Insurance Claims Assessor

Placements24; Pietermaritzburg; Hybrid; ZAR 180,000 - 240,000; Full time

Benefits offered by this job

Hybrid work model

Competitive salary and benefits

Medical and retirement benefits

Job summary

Placements24 in Pietermaritzburg is seeking an Insurance Claims Assessor to meticulously investigate, evaluate, and settle insurance claims, ensuring compliant and fair processing for clients.

You will gather documents, liaise with policyholders and internal stakeholders, and negotiate settlements with a focus on accuracy, customer service, and timely resolutions. This role offers a hybrid work arrangement and growth opportunities within a supportive team.

Qualifications

• Proven experience as an Insurance Claims Assessor or similar role.
• In-depth understanding of insurance policies, legal requirements, and claims handling procedures.
• Strong analytical and problem-solving skills with meticulous attention to detail.
• Excellent communication, negotiation, and interpersonal skills.
• Proficiency in claims management software and standard office applications.
• Relevant certifications in insurance or claims management are advantageous.

Responsibilities

• Investigate insurance claims by gathering documentation such as police reports and medical records.
• Evaluate coverage validity and extent based on policy terms.
• Conduct damage assessments with external experts when needed.
• Negotiate settlements fairly and promptly with policyholders.
• Process claims payments accurately with detailed records.
• Communicate claim status updates to policyholders and stakeholders.

Skills

Investigate claims

Policy analysis

Negotiation

Communication

Analytical thinking

Attention to detail

Claims management software

Interpersonal skills

Education

Insurance certifications / claims management certs

Tools

Claims management software

MS Office

Job description

About the Role

Our client, a prominent name in the insurance sector, is seeking a meticulous and client-focused Insurance Claims Assessor to join their dynamic team in Pietermaritzburg . This role is integral to ensuring that our clients receive fair and efficient processing of their insurance claims. You will be responsible for investigating, evaluating, and settling insurance claims, ensuring compliance with company policies and industry regulations. This position offers a fantastic opportunity to develop your career in a supportive environment where your analytical skills and customer service dedication are highly valued, contributing to the overall success and reputation of the firm within the KwaZulu-Natal region.

Key Responsibilities

• Investigate insurance claims by gathering all necessary documentation, including police reports, witness statements, and medical records.
• Evaluate the validity and extent of coverage based on policy terms and conditions.
• Conduct thorough damage assessments, working with external experts when necessary.
• Negotiate settlements with policyholders or their representatives in a fair and timely manner.
• Process claims payments accurately and efficiently, maintaining detailed records of all transactions.
• Communicate claim status updates regularly to policyholders and internal stakeholders.

Requirements

• Proven experience as an Insurance Claims Assessor or similar role.
• In-depth understanding of insurance policies, legal requirements, and claims handling procedures.
• Strong analytical and problem-solving skills with meticulous attention to detail.
• Excellent communication, negotiation, and interpersonal skills.
• Proficiency in claims management software and standard office applications.
• Relevant certifications in insurance or claims management are advantageous.

Benefits

• Competitive salary and performance-based incentives.
• Hybrid work model offering flexibility between office and home.
• Comprehensive medical and retirement benefits.
• Opportunities for professional development and career advancement.
• A collaborative and supportive team culture focused on client satisfaction.