Remote Commercial Claims Adjuster

Placements24; Durban; Hybrid; ZAR 350,000 - 550,000; Full time

Benefits offered by this job

Fully remote work arrangement

Company-provided laptop

Remote work equipment

Medical aid contributions

Retirement annuity

Professional development opportunities

Supportive remote team

Job summary

Placements24 is seeking a seasoned Remote Commercial Claims Adjuster to join our client’s fully remote claims team. You will manage and resolve commercial property, casualty, and business interruption claims from your home office with a focus on accuracy and customer service.

This role requires at least 4 years of commercial claims experience, strong negotiation skills, and proficiency with claims management software.

Qualifications

• Minimum 4 years as a Claims Adjuster, focused on commercial lines.
• In-depth knowledge of commercial property, casualty, and liability policies.
• Experience handling complex investigations and negotiations.
• Strong report writing and communication abilities.

Responsibilities

• Investigate, evaluate, and negotiate commercial insurance claims across property, liability, and BI.
• Review policy coverage, claims documentation, and supporting evidence.
• Communicate with policyholders, legal representatives, and stakeholders.
• Determine claim validity and settlement amounts per policy terms.
• Manage a caseload while meeting SLAs and regulatory standards.
• Document all activities in the claims management system.
• Identify potential fraudulent claims and escalate per protocol.
• Provide exceptional customer service and guidance to claimants.

Skills

Commercial claims experience

Strong negotiation skills

Communication skills

Analytical thinking

Remote work proficiency

Claims management software

Education

Diploma or degree in Business/Law/related field

Tools

Claims management software

Job description

About the Role Our client is a premier insurance provider looking to expand its claims department with a dedicated Remote Commercial Claims Adjuster. This fully remote position allows you to manage and process commercial insurance claims from the comfort of your home office, serving clients across various regions. You will be instrumental in ensuring timely, fair, and efficient claims resolution, upholding our client's commitment to excellent customer service. This role is designed for experienced professionals who thrive in an independent, remote-first environment and possess a keen eye for detail and a strong understanding of commercial insurance policies.

Key Responsibilities

• Investigate, evaluate, and negotiate commercial insurance claims, including property, liability, and business interruption.


• Conduct thorough reviews of policy coverage, claims documentation, and supporting evidence.


• Communicate effectively with policyholders, legal representatives, and other stakeholders throughout the claims process.


• Determine claim validity and settlement amounts in accordance with policy terms and legal requirements.


• Manage a caseload of claims efficiently, ensuring adherence to service level agreements and regulatory standards.


• Document all claim activities, decisions, and communications accurately in the claims management system.


• Identify potential fraudulent claims and escalate them for further investigation as per protocol.


• Provide exceptional customer service, offering support and guidance to claimants during a difficult time.


• Continuously update knowledge of insurance laws, regulations, and industry best practices.

Requirements

• A relevant diploma or degree in Business, Law, or a related field is preferred.


• Minimum of 4 years of experience as a Claims Adjuster, with a significant focus on commercial lines.


• In-depth knowledge of commercial property, casualty, and liability insurance policies.


• Proven experience in managing complex claims investigations and negotiations.


• Excellent written and verbal communication skills, with strong report-writing abilities.


• Strong analytical and critical thinking skills to assess claim merit and damages.


• Proficiency in claims management software and digital communication tools.


• Ability to work independently, manage time effectively, and meet deadlines in a remote setting.


• A dedicated home office setup with reliable internet connectivity is mandatory.

Benefits

• Competitive salary commensurate with experience.


• Performance-based incentives and bonus structures.


• Fully remote work arrangement offering ultimate flexibility.


• Company-provided laptop and essential remote work equipment.


• Contributions towards medical aid and a retirement annuity.


• Opportunities for professional development and continuing education.


• A supportive and collaborative remote team environment.


• Contribute significantly to a well-respected insurance company from anywhere.