Lead Insurance Claims Adjuster

Placements24; Gauteng; On-site; ZAR 900,000 - 1,200,000; Full time

Benefits offered by this job

Health insurance

Bonuses

Paid time off

Job summary

Placements24 in Gauteng seeks a Lead Insurance Claims Adjuster to oversee the claims handling process in the Tembisa area. You will guide a team of adjusters, ensure timely settlements, and drive improvements in processing efficiency and customer satisfaction.

The role requires strong leadership, deep claims knowledge across lines, and a focus on compliance and professional development within a busy office environment in Gauteng.

Qualifications

• Bachelor's degree in Business Admin, Law, or related field.
• 7+ years in insurance claims adjusting, with 2+ years in leadership.
• Deep knowledge of Property, Casualty, Auto, Life lines.
• Strong claims investigation, negotiation, and settlement skills.
• Excellent leadership and communication abilities.
• Proficient in claims management software and MS Office.
• Able to handle complex/sensitive claims with empathy.
• Valid driver's license and willingness to travel within the Tembisa region.

Responsibilities

• Lead and mentor a team of insurance claims adjusters.
• Manage a caseload of complex and high-value claims from initiation to settlement.
• Conduct investigations, negotiate settlements, and authorize payments.
• Ensure compliance with applicable laws, regulations, and company policies.
• Develop strategies to improve claims processing efficiency and customer satisfaction.
• Train new adjusters and provide ongoing professional development for the team.
• Liaise with legal counsel, external adjusters, and other stakeholders on claim matters.
• Analyze claims data to identify trends and recommend improvements in underwriting or policy wording.
• Handle escalated customer complaints and resolve disputes effectively.

Skills

Leadership

Communication

Claims investigation

Negotiation

Settlement processes

Data analysis

Travel willingness

Empathy

Education

Bachelor's degree in Business Administration or Law

Tools

Claims management software

MS Office

Job description

About the Role

Our client is seeking an experienced and dedicated Lead Insurance Claims Adjuster to manage and oversee the claims handling process in Tembisa, Gauteng . This leadership role is instrumental in ensuring efficient, fair, and timely resolution of insurance claims, upholding the company's reputation for excellent customer service. The Lead Adjuster will guide a team of adjusters, provide expert advice on complex claims, and contribute to the continuous improvement of claims handling procedures. The ideal candidate will possess a strong understanding of various insurance policies, claims investigation techniques, and dispute resolution. This position requires exceptional organizational skills, attention to detail, and a commitment to delivering exceptional service to our policyholders. The successful applicant will be responsible for driving team performance and ensuring adherence to all regulatory and company guidelines within the Gauteng area.

Key Responsibilities

• Lead, mentor, and supervise a team of insurance claims adjusters.
• Manage a caseload of complex and high-value insurance claims from initiation to settlement.
• Conduct thorough investigations, negotiate settlements, and authorize payments.
• Ensure compliance with all applicable laws, regulations, and company policies.
• Develop and implement strategies to improve claims processing efficiency and customer satisfaction.
• Train new adjusters and provide ongoing professional development for the team.
• Liaise with legal counsel, external adjusters, and other stakeholders on claim matters.
• Analyze claims data to identify trends and recommend improvements in underwriting or policy wording.
• Handle escalated customer complaints and resolve disputes effectively.

Requirements

• A Bachelor's degree in Business Administration, Law, or a related field is preferred.
• A minimum of 7 years of experience in insurance claims adjusting, with at least 2 years in a supervisory or leadership capacity.
• In-depth knowledge of various insurance lines (e.g., Property, Casualty, Auto, Life).
• Strong understanding of claims investigation, negotiation, and settlement processes.
• Excellent leadership, team management, and communication skills.
• Proficiency in claims management software and standard office applications.
• Demonstrated ability to handle complex and sensitive claim situations with empathy and professionalism.
• Valid driver's license and willingness to travel within the Tembisa region as needed.
• Relevant professional certifications (e.g., AIC, CPCU) are highly advantageous.

Benefits

This role offers a competitive salary, comprehensive health insurance, retirement plan contributions, performance-based bonuses, and generous paid time off. Our client provides significant opportunities for career advancement and professional growth, including ongoing training and development programs. You will be part of a supportive and collaborative team environment in Tembisa, Gauteng . The role is office-based, allowing for direct team interaction and supervision, fostering a strong team culture.