Insurance Claims Adjuster (Remote)

Placements24; Kempton Park; Remoto; ZAR 300.000 - 480.000; Tempo integral

Benefícios oferecidos por esta vaga

Health insurance

Paid time off

Professional development support

Resumo da vaga

Placements24 is seeking a Remote Insurance Claims Adjuster to join a fully distributed team in South Africa. You will manage a diverse caseload from initiation to closure, conduct investigations, and communicate with empathy and professionalism to policyholders and claimants.

Working remotely from SA, you’ll rely on strong judgement, robust regulatory knowledge, and time management to settle claims fairly within policy terms while collaborating with internal and external partners.

Qualificações

• 3+ years of experience as a claims adjuster in the insurance industry.
• Strong understanding of policies, claims procedures, and regulatory frameworks.
• Excellent investigation, negotiation, and communication skills, both written and verbal.
• Ability to work independently with minimal supervision in a remote setting.

Responsabilidades

• Investigate, evaluate, and settle insurance claims in accordance with policy terms and conditions.
• Conduct thorough assessments of damages and liabilities using investigative techniques.
• Communicate effectively with policyholders, claimants, witnesses, and other relevant parties to gather information and explain claim processes.
• Negotiate settlements within authorized limits, ensuring fairness and accuracy.
• Document all claim activities, decisions, and communications meticulously in the claims management system.
• Adhere to laws, regulations, and company policies throughout the claims process.
• Identify potential fraud indicators and escalate suspicious claims for investigation.
• Manage a diverse caseload, prioritizing tasks and meeting deadlines.
• Provide clear and empathetic guidance to policyholders during challenging times.
• Collaborate with internal legal counsel and external adjusters when necessary.

Conhecimentos

Investigation

Negotiation

Communication

Time management

Empathy

Remote work discipline

Formação

High school diploma or equivalent

Bachelor's degree in a relevant field preferred

Ferramentas

Claims management software

Descrição da vaga

About the Role

Join Our client's rapidly expanding team as a Remote Insurance Claims Adjuster, a role designed for dedicated professionals seeking flexibility and impact. This position is integral to ensuring our clients receive prompt and fair settlements for their insurance claims. Operating in a fully remote capacity, you will manage a caseload of diverse insurance claims from initiation to closure, providing exceptional service and adhering to company policies and regulatory requirements. We are looking for proactive individuals who can effectively manage their workload, conduct thorough investigations, and communicate with empathy and professionalism. This role offers the unique advantage of working from Tembisa, Gauteng, ZA, or any approved remote location within South Africa, providing unparalleled work-life balance. Our client is committed to building a robust, fully distributed workforce, empowering its employees with the tools and support needed to succeed remotely. Embrace this opportunity to make a tangible difference in the lives of our policyholders while advancing your career in a supportive virtual environment.

Key Responsibilities

• Investigate, evaluate, and settle insurance claims in accordance with policy terms and conditions.
• Conduct thorough assessments of damages and liabilities, utilizing various investigative techniques.
• Communicate effectively with policyholders, claimants, witnesses, and other relevant parties to gather information and explain claim processes.
• Negotiate settlements within authorized limits, ensuring fairness and accuracy.
• Document all claim activities, decisions, and communications meticulously in the claims management system.
• Adhere to all applicable laws, regulations, and company policies throughout the claims handling process.
• Identify potential fraud indicators and elevate suspicious claims for further investigation.
• Manage a diverse caseload, prioritizing tasks and meeting deadlines efficiently.
• Provide clear and empathetic guidance to policyholders during challenging times.
• Collaborate with internal legal counsel and external adjusters when necessary.

Requirements

• High school diploma or equivalent; a bachelor's degree in a relevant field is preferred.
• Minimum of 3 years of experience as a claims adjuster or in a similar role within the insurance industry.
• Strong understanding of insurance policies, claims procedures, and legal/regulatory frameworks.
• Excellent investigation, negotiation, and communication skills, both written and verbal.
• Proficiency in claims management software and standard office applications.
• Ability to work independently with minimal supervision and manage time effectively in a remote setting.
• Demonstrated empathy and customer service orientation.
• Must have a reliable internet connection and a suitable home office environment conducive to remote work.
• Knowledge of the insurance market in Tembisa, Gauteng, ZA, and surrounding areas is beneficial.
• Professional certifications (e.g., Associate in Claims - AIC) are a plus.

Benefits

• This remote position offers a competitive annual salary complemented by performance-based incentives.
• Our client provides a comprehensive health insurance plan, contributing to your overall well-being.
• You will receive generous paid time off, allowing for adequate rest and personal pursuits.
• Opportunities for continuous professional development are supported through training programs and funding for relevant industry certifications.
• As a fully remote employee, you benefit from the flexibility to work from home, eliminating commute times and enhancing your work-life balance.
• Our client fosters a supportive and inclusive virtual work environment, complete with regular team check-ins and virtual social events.
• Access to wellness resources and employee assistance programs is also provided, ensuring comprehensive support for all team members.