Remote Claims Adjuster - Insurance

Placements24; Cape Town; Hybrid; ZAR 350,000 - 650,000; Full time

Benefits offered by this job

Fully remote work arrangement

Health, dental, and vision insurance

Paid time off

Job summary

Placements24 is seeking a dedicated Remote Claims Adjuster to support a fully remote team from Cape Town. You will manage claims from reporting to settlement, ensuring fair, efficient resolutions and policyholder satisfaction.

You’ll need 3+ years in claims, strong investigative skills, and excellent communication, with remote-work capability and relevant certifications as a plus.

Qualifications

• 3+ years of experience as a Claims Adjuster or in a similar role.
• Proficiency with claims management software and standard office applications.
• Strong understanding of insurance policies, legal principles, and claims investigation techniques.
• Excellent written and verbal communication skills, with negotiation and conflict resolution abilities.
• Ability to work independently, manage time effectively, and meet deadlines in a remote setting.

Responsibilities

• Investigate, evaluate, and negotiate claims to determine coverage and liability.
• Gather and review claim documentation (police reports, medical records, witness statements).
• Communicate effectively with policyholders, claimants, and third parties throughout the process.
• Process claim payments and manage reserve setting for assigned caseload.
• Ensure compliance with state and federal regulations and company policies.
• Maintain accurate claim file documentation in the claims management system.

Skills

Remote work

Negotiation

Investigation

Communication skills

Time management

Education

Insurance certifications (AIC, CPCU) preferred

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, supporting operations from Cape Town . In this crucial role, you will manage insurance claims from initial reporting through to settlement, ensuring fair and efficient resolution for policyholders while adhering to company policies and regulatory standards. You will be instrumental in maintaining customer satisfaction and upholding the integrity of our client's claims process. This position is ideal for a proactive individual who excels at independent work, possesses strong investigative skills, and is committed to providing exceptional service in the insurance industry from their home office.

Key Responsibilities

• Investigate, evaluate, and negotiate assigned insurance claims to determine coverage and liability.
• Gather and review claim documentation, including police reports, medical records, and witness statements.
• Communicate effectively with policyholders, claimants, and third parties throughout the claims process.
• Process claim payments and manage reserve setting for assigned caseload.
• Ensure compliance with all relevant state and federal regulations and company policies.
• Maintain accurate and detailed claim file documentation within the company's claims management system.

Requirements

• Minimum of 3 years of experience as a Claims Adjuster or in a similar insurance claims role.
• Proficiency with claims management software and standard office applications.
• Strong understanding of insurance policies, legal principles, and claims investigation techniques.
• Excellent written and verbal communication skills, with a knack for negotiation and conflict resolution.
• Ability to work independently, manage time effectively, and meet deadlines in a remote setting.
• Relevant insurance certifications (e.g., AIC, CPCU) are a plus.

Benefits

• Competitive annual salary, commensurate with experience.
• Fully remote work arrangement with flexibility in scheduling.
• Comprehensive health, dental, and vision insurance plans.
• Paid time off, including vacation, sick leave, and holidays.
• Opportunities for career advancement and specialized training within the insurance field.