Insurance Claims Investigator & Settlements Specialist

Placements24; Kempton Park; On-site; ZAR 300,000 - 420,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Provident fund

Company vehicle

Fuel allowance

Training & development

Career progression

Employee assistance

Job summary

Placements24 in Gauteng invites an Insurance Claims Adjuster to join our client’s expanding team in Tembisa. You will investigate claims, assess coverage, negotiate settlements, and process payments while upholding policy terms and regulatory standards.

The role requires 3–5 years of claims experience, a related diploma or degree, strong investigative and communication skills, and a valid driver's license to travel within the Gauteng area.

Qualifications

• Diploma or degree in Law, Business Admin, or Risk Mgmt
• 3–5 years of claims experience
• Knowledge of insurance policies and laws
• Strong investigative, analytical, and negotiation skills
• Proficient in claims software and MS Office
• Valid driver''s license; willingness to travel in Gauteng

Responsibilities

• Investigate claims by gathering information and interviewing witnesses
• Assess damage and determine policy coverage
• Negotiate settlements and prepare detailed reports
• Ensure compliance with laws and procedures
• Manage caseload and maintain accurate claim files
• Liaise with legal counsel, medical professionals, and experts
• Provide exceptional customer service throughout the claims process
• Identify potential fraud and escalate when needed

Skills

Investigative skills

Analytical abilities

Negotiation

Communication

MS Office

Claims software

Time management

Customer service

Travel readiness

Education

Related diploma/degree (Law, Business Admin, Risk Mgmt)

Tools

Claims management software

MS Office

Job description

Placements24 in Gauteng invites an Insurance Claims Adjuster to join our client’s expanding team in Tembisa. You will investigate claims, assess coverage, negotiate settlements, and process payments while upholding policy terms and regulatory standards.

The role requires 3–5 years of claims experience, a related diploma or degree, strong investigative and communication skills, and a valid driver's license to travel within the Gauteng area.