Remote Claims Adjuster

Placements24; Stellenbosch; Hybrid; ZAR 240,000 - 360,000; Full time

Benefits offered by this job

Competitive salary

Fully remote position

Health insurance

Professional development

Job summary

Placements24 is seeking a dedicated Remote Claims Adjuster to manage insurance claims from Stellenbosch, working from home. You will investigate, evaluate, and settle claims accurately and communicate clearly with policyholders.

The role requires strong investigative and negotiation skills, thorough documentation, and a self-motivated, organized approach to a fully remote operating model.

Qualifications

• Proven experience as a Claims Adjuster or similar role in the insurance industry.
• Strong understanding of insurance policies, legal aspects, and claims investigation procedures.
• Excellent negotiation, communication, and interpersonal skills.
• High degree of organization and attention to detail for thorough documentation.
• Proficiency in claims management software and relevant digital tools.

Responsibilities

• Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing relevant documents.
• Determine the extent of liability and coverage based on policy terms and evidence collected.
• Evaluate damages and negotiate fair settlement amounts with policyholders and/or their representatives.
• Document all claim activities, findings, and decisions meticulously in the claims management system.
• Ensure timely processing and payment of approved claims while adhering to regulatory standards.
• Maintain professional and empathetic communication with clients throughout the claims process.

Skills

Negotiation

Communication

Attention to detail

Organization

Claims software

Tools

Claims management software

Job description

About the Role

Our client is looking for a dedicated and efficient Remote Claims Adjuster to manage insurance claims remotely from Stellenbosch . This role involves investigating, evaluating, and settling claims accurately and fairly, ensuring prompt resolution for policyholders. You will conduct thorough assessments, negotiate settlements, and maintain clear communication with all parties involved, all while working from the comfort of your home office. This is an ideal opportunity for an experienced adjuster who is self-motivated, organized, and possesses strong investigative and communication skills suited for a remote operational model.

Key Responsibilities

• Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing relevant documents.
• Determine the extent of liability and coverage based on policy terms and evidence collected.
• Evaluate damages and negotiate fair settlement amounts with policyholders and/or their representatives.
• Document all claim activities, findings, and decisions meticulously in the claims management system.
• Ensure timely processing and payment of approved claims while adhering to regulatory standards.
• Maintain professional and empathetic communication with clients throughout the claims process.

Requirements

• Proven experience as a Claims Adjuster or similar role in the insurance industry.
• Strong understanding of insurance policies, legal aspects, and claims investigation procedures.
• Excellent negotiation, communication, and interpersonal skills.
• High degree of organization and attention to detail for thorough documentation.
• Proficiency in claims management software and relevant digital tools.

Benefits

• Competitive salary complemented by performance-based incentives.
• Fully remote position offering significant work flexibility.
• Comprehensive health, dental, and vision insurance plans.
• Opportunities for professional development, licensing, and continuous learning.
• A supportive virtual team environment focused on efficient claims resolution.