Insurance Claims Assessor

Placements24; Midrand; Hybrid; ZAR 240,000 - 360,000; Full time

Benefits offered by this job

Hybrid work model

Medical and retirement benefits

Career development opportunities

Job summary

Placements24 is seeking an Insurance Claims Assessor in Midrand, Gauteng. The role focuses on evaluating insurance claims to determine insurer liability and ensure fair settlements, supporting customer satisfaction and integrity in the process.

The position offers a hybrid work model with opportunities for professional development within the financial services sector. Relevant experience and a solid understanding of insurance principles are valued.

Qualifications

• Experience as a Claims Assessor or in a similar role.
• Strong knowledge of insurance principles and policy wordings.
• Awareness of relevant legislation.

Responsibilities

• Investigate and assess the validity of claims submitted by policyholders and third parties.
• Gather necessary documentation (police reports, medical records, repair estimates) to support claim assessments.
• Interpret policy terms to determine coverage and liability.
• Negotiate settlements with claimants ensuring adherence to guidelines and regulatory requirements.
• Maintain accurate records of all claim-related activities in the claims management system.

Skills

Analytical thinking

Attention to detail

Negotiation skills

Education

Tertiary qualification in insurance or law

Tools

Claims management software

MS Office

Job description

About the Role

Our client is seeking a meticulous and diligent Insurance Claims Assessor to join their dynamic team in Midrand . This critical role involves evaluating insurance claims to determine the extent of the insurer's liability and ensuring fair and accurate settlements. You will be instrumental in upholding the company's commitment to integrity and customer satisfaction by managing claims efficiently and effectively. This position offers a fantastic opportunity to develop your career within the financial services sector, contributing to a stable and growing organization that values expertise and professionalism in Gauteng .

Key Responsibilities

• Investigate and assess the validity of insurance claims submitted by policyholders and third parties.
• Gather necessary documentation, including police reports, medical records, and repair estimates, to support claim assessments.
• Interpret policy terms and conditions to determine coverage and liability.
• Negotiate settlements with claimants or their representatives, ensuring adherence to company guidelines and regulatory requirements.
• Maintain accurate and comprehensive records of all claim-related activities and decisions in the company's claims management system.

Requirements

• Proven experience as a Claims Assessor or in a similar claims handling role within the insurance industry.
• Strong understanding of insurance principles, policy wordings, and relevant legislation.
• Excellent analytical and problem-solving skills with a keen eye for detail.
• Proficiency in claims management software and standard office applications.
• Relevant tertiary qualification in insurance, law, or a related field is advantageous.

Benefits

• Competitive annual salary with performance-based incentives.
• Hybrid work model offering flexibility between office and remote work.
• Comprehensive medical and retirement benefits.
• Opportunities for professional development and career advancement within the insurance sector.
• A supportive and collaborative team environment in Midrand.