Remote Insurance Claims Adjuster

Placements24; Benoni; Hybrid; ZAR 360,000 - 600,000; Full time

Benefits offered by this job

Remote work

Competitive salary

Comprehensive benefits (medical,Dental

Retirement savings plan

Paid time off

Professional development support

Home office stipend

Job summary

Placements24 seeks an experienced Remote Insurance Claims Adjuster to join a fully remote team in South Africa. You will investigate, evaluate, and settle diverse insurance claims, maintaining compliance and delivering exceptional service from a home-based office.

The role requires 3–5 years of experience, a related Bachelor's degree, and a valid Adjuster’s license or eligibility to obtain one. Strong analytical, negotiation, and communication skills are essential.

Qualifications

• Bachelor's degree in Business Administration, Law, or a related field is preferred.
• 3–5 years of experience as a claims adjuster in the insurance industry.
• Licenses such as Adjuster's License are required or must be obtained upon hiring.

Responsibilities

• Investigate and assess liability and damages for insurance claims.
• Gather and review documentation including police reports, witness statements, and medical records.
• Conduct interviews with claimants, witnesses, and other involved parties.
• Determine coverage under applicable policies and negotiate fair settlements.
• Maintain accurate claim files and document actions and decisions.
• Communicate with policyholders, legal representatives, and stakeholders throughout the process.
• Ensure compliance with state and federal regulations governing claims handling.
• Utilize claims management software and digital tools to manage workload.

Skills

Negotiation

Communication

Analytical thinking

Remote work

Education

Bachelor's degree in Business Administration, Law, or related field

Tools

Claims management software

Job description

About the Role

Our client, a forward-thinking insurance company, is looking for a dedicated and detail-oriented Remote Insurance Claims Adjuster to join their fully remote team. This pivotal role involves investigating, evaluating, and settling insurance claims accurately and efficiently, ensuring customer satisfaction while adhering to company policies and legal regulations. You will be instrumental in managing a caseload of diverse claims, from initial reporting to final resolution, utilizing advanced digital tools and communication platforms. This position is ideal for an experienced professional who thrives in an independent, home-based work environment and possesses exceptional analytical and interpersonal skills. We are committed to fostering a supportive virtual workplace where you can excel professionally.

Key Responsibilities

• Investigate and assess the extent of liability and damages for insurance claims reported by policyholders.
• Gather and review all relevant documentation, including police reports, witness statements, and medical records.
• Conduct interviews with claimants, witnesses, and other involved parties to obtain necessary information.
• Determine coverage under the applicable insurance policies and negotiate fair settlements with claimants.
• Maintain accurate and thorough claim files, documenting all actions taken and decisions made.
• Communicate effectively with policyholders, legal representatives, and other stakeholders throughout the claims process.
• Ensure compliance with all state and federal regulations governing claims handling.
• Utilize company-provided claims management software and other digital tools to manage workload efficiently.

Requirements

• A Bachelor's degree in Business Administration, Law, or a related field is preferred.
• A minimum of 3-5 years of experience as a claims adjuster in the insurance industry.
• Proven experience in managing a variety of claims types (e.g., auto, property, liability).
• Strong understanding of insurance policies, claims investigation techniques, and negotiation strategies.
• Excellent written and verbal communication skills, with the ability to explain complex information clearly.
• Proficiency in using claims management software and digital communication tools.
• Must have a reliable internet connection and a dedicated home office space conducive to remote work.
• Relevant insurance licenses (e.g., Adjuster's License) are required or must be obtained upon hiring.

Benefits

• This fully remote position offers a competitive annual salary, along with performance-based incentives.
• Employees are provided with a comprehensive benefits package including medical, dental, and vision insurance, as well as a generous retirement savings plan.
• Our client believes in work-life balance and provides ample paid time off.
• Continuous professional development opportunities, including training and certification support, are available.
• You will have the flexibility to work from anywhere within South Africa, coupled with the support of a collaborative and engaged virtual team.
• We also offer allowances for home office setup and maintenance.