Lead Claims Adjuster

Placements24; George; On-site; ZAR 600,000 - 1,200,000; Full time

Benefits offered by this job

Medical aid

Retirement annuity fund

Performance bonus

Job summary

Placements24 in George, Western Cape, is seeking an experienced Lead Claims Adjuster to oversee a team of adjusters and manage complex insurance claims. The role focuses on developing best practices, ensuring accuracy, and delivering high customer service standards.

The ideal candidate brings 7+ years in claims adjusting, with leadership experience, and a strong grasp of insurance regulations. This on-site role offers competitive benefits and opportunities for professional growth.

Qualifications

• Bachelor's degree preferred in Business Administration, Law, Finance, or related field.
• 7+ years in claims adjusting with at least 3 years in a supervisory/leadership role.
• Proven experience managing diverse and complex claims, including high-value cases.
• Strong knowledge of insurance law, regulations, and best practices in claims handling.
• Exceptional leadership, team management, and motivational skills.
• Excellent negotiation, communication, and interpersonal abilities.
• Proficiency in claims management software and standard office applications.
• Strong analytical and decision-making abilities.
• Ability to perform under pressure and meet deadlines.
• Relevant professional certifications in claims adjusting or insurance are desirable.

Responsibilities

• Lead, train, and mentor a team of claims adjusters, fostering a high-performance culture.
• Oversee investigation, evaluation, and negotiation of complex insurance claims across lines of business.
• Ensure timely and accurate processing of claims in compliance with policies and regulatory requirements.
• Develop and implement strategies to improve handling efficiency, reduce cycle times, and control loss costs.
• Review and approve claim settlements within designated authority levels.
• Handle escalated claims and provide expert advice and resolution for challenging cases.
• Monitor team performance metrics and conduct regular reviews.
• Collaborate with underwriting, legal, and other departments to share insights and improve risk management.
• Stay updated on industry best practices, trends, and regulatory changes affecting claims management.
• Contribute to developing and refining claims policies and procedures.

Skills

Leadership

Negotiation

Communication

Interpersonal skills

Analytical thinking

Decision making

Education

Bachelor's degree in Business Administration, Law, Finance, or related field

Tools

Claims management software

Microsoft Office

Job description

About the Role

Our client is actively seeking a highly experienced and motivated Lead Claims Adjuster to manage and oversee all aspects of the claims handling process for their operations based in George, Western Cape . This pivotal role involves leading a team of adjusters, ensuring efficient and accurate claim settlements, and maintaining high standards of customer service. The successful candidate will be instrumental in developing and implementing claims best practices, managing complex claims, and contributing to the overall strategic direction of the claims department. We are looking for an individual with exceptional leadership qualities, a deep understanding of insurance claims, and a commitment to delivering outstanding results. This position is critical for maintaining our client's reputation for fairness and efficiency in handling claims.

Key Responsibilities

Lead, train, and mentor a team of claims adjusters, fostering a high-performance culture. Oversee the investigation, evaluation, and negotiation of complex insurance claims across various lines of business. Ensure timely and accurate processing of claims in compliance with company policies, procedures, and regulatory requirements. Develop and implement strategies to improve claims handling efficiency, reduce cycle times, and control loss costs. Review and approve claim settlements within designated authority levels. Handle escalated claims and provide expert advice and resolution to challenging cases. Monitor team performance metrics, provide regular feedback, and conduct performance reviews. Collaborate with underwriting, legal, and other departments to share insights and improve overall risk management. Stay abreast of industry best practices, emerging trends, and legislative changes affecting claims management. Contribute to the development and refinement of claims policies and procedures.

Requirements

A Bachelor's degree in Business Administration, Law, Finance, or a related field is preferred. A minimum of 7 years of experience in claims adjusting, with at least 3 years in a supervisory or leadership role. Proven experience in managing a diverse range of insurance claims, including complex and high‑value cases. Strong understanding of insurance law, regulations, and claims handling best practices. Exceptional leadership, team management, and motivational skills. Excellent negotiation, communication, and interpersonal skills. Proficiency in claims management software and standard office applications. Strong analytical and decision-making abilities. Ability to work effectively under pressure and meet deadlines. Relevant professional certifications in claims adjusting or insurance are highly desirable.

Benefits

Our client offers a competitive salary commensurate with experience and a comprehensive benefits package. This includes medical aid, a retirement annuity fund, and a performance bonus structure. Opportunities for professional development and ongoing training are provided to enhance skills and career progression. As this is a field-based role primarily, there is no remote work option, but we offer excellent support and resources for our on-site team. You will have the chance to make a significant impact on the company's claims operations and be part of a respected and growing organization in George, Western Cape .