Lead Claims Adjuster

Placements24; Sandton; In loco; ZAR 900.000 - 1.300.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Dental and vision coverage

Retirement plan with company match

Annual bonus opportunities

Training & certifications

Sandton office facilities

Wellness programs

Generous leave policy

Descrizione del lavoro

Placements24 in Sandton, Gauteng, seeks a seasoned Lead Claims Adjuster to head the claims department. You will mentor a team, drive high-quality investigations, and ensure fair settlements while upholding our service standards.

You will develop procedures, analyze trends, and collaborate with legal counsel and providers to optimize outcomes. This is a senior, strategic role with significant scope for impact and growth within the organization.

Competenze

• Bachelor's degree in Business, Law, or related field; Master’s preferred.
• 8+ years of progressive experience in insurance claims adjustment.
• 3+ years in a leadership or supervisory role.
• Extensive knowledge across property, casualty, liability, and auto claims.

Mansioni

• Lead, mentor, and manage a team of claims adjusters, providing guidance on case management.
• Investigate, evaluate, and negotiate complex insurance claims for timely resolutions.
• Develop and implement best practices and standardized claims procedures.
• Conduct quality assurance reviews of claims files for accuracy and compliance.
• Analyze claims data to identify trends, fraud indicators, and risk mitigation opportunities.
• Collaborate with legal counsel and external experts to resolve challenging claims.
• Manage relationships with policyholders, claimants, and third-party providers.
• Stay updated on regulatory changes and industry trends in claims management.
• Prepare detailed reports on activity, performance, and metrics for senior management.
• Contribute to claims department strategy and budget planning.

Conoscenze

Team leadership

Claims investigation

Negotiation

Data analysis

Stakeholder management

Policy interpretation

Formazione

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

Master's degree (preferred)

Descrizione del lavoro

About the Role

Our client is a distinguished insurance provider in Sandton, Gauteng , seeking a highly skilled and experienced Lead Claims Adjuster to spearhead their claims department. This senior position requires a strategic thinker with a proven track record in managing complex claims investigations, ensuring fair and efficient settlements while upholding the company's reputation for excellence. The Lead Claims Adjuster will be responsible for overseeing a team of adjusters, developing and implementing claims handling procedures, and identifying areas for process improvement. This is an exceptional career opportunity for a dedicated professional looking to make a significant impact in the insurance industry and contribute to the strategic direction of a well-established organization. We are committed to fostering a challenging and rewarding work environment.

Key Responsibilities

• Lead, mentor, and manage a team of claims adjusters, providing guidance and oversight on case management.
• Investigate, evaluate, and negotiate complex insurance claims, ensuring timely and equitable resolutions.
• Develop and implement best practices and standardized procedures for claims processing and handling.
• Conduct quality assurance reviews of claims files to ensure accuracy, compliance, and adherence to company policies.
• Analyze claims data to identify trends, potential fraud, and areas for risk mitigation and loss prevention.
• Collaborate with legal counsel, external experts, and other stakeholders to resolve challenging claims.
• Manage relationships with policyholders, claimants, and third-party service providers.
• Stay abreast of industry changes, legislative updates, and emerging trends in claims management.
• Prepare detailed reports on claims activity, team performance, and operational metrics for senior management.
• Contribute to the development of claims department strategy and budget.

Requirements

• A Bachelor's degree in Business, Law, or a relevant field; a Master's degree is a plus.
• Minimum of 8 years of progressive experience in insurance claims adjustment, with at least 3 years in a leadership or supervisory role.
• Extensive knowledge of various insurance lines (e.g., property, casualty, liability, auto).
• Strong understanding of claims investigation techniques, legal principles, and settlement negotiations.
• Exceptional leadership, team management, and conflict resolution skills.
• Excellent analytical, decision-making, and problem-solving abilities.
• Proficiency in claims management software and Microsoft Office Suite.
• Outstanding communication and interpersonal skills, with the ability to interact effectively with diverse parties.
• High level of integrity and attention to detail.
• Professional designations in claims management (e.g., AIC, CPCU) are highly desirable.

Benefits

• An attractive, performance-driven salary.
• Annual bonus opportunities based on individual and company performance.
• Comprehensive medical, dental, and vision insurance coverage.
• Retirement plan with company contributions.
• Generous vacation and sick leave allowances.
• Opportunities for advanced training and professional certifications.
• A dynamic and supportive team culture.
• Significant career growth potential within the organization.
• Employee wellness programs.
• Access to state-of-the-art office facilities in Sandton .