Remote Insurance Claims Assessor - Specialist Lines

Placements24; East London; Hybrid; ZAR 900,000 - 1,300,000; Full time

Benefits offered by this job

Fully remote

Health & dental

Retirement plan

Generous leave

Global development

Job summary

Placements24 is seeking a highly experienced Remote Insurance Claims Assessor to support clients across South Africa, including East London and the Eastern Cape. This fully remote role focuses on assessing complex claims in marine, aviation, or high-value property, working with an international team and diverse stakeholders.

The ideal candidate has 7+ years in claims assessment, deep technical knowledge, and excellent negotiation and communication skills.

Qualifications

• Bachelor's degree or equivalent professional experience.
• 7+ years of claims assessment experience, specializing in complex lines.
• Deep technical knowledge of specialist insurance areas.

Responsibilities

• Investigate, evaluate, and negotiate complex specialist claims.
• Assess damages, losses, and liabilities for accuracy.
• Interpret policy wordings to determine coverage.
• Coordinate with clients, counsel, surveyors, and third parties.
• Prepare claim reports and settlement recommendations.
• Manage a portfolio of high-value claims to SLAs.
• Identify subrogation opportunities where applicable.
• Maintain detailed records in the claims system.
• Uphold professionalism and customer service standards.

Skills

Claims assessment

Analytical

Negotiation

Remote work

Communication

Education

Bachelor's degree in Law/Finance/Engineering

Tools

Claims management software

Office productivity tools

Job description

About the Role

Our client, a leading international insurance provider, is seeking a highly experienced and specialized Remote Insurance Claims Assessor to join their global team, serving clients across **South Africa**, including **East London** and the **Eastern Cape**. This position is fully remote and focuses on assessing complex claims within specialist lines such as marine, aviation, or high-value property. The ideal candidate will possess deep technical expertise, strong analytical capabilities, and a proven ability to manage intricate claims investigations independently. You will be responsible for evaluating coverage, determining liability, negotiating settlements, and ensuring the efficient resolution of high-stakes claims. We are looking for a self-disciplined, detail-oriented professional who excels in a remote work environment and can communicate effectively with diverse stakeholders worldwide. This role offers the flexibility to work from home while contributing to critical claims decisions for a prestigious insurer. Your expertise will be invaluable in navigating the complexities of specialist insurance claims and upholding our client's commitment to fair and timely settlements.

Key Responsibilities

• Investigate, evaluate, and negotiate complex claims within specialist insurance lines (e.g., marine, aviation, construction, specialty liability).
• Conduct thorough assessments of damages, losses, and liabilities, ensuring accuracy and completeness.
• Interpret complex policy wordings and determine coverage applicability.
• Liaise effectively with clients, legal counsel, surveyors, and other third parties globally.
• Develop comprehensive claim reports and settlement recommendations for management review.
• Manage a portfolio of high-value claims, ensuring efficient progression and resolution within service level agreements.
• Identify and manage subrogation and recovery opportunities where applicable.
• Stay informed about relevant international insurance regulations and industry best practices.
• Maintain accurate and detailed claim records in the company's claims management system.
• Uphold the highest standards of professionalism, ethics, and customer service.

Requirements

• Bachelor's degree in a relevant field (e.g., Law, Finance, Engineering) or equivalent professional experience.
• Significant experience (7+ years) in claims assessment, with a proven specialization in complex or niche insurance lines.
• Deep technical knowledge of specific specialist insurance areas.
• Exceptional analytical, investigative, and negotiation skills.
• Excellent written and verbal communication skills, with the ability to communicate complex information clearly.
• Proven ability to manage a remote workload effectively and independently.
• Proficiency in claims management software and standard office productivity tools.
• Strong problem-solving abilities and meticulous attention to detail.
• Professional certifications in insurance or claims management are highly desirable.
• Must be based in **South Africa** and eligible to work remotely.

Benefits

• Competitive salary commensurate with extensive experience and specialization.
• Performance-based bonuses tied to claim resolution efficiency and accuracy.
• Fully remote working arrangement.
• Comprehensive health, dental, and vision insurance benefits.
• Retirement savings plan with employer contributions.
• Generous vacation and personal leave allowances.
• Opportunities for international professional development and networking.
• Access to advanced claims management technology and resources.
• A global and collaborative virtual work environment.