Insurance Claims Assessor (Hybrid)

Placements24; Cape Town; Hybrid; ZAR 300.000 - 540.000; Vollzeit

Benefits dieser Stelle

Medical aid

Retirement fund contribution

Annual performance bonuses

Training programs & development

Wellness programs

Career advancement opportunities

Zusammenfassung

Placements24 is seeking an Insurance Claims Assessor in Cape Town, Western Cape, ZA. This hybrid role blends in-office collaboration with remote work to evaluate and process a variety of insurance claims, ensuring accuracy and timely settlements.

You will investigate liability, gather documentation, and communicate with claimants and third parties while adhering to policy terms and regulatory standards. A minimum of 3 years in claims assessment is expected.

Qualifikationen

• Minimum of 3 years in claims assessment or a related field within the insurance industry.
• Strong understanding of insurance principles, policies, and claims handling procedures.
• Excellent investigative, analytical, and problem-solving skills.
• Proficiency in using claims management software and standard office applications.
• Exceptional communication, negotiation, and interpersonal skills.

Aufgaben

• Investigate, assess, and process insurance claims promptly and efficiently.
• Interpret policy coverage and determine the extent of the company's liability.
• Gather necessary documentation, including police reports, medical records, and repair estimates.
• Communicate effectively with claimants, witnesses, and other relevant parties to obtain information and explain claim status.
• Negotiate settlements with claimants and their representatives within established guidelines.
• Identify potential cases of fraud and elevate them for further investigation.
• Maintain accurate and comprehensive claim records in the company's claims management system.
• Adhere to all company policies, procedures, and regulatory requirements.
• Collaborate with internal teams and external service providers to ensure efficient claim resolution.

Kenntnisse

Claims assessment

Investigative skills

Analytical thinking

Communication

Negotiation

Caseload management

Tools

Claims management software

Office applications

Jobbeschreibung

About the Role

Our client is a reputable insurance provider seeking a diligent and detail-oriented Insurance Claims Assessor to join their esteemed team in Cape Town, Western Cape, ZA. This hybrid role offers a blend of in-office collaboration and remote flexibility, allowing you to contribute effectively while maintaining a balanced work-life. You will be responsible for evaluating and processing a variety of insurance claims, ensuring accuracy, fairness, and adherence to policy terms and regulatory standards. This is a critical function within the organization, directly impacting customer satisfaction and the company's financial integrity. You will play a key role in assessing damages, determining liability, and facilitating timely claim settlements, working closely with policyholders, third-party adjusters, and legal counsel.

Key Responsibilities

• Investigate, assess, and process insurance claims promptly and efficiently.


• Interpret policy coverage and determine the extent of the company's liability.


• Gather necessary documentation, including police reports, medical records, and repair estimates.


• Communicate effectively with claimants, witnesses, and other relevant parties to obtain information and explain claim status.


• Negotiate settlements with claimants and their representatives within established guidelines.


• Identify potential cases of fraud and elevate them for further investigation.


• Maintain accurate and comprehensive claim records in the company's claims management system.


• Adhere to all company policies, procedures, and regulatory requirements.


• Collaborate with internal teams and external service providers to ensure efficient claim resolution.

Requirements

• A minimum of 3 years of experience in claims assessment or a related field within the insurance industry.


• Strong understanding of insurance principles, policies, and claims handling procedures.


• Excellent investigative, analytical, and problem-solving skills.


• Proficiency in using claims management software and standard office applications.


• Exceptional communication, negotiation, and interpersonal skills.


• Ability to manage a caseload efficiently and prioritize tasks effectively.


• Attention to detail and a commitment to accuracy.


• Must be able to work effectively in both an office environment in Cape Town, Western Cape, ZA and remotely, demonstrating adaptability and self-discipline.


• Relevant industry certifications are advantageous.

Benefits

• This hybrid position offers a competitive annual salary.


• Employees benefit from access to a comprehensive medical aid plan, a retirement fund contribution, and annual performance bonuses.


• The role provides opportunities for professional development, including training programs and support for industry-specific qualifications.


• You will work within a supportive team environment that values collaboration and continuous improvement.


• The hybrid model allows for a flexible work arrangement, balancing home and office responsibilities.


• Our client is committed to fostering a positive workplace culture and offers various employee wellness programs.


• You will have the chance to make a significant impact on the customer experience and contribute to the success of a leading insurance company in Cape Town.


• Additional benefits include potential for career advancement and exposure to diverse insurance lines.