Remote Claims Advocate & Resolution Specialist

Placements24; Paarl; Hybrid; ZAR 320,000 - 520,000; Full time

Benefits offered by this job

Competitive salary

Bonuses based on performance

Health, dental, and vision insurance

Retirement savings plan with company匹配

Extensive training and professional发展

Job summary

Placements24 is seeking a dedicated Remote Claims Resolution Specialist to join a fully remote team. You will manage and resolve insurance claims, communicate with policyholders, and collaborate with internal departments to ensure timely settlements.

The role requires strong analytical abilities, exceptional communication, and a proactive approach to claim investigations, with the flexibility and support of a remote work environment.

Qualifications

• Experience handling insurance claims or resolving complex customer issues.
• Strong understanding of insurance principles, policy types, and claims procedures.
• Excellent communication, listening, and negotiation skills.
• Analytical thinking with meticulous attention to detail.

Responsibilities

• Manage a caseload of insurance claims from initiation to closure.
• Investigate claims using documentation such as police reports and medical records.
• Assess policy coverage and liability per terms and conditions.
• Communicate empathetically with policyholders and third parties.
• Negotiate fair settlements within guidelines and document all activities.

Skills

Insurance claims handling

Customer service

Empathy

Negotiation

Analytical thinking

Remote work

Education

High school diploma

Insurance certifications (plus)

Tools

Claims management software

Job description

Placements24 is seeking a dedicated Remote Claims Resolution Specialist to join a fully remote team. You will manage and resolve insurance claims, communicate with policyholders, and collaborate with internal departments to ensure timely settlements.

The role requires strong analytical abilities, exceptional communication, and a proactive approach to claim investigations, with the flexibility and support of a remote work environment.