Insurance Claims Investigator & Settlements Pro

Placements24; Kempton Park; Sur place; ZAR 180 000 - 280 000; Plein temps

Avantages offerts par ce poste

Competitive salary package

Medical aid

Provident fund

Training and development

Résumé du poste

Placements24 is seeking a diligent Claims Adjuster in Tembisa, Gauteng. You will investigate claims, determine coverage, negotiate settlements, and ensure timely resolutions for policyholders.

Strong investigative, analytical, and negotiation skills are essential, with the ability to travel within Gauteng as required. The role requires a matriculation certificate or equivalent, plus experience in insurance claims handling and proficiency with claims software and MS Office.

Qualifications

• Matriculation certificate or equivalent qualification; tertiary qualification or industry certification is a plus.
• Proven experience as a Claims Adjuster or in a similar role within the insurance sector.
• Comprehensive understanding of insurance policies and claims handling procedures.

Responsabilités

• Investigate insurance claims thoroughly, gathering necessary documentation and evidence.
• Evaluate policy coverage to determine insurer liability.
• Assess damages and calculate settlement amounts.
• Negotiate settlements with policyholders and legal representatives.
• Manage a caseload of claims and meet deadlines and service standards.
• Prepare detailed investigation reports and recommendations.
• Maintain accurate claim records in the claims system.
• Identify potential fraud and follow investigation procedures.

Connaissances

Investigative skills

Analytical thinking

Negotiation

Customer service

Communication

Time management

Independent work

Driver's license

Formation

Matriculation certificate

Tertiary qualification / industry certification

Outils

Claims management software

Microsoft Office

Description du poste

Placements24 is seeking a diligent Claims Adjuster in Tembisa, Gauteng. You will investigate claims, determine coverage, negotiate settlements, and ensure timely resolutions for policyholders.

Strong investigative, analytical, and negotiation skills are essential, with the ability to travel within Gauteng as required. The role requires a matriculation certificate or equivalent, plus experience in insurance claims handling and proficiency with claims software and MS Office.