Insurance Claims Assessor

Placements24; Vereeniging; Hybrid; ZAR 240,000 - 320,000; Full time

Benefits offered by this job

Pension fund contributions

Health and wellness benefits

Paid annual leave

Job summary

Placements24 is assisting a leading insurer in Vereeniging to recruit an experienced Insurance Claims Assessor. You will evaluate and process insurance claims, investigate details, assess damages, and determine coverage based on policy terms.

This hybrid role allows remote work on select days while maintaining an in‑office presence for complex claims and settlements, ensuring timely, accurate decisions and compliance with regulations. Strong analytical and communication skills are essential.

Qualifications

• Proven experience as a Claims Assessor or Claims Adjuster in the insurance industry.
• Solid understanding of insurance policies, claims handling procedures, and relevant legislation.
• Strong analytical, critical thinking, and problem-solving skills.
• Excellent communication, negotiation, and interpersonal skills.
• Proficiency in claims management software and standard office applications.
• A relevant qualification or certification in insurance is highly advantageous.
• Ability to manage a caseload effectively and prioritize tasks.
• Willingness to adhere to a hybrid work model, involving remote and Vereeniging office-based duties.

Responsibilities

• Investigate and assess the extent of losses or damages for insurance claims filed by policyholders.
• Review policy documents to determine coverage eligibility and claim validity.
• Gather necessary evidence, including reports, statements, and photographic documentation.
• Calculate claim settlements based on policy terms, damage assessments, and repair estimates.
• Communicate claim decisions clearly and professionally to policyholders and relevant parties.
• Negotiate settlements with claimants, repairers, or legal representatives when necessary.
• Maintain accurate and detailed records of claim investigations and settlements.
• Ensure compliance with all relevant insurance regulations and company procedures.
• Collaborate with other departments, such as underwriting and legal, on complex claims.

Skills

Claims assessment

Analytical skills

Negotiation

Communication

Education

Insurance certification

Tools

Claims software

Job description

About the Role

Our client, a leading insurer, is seeking an experienced Insurance Claims Assessor to join their team in **Vereeniging**. This role is vital for evaluating and processing insurance claims accurately and efficiently. You will be responsible for investigating claim details, assessing damages or losses, and determining coverage based on policy terms. The ideal candidate possesses strong analytical skills, a meticulous approach, and a comprehensive understanding of the **insurance claims process**. This **hybrid** role offers the flexibility to work remotely on certain days while maintaining a crucial presence in the **Vereeniging** office for specific duties, ensuring seamless claim resolution.

Key Responsibilities

• Investigate and assess the extent of losses or damages for insurance claims filed by policyholders.
• Review policy documents to determine coverage eligibility and claim validity.
• Gather necessary evidence, including reports, statements, and photographic documentation.
• Calculate claim settlements based on policy terms, damage assessments, and repair estimates.
• Communicate claim decisions clearly and professionally to policyholders and relevant parties.
• Negotiate settlements with claimants, repairers, or legal representatives when necessary.
• Maintain accurate and detailed records of claim investigations and settlements.
• Ensure compliance with all relevant insurance regulations and company procedures.
• Collaborate with other departments, such as underwriting and legal, on complex claims.

Requirements

• Proven experience as a Claims Assessor or Claims Adjuster in the **insurance industry**.
• Solid understanding of insurance policies, claims handling procedures, and relevant legislation.
• Strong analytical, critical thinking, and problem-solving skills.
• Excellent communication, negotiation, and interpersonal skills.
• Proficiency in claims management software and standard office applications.
• A relevant qualification or certification in insurance is highly advantageous.
• Ability to manage a caseload effectively and prioritize tasks.
• Willingness to adhere to a **hybrid** work model, involving both remote and **Vereeniging** office-based duties.

Benefits

• Competitive salary commensurate with experience.
• Comprehensive health and wellness benefits.
• Pension fund contributions.
• Opportunities for continuous professional development and training in the **insurance sector**.
• A supportive and team-oriented work environment.
• Paid annual leave.