Remote Claims Adjuster - Specialized Claims

Placements24; Cape Town; Hybrid; ZAR 300,000 - 520,000; Full time

Benefits offered by this job

Fully remote work

Performance bonuses

Company-provided equipment

Medical aid

Retirement fund

Professional development

Job summary

Placements24 is expanding its remote operations and seeks experienced Claims Adjusters to join a fully remote team in South Africa. The role focuses on investigating, evaluating, and negotiating settlements while ensuring policy terms are met and maintaining financial integrity.

Strong communication, independence, and a customer-focused approach are essential. The position offers remote-first flexibility, a stable internet setup, and opportunities to grow within a forward-thinking insurer that

Qualifications

• A relevant qualification in Insurance, Law, or a related field.
• At least 5 years of experience as a Claims Adjuster.
• Ability to work independently in a remote environment.
• Strong negotiation, communication, and interpersonal skills.
• Excellent analytical and problem-solving abilities.
• Proficiency with claims management software and general computer applications.
• Stable internet connection and a dedicated home office setup.
• Familiarity with South African insurance regulations and legal frameworks.
• Ability to adapt to new technologies and remote work tools.

Responsibilities

• Investigate assigned insurance claims thoroughly, gathering all necessary documentation and evidence.
• Evaluate coverage, liability, and damages to determine claim validity and settlement amounts.
• Communicate effectively with policyholders, claimants, witnesses, and other relevant parties via phone, email, and video conferencing.
• Negotiate settlements within established guidelines and authority limits.
• Prepare detailed reports and maintain accurate claim files in the company's claims management system.
• Identify potential subrogation or salvage opportunities.
• Ensure compliance with all regulatory requirements and company policies.
• Provide exceptional customer service throughout the claims process.

Education

Relevant qualification in Insurance, Law, or related field

Tools

Claims management software

Job description

About the Role

Our client is expanding its remote operations and is actively seeking experienced Claims Adjusters to join their fully remote team. This role is critical in managing and resolving complex insurance claims efficiently and effectively. As a Remote Claims Adjuster, you will be responsible for investigating, evaluating, and negotiating claims settlements, ensuring adherence to policy terms and conditions. You will leverage your expertise to provide exceptional service to policyholders while maintaining the company's financial integrity. This position offers the significant advantage of being a remote-first opportunity, allowing you to work from anywhere within South Africa, providing unparalleled flexibility and work-life balance. We are committed to building a high-performing, distributed team and are looking for individuals who are self-motivated, detail-oriented, and possess excellent communication skills. This is an exceptional chance to join a forward-thinking insurance company that embraces modern work practices and values its remote employees. Your contributions will directly impact customer satisfaction and the company's reputation for excellence in claims handling.

Key Responsibilities

• Investigate assigned insurance claims thoroughly, gathering all necessary documentation and evidence.
• Evaluate coverage, liability, and damages to determine claim validity and settlement amounts.
• Communicate effectively with policyholders, claimants, witnesses, and other relevant parties via phone, email, and video conferencing.
• Negotiate settlements within established guidelines and authority limits.
• Prepare detailed reports and maintain accurate claim files in the company's claims management system.
• Identify potential subrogation or salvage opportunities.
• Ensure compliance with all regulatory requirements and company policies.
• Provide exceptional customer service throughout the claims process.

Requirements

• A relevant qualification in Insurance, Law, or a related field.
• A minimum of 5 years of experience as a Claims Adjuster, with a proven track record in handling a variety of claim types (e.g., property, auto, liability).
• Demonstrated ability to work independently and manage a caseload effectively in a remote environment.
• Strong negotiation, communication, and interpersonal skills.
• Excellent analytical and problem-solving abilities.
• Proficiency in claims management software and general computer applications.
• A stable internet connection and a dedicated home office setup are essential for this fully remote role.
• Familiarity with South African insurance regulations and legal frameworks.
• Ability to adapt to new technologies and remote work tools.

Benefits

• Highly competitive salary.
• Generous performance bonuses.
• Fully remote work arrangement, offering significant flexibility.
• Company-provided equipment and software.
• Contributions to medical aid and retirement fund.
• Opportunities for professional development and continuous learning in claims management.
• A supportive and inclusive remote team culture.
• Career growth prospects within a growing organization.