Insurance Claims Assessor - Technical Claims

Placements24; Nuwerus; Hybrid; ZAR 420,000 - 540,000; Full time

Benefits offered by this job

Competitive salary

Performance bonuses

Hybrid work

Medical aid

Retirement fund

Professional development

Generous leave

Job summary

Placements24 is seeking an experienced Insurance Claims Assessor for a respected insurer in Kimberley, Northern Cape. The role focuses on evaluating and processing technical claims, investigating matters, and negotiating settlements.

You will work in a hybrid setup, combining office collaboration and remote flexibility, handling a caseload with strong analytical and communication skills, and ensuring compliance with regulations.

Qualifications

• Relevant qualifications in insurance, law or related field.
• At least 4 years of claims assessment experience, with a focus on technical claims.
• Strong understanding of insurance policies, procedures, and regulations.
• Excellent communication and negotiation abilities.
• Hybrid work ability.

Responsibilities

• Investigate and assess technical insurance claims thoroughly.
• Determine coverage, liability, and claim validity based on policy terms.
• Communicate effectively with policyholders, claimants, and third parties.
• Negotiate claim settlements within prescribed authority limits.
• Prepare detailed assessment reports and maintain accurate claim records.
• Ensure compliance with all relevant insurance regulations and company procedures.
• Manage a caseload of claims efficiently, prioritizing urgent matters.
• Identify potential fraud indicators and elevate as necessary.

Skills

Analytical skills

Communication skills

Negotiation

Problem-solving

Education

Relevant qualification in insurance, law, or related field

Tools

MS Office

Claims management software

Job description

About the Role

Our client, a respected name in the insurance industry, is seeking a skilled and detail-oriented Insurance Claims Assessor to join their team in Kimberley, Northern Cape . This role is critical in evaluating and processing technical insurance claims, ensuring accuracy, fairness, and efficiency. You will be responsible for investigating claims, assessing damages, negotiating settlements, and providing excellent customer service to policyholders. This is an excellent opportunity for an experienced claims professional to contribute to a leading insurer and develop their career. The role offers a hybrid work arrangement, providing a mix of office-based collaboration and remote flexibility, allowing for a healthy work-life balance. We are looking for an individual with strong analytical abilities, excellent communication skills, and a thorough understanding of the claims process, particularly for technical claims. Your commitment to fairness and efficiency will be highly valued. The successful candidate will be an integral part of the team, ensuring the company uphns a reputation for dependable claims handling in the Kimberley region.

Key Responsibilities

• Investigate and assess technical insurance claims thoroughly.
• Determine coverage, liability, and claim validity based on policy terms and conditions.
• Communicate effectively with policyholders, claimants, and third parties.
• Negotiate claim settlements within prescribed authority limits.
• Prepare detailed assessment reports and maintain accurate claim records.
• Ensure compliance with all relevant insurance regulations and company procedures.
• Manage a caseload of claims efficiently, prioritizing urgent matters.
• Identify potential fraud indicators and elevate as necessary.

Requirements

• A relevant qualification in insurance, law, or a related field.
• A minimum of 4 years of experience in claims assessment, with a focus on technical claims (e.g., property, engineering, construction).
• Good understanding of insurance policies, claims procedures, and regulatory requirements.
• Strong analytical, problem-solving, and decision-making skills.
• Excellent communication, negotiation, and interpersonal abilities.
• Ability to manage workload effectively in a hybrid environment.
• Proficiency in claims management software and MS Office.
• Must be based in or willing to commute to Kimberley .
• Professional qualifications such as FAIS accreditation are advantageous.

Benefits

• Competitive salary and potential for performance bonuses.
• Hybrid work flexibility.
• Comprehensive medical aid and retirement fund.
• Opportunities for professional development and career advancement.
• A supportive and collaborative work environment in Kimberley .
• Exposure to a diverse range of technical claims.
• Regular training sessions to enhance claims handling skills.
• Generous annual leave allowance.