Remote Claims Adjuster

Placements24; George; Hybrid; ZAR 300,000 - 520,000; Full time

Benefits offered by this job

Competitive salary

Fully remote work

Equipment provided for home office

Health insurance

Professional development

Job summary

Placements24 is seeking a dedicated Remote Claims Adjuster to join a fully remote team serving clients across South Africa. You will investigate, evaluate, and settle claims in compliance with policy terms and regulations, managing a diverse caseload from home with autonomy and flexibility.

Key responsibilities include gathering information, assessing liability and coverage, negotiating settlements, and maintaining detailed records in the claims system.

Qualifications

• Proven experience as a Claims Adjuster or similar role.
• In-depth knowledge of insurance policies, claims procedures, and relevant legal frameworks.
• Strong analytical, investigative, and negotiation skills.

Responsibilities

• Investigate insurance claims by gathering necessary information, including policy details, incident reports, and witness statements.
• Evaluate the extent of liability and damages, determining the validity and coverage of claims according to policy provisions.
• Negotiate settlements with policyholders and claimants, ensuring fair and timely resolution of claims.
• Maintain accurate and detailed records of all claims activities and communications within the claims management system.
• Adhere strictly to company policies, industry regulations, and ethical standards in all claims handling processes.
• Collaborate remotely with internal teams, legal counsel, and external experts as needed to resolve complex claims.

Skills

Analytical skills

Investigative skills

Negotiation skills

Communication skills

Education

Tertiary qualification or professional insurance certification

Tools

Claims management software

Job description

About the Role

Our client is seeking a dedicated and detail-oriented Remote Claims Adjuster to join their fully remote team, serving clients across South Africa. In this role, you will be responsible for investigating, evaluating, and settling insurance claims efficiently and fairly, ensuring compliance with policy terms and regulatory requirements. You will manage a caseload of diverse claims, conduct thorough investigations using available digital tools, and negotiate settlements with policyholders and involved parties. This is an excellent opportunity for an experienced claims professional to work autonomously from home, offering flexibility and autonomy while making a significant contribution to client satisfaction and the company's claims management excellence.

Key Responsibilities

• Investigate insurance claims by gathering necessary information, including policy details, incident reports, and witness statements.
• Evaluate the extent of liability and damages, determining the validity and coverage of claims according to policy provisions.
• Negotiate settlements with policyholders and claimants, ensuring fair and timely resolution of claims.
• Maintain accurate and detailed records of all claims activities and communications within the claims management system.
• Adhere strictly to company policies, industry regulations, and ethical standards in all claims handling processes.
• Collaborate remotely with internal teams, legal counsel, and external experts as needed to resolve complex claims.

Requirements

• Proven experience as a Claims Adjuster or similar role in the insurance industry.
• In-depth knowledge of insurance policies, claims procedures, and relevant legal frameworks.
• Strong analytical, investigative, and negotiation skills.
• Excellent written and verbal communication abilities for effective remote interaction.
• Proficiency in using claims management software and other digital tools for remote work.
• A relevant tertiary qualification or professional insurance certification is advantageous.

Benefits

• Competitive annual salary and potential for performance bonuses.
• Fully remote work arrangement offering significant flexibility and work-life balance.
• Company-provided equipment and support for home office setup.
• Comprehensive health, dental, and vision insurance plans.
• Opportunities for continuous learning and professional development within a remote-first environment.