Insurance Claims Assessor

Placements24; Soweto; Híbrido; ZAR 250.000 - 420.000; Tempo integral

Benefícios oferecidos por esta vaga

Competitive salary

Medical benefits

Retirement benefits

Home office allowance

Professional development

Flexible hours

Fully remote

Team culture

Paid leave

Employee assistance

Resumo da vaga

Placements24 is seeking a diligent Insurance Claims Assessor for a fully remote role in South Africa. You will evaluate loss, review policy terms, gather evidence, and determine fair payouts while negotiating with claimants to reach accurate resolutions.

This remote-first position supports a Soweto-based administrative context but allows working from anywhere in SA. You will perform thorough assessments, maintain records, comply with regulatory standards, and collaborate with a virtual team to

Qualificações

• Matriculation or equivalent; relevant tertiary qualification is a plus.
• Minimum of 3 years of proven experience as a Claims Assessor, Adjuster, or similar role within the insurance industry.

Responsabilidades

• Investigate claims to determine cause and extent of loss or damage.
• Review policy documents for coverage applicability.
• Conduct physical or virtual inspections and assessments of damaged property or assets.
• Gather documentation including repair quotes, expert reports, and photographic evidence.
• Analyze assessment findings and prepare reports with settlement recommendations.
• Communicate with policyholders and claimants throughout the process.
• Negotiate settlements within established guidelines for fair resolutions.
• Identify potential fraudulent claims and report to the appropriate department.
• Maintain accurate records of all assessments and related activities.
• Adhere to company procedures, industry best practices, and regulatory requirements.
• Provide guidance to junior claims personnel as needed.

Descrição da vaga

About the Role

Our client, a forward-thinking insurance company, is seeking a diligent and detail-oriented Insurance Claims Assessor to join their fully remote team. This role is crucial for evaluating the extent of damage or loss in insurance claims and determining the appropriate payout according to policy terms. You will conduct thorough assessments, gather evidence, and negotiate with claimants to ensure fair and accurate resolutions. As a remote-first organization, we offer the flexibility to work from anywhere in South Africa, supported by advanced technology and a collaborative virtual environment. This position offers an excellent opportunity to apply your assessment skills within a dynamic and growing insurance sector. The Soweto based administrative context highlights the company's reach, but the role's nature is entirely location-independent.

Key Responsibilities

• Investigate insurance claims to determine the cause and extent of loss or damage.
• Review policy documents to ensure coverage is applicable to the claim.
• Conduct physical or virtual inspections and assessments of damaged property or assets.
• Gather necessary documentation, including repair quotes, expert reports, and photographic evidence.
• Analyze assessment findings and prepare detailed reports outlining the scope of damage and recommended settlement amount.
• Communicate effectively with policyholders, claimants, and other parties involved in the claims process.
• Negotiate settlements within established guidelines, aiming for fair and efficient resolutions.
• Identify potential fraudulent claims and report them to the appropriate department.
• Maintain accurate and up-to-date records of all claims assessments and related activities.
• Adhere to company procedures, industry best practices, and regulatory requirements.
• Provide guidance and support to junior claims personnel as needed.

Requirements

• A matriculation certificate or equivalent; a relevant tertiary qualification or professional certification is a plus.
• Minimum of 3 years of proven experience as a Claims Assessor, Adjuster, or in a similar role within the insurance industry.
• Solid understanding of insurance policies, assessment techniques, and damage evaluation.
• Excellent analytical, problem-solving, and negotiation skills.
• Strong observational skills and a keen eye for detail.
• Proficiency in relevant assessment tools and software, and MS Office Suite.
• Excellent communication and interpersonal skills, with the ability to handle sensitive situations empathetically.
• Demonstrated ability to work independently and manage time effectively in a remote setting.
• A proactive approach to problem-solving and claim resolution.
• Must be able to travel to assess physical damage when required, although the role is primarily remote.

Benefits

• Competitive salary and performance-based bonuses.
• Comprehensive medical and retirement benefits.
• Generous allowance for home office setup and expenses.
• Opportunities for professional development and continuous learning.
• Flexible working hours and a fully remote work environment.
• A collaborative and supportive virtual team culture.
• Paid annual leave and company holidays.
• Exposure to diverse claims assessment scenarios.
• Employee assistance program for wellbeing support.
• A role with significant autonomy and responsibility in claims resolution.