and applicable legislation.
• Excellent negotiation, communication, and interpersonal skills.
• Proficiency in claims software and standard office tools.
• Ability to work independently, manage time, and perform under pressure.
• Valid driver’s license and willingness to travel within the Durban area for inspections.
• Attention to detail and strong analytical abilities.
• Customer-centric approach to service.

Responsibilities

• Investigate claims by gathering evidence, interviewing claimants and witnesses, and reviewing docs.
• Assess damage, determine validity and coverage per policy terms.
• Negotiate settlements with policyholders and other parties.
• Prepare detailed reports with findings, evaluations, and settlement recommendations.
• Manage a caseload ensuring timely processing and SLA adherence.
• Maintain organized claim files and document communications.
• Identify fraud indicators and escalate suspicious claims for further review.
• Coordinate with legal, repair services, and third parties as needed.
• Provide clear, empathetic communication to policyholders throughout the process.

Skills

Negotiation skills

Communication

Interpersonal skills

Analytical thinking

Attention to detail

Time management

Education

Matriculation certificate

Tertiary qualification

Tools

Claims management software

MS Office

Job description

About the Role

Our client, a reputable insurance firm, is seeking a diligent and customer-focused Insurance Claims Adjuster to join their operations in **Durban, KwaZulu-Natal**. This position is integral to the claims handling process, requiring the successful candidate to investigate, evaluate, and settle insurance claims efficiently and fairly. You will be the primary point of contact for policyholders during a critical time, ensuring a smooth and supportive claims experience. This role demands a proactive approach to investigating claims, determining liability, and negotiating settlements in line with policy provisions and company procedures. Located in the vibrant city of **Durban**, this is an excellent opportunity for individuals passionate about customer service and the insurance industry to make a tangible impact.

Key Responsibilities

• Investigate insurance claims thoroughly by gathering evidence, interviewing claimants and witnesses, and reviewing relevant documentation.
• Assess the extent of damage or loss and determine the validity and coverage of the claim based on policy terms.
• Negotiate settlements with policyholders and other parties involved in the claim.
• Prepare detailed reports outlining investigation findings, claim evaluations, and settlement recommendations.
• Manage a caseload of claims, ensuring timely processing and resolution while adhering to service level agreements.
• Maintain accurate and organized claim files, documenting all activities and communications.
• Identify potential fraud indicators and escalatE suspicious claims for further investigation.
• Liaise with legal counsel, repair services, and other third parties as necessary to resolve claims.
• Provide clear and empathetic communication to policyholders throughout the claims process.

Requirements

• Matriculation certificate or equivalent; a tertiary qualification in a relevant field is advantageous.
• Minimum of 3 years of experience as a Claims Adjuster or in a similar claims handling role within the insurance industry.
• Strong understanding of insurance policies, claims investigation techniques, and relevant legislation.
• Excellent negotiation, communication, and interpersonal skills.
• Proficiency in claims management software and standard office productivity tools.
• Ability to work independently, manage time effectively, and handle pressure.
• Valid driver's license and willingness to travel within the **Durban** area to conduct site inspections.
• Attention to detail and strong analytical abilities.
• Customer-centric approach with a commitment to providing excellent service.

Benefits

• Our client offers a competitive salary and a performance-based bonus structure.
• Benefits include a comprehensive medical aid plan, group life cover, and a retirement annuity.
• Opportunities for professional development and obtaining industry-specific certifications are provided.
• The role offers the chance to work within a supportive team environment in **Durban, KwaZulu-Natal**, with potential for career advancement within the company.
• We value our employees and provide a conducive work environment.