Insurance Claims Assessor - Hybrid

Placements24; Bloemfontein; Hybrid; ZAR 250,000 - 360,000; Full time

Benefits offered by this job

Hybrid work

Medical aid

Retirement fund

Training & development

Career advancement

Job summary

Placements24 in Bloemfontein is seeking an experienced Insurance Claims Assessor for a hybrid role, combining home and local office work. You will investigate, evaluate, and settle a range of claims, liaising with policyholders, gathering evidence, and determining coverage in line with policy terms, while maintaining excellent customer service and accuracy.

Candidates should have at least two years of claims experience, strong investigative skills, and a matric certificate; a valid driver's

Qualifications

• Minimum of 2 years in insurance claims assessment or related field.
• Solid understanding of claims process and policy terms.

Responsibilities

• Investigate claims to determine cause and extent of loss.
• Evaluate coverage and assess validity of claims per policy terms.
• Conduct site inspections and collect documentation (witness statements, reports).
• Negotiate settlements with policyholders and involved parties.
• Approve or deny claims based on findings and policy provisions.
• Maintain detailed records in claims management system.
• Communicate status updates to policyholders and stakeholders.
• Identify and report suspected fraudulent claims.
• Ensure timely processing to minimize costs and improve customer satisfaction.
• Adhere to company policies and regulatory requirements.

Skills

Insurance claims

Investigation

Communication

Education

Matric

Tools

Claims management software

Job description

About the Role

Our client, a well-established insurer with a strong presence in Bloemfontein , is seeking a diligent and detail-oriented Insurance Claims Assessor to join their team. This hybrid role offers the flexibility to work from both home and our local office, providing a balanced and productive work environment. You will be responsible for investigating, evaluating, and settling a variety of insurance claims efficiently and fairly. This involves liaising with policyholders, assessing damages, and determining coverage in line with policy terms and conditions. The ideal candidate will have a solid understanding of the claims process, excellent investigative skills, and a commitment to customer satisfaction. This is an excellent opportunity to contribute to a reputable company and develop your career in the insurance sector within the Free State province.

Key Responsibilities

• Investigate insurance claims thoroughly to determine the cause and extent of loss.
• Evaluate policy coverage and assess the validity of claims based on policy terms and conditions.
• Conduct site inspections and gather necessary documentation, including witness statements and expert reports.
• Negotiate settlements with policyholders and other involved parties.
• Approve or deny claims based on investigation findings and policy provisions.
• Maintain accurate and detailed records of all claims activities in the claims management system.
• Communicate claim status updates to policyholders and relevant stakeholders regularly.
• Identify and report any suspected fraudulent claims.
• Ensure timely and efficient processing of claims to minimize costs and enhance customer satisfaction.
• Adhere to all company policies, procedures, and regulatory requirements.

Requirements

• Minimum of 2 years of experience in insurance claims assessment or a related field.
• Good understanding of insurance policies and the claims handling process.
• Strong investigative, analytical, and problem-solving skills.
• Excellent communication and interpersonal skills, with the ability to handle sensitive situations.
• Proficiency in using claims management software and standard office applications.
• Ability to work effectively both independently and as part of a team in a hybrid setting.
• A matriculation certificate is required; further relevant qualifications or certifications are advantageous.
• A valid driver's license and access to a reliable vehicle for site visits.
• High level of integrity and attention to detail.
• Commitment to providing excellent customer service.

Benefits

• Competitive annual salary between Rands .
• Hybrid work arrangement offering flexibility.
• Comprehensive medical aid and retirement fund benefits.
• Opportunities for training and professional development.
• A supportive team environment within a well-respected insurance company.
• Potential for career advancement within the organization.
• Work in the accessible city of Bloemfontein .