Remote Insurance Claims Specialist

Placements24; Richards Bay; Hybrid; ZAR 420,000 - 620,000; Full time

Benefits offered by this job

Performance incentives

Remote work arrangement

Career development and training

Supportive virtual team environment

Customer-centric culture

Job summary

Placements24 is seeking a Remote Insurance Claims Specialist to join a fully remote team supporting operations from Richards Bay and beyond. You will manage a portfolio of claims from first notice of loss to settlement with strong communication and analytical skills.

The role requires independence, proficiency with claims software, and effective collaboration with a distributed team to deliver fair outcomes for policyholders across South Africa.

Qualifications

• 4+ years of experience handling diverse insurance claims.
• Ability to work independently with a remote caseload.
• Excellent communication, negotiation and conflict-resolution skills.

Responsibilities

• Manage assigned insurance claims, ensuring timely resolution and customer satisfaction.
• Conduct investigations, gather documentation, and assess liability and damages per policy terms.
• Communicate professionally with policyholders, claimants, third-party adjusters, and legal representatives via phone, email, and video.
• Negotiate settlements within authority limits and ensure accurate, prompt payments.
• Maintain detailed records of all claim activities in the claims management system.
• Identify potential fraudulent claims and escalate as needed.

Skills

Communication

Negotiation

Independent worker

Analytical thinking

Remote collaboration

Tools

Claims management software

Digital collaboration tools

Job description

Our client is actively seeking a highly motivated and experienced Remote Insurance Claims Specialist to join their fully remote team, supporting operations from Richards Bay and beyond. In this position, you will be responsible for managing a portfolio of insurance claims from first notice of loss through to settlement, ensuring efficient and fair outcomes for policyholders. This role requires exceptional communication skills, a deep understanding of insurance claims processes, and the ability to work independently while collaborating effectively with a distributed team. You will be a key contributor to our client's commitment to delivering outstanding service and support to their valued customers, regardless of location.

Key Responsibilities

• Manage assigned insurance claims efficiently and effectively, ensuring timely resolution and customer satisfaction.
• Conduct thorough investigations, gather all necessary documentation, and assess liability and damages according to policy terms and conditions.
• Communicate professionally with policyholders, claimants, third-party adjusters, and legal representatives via phone, email, and video conferencing.
• Negotiate settlements within authority limits and ensure all claim payments are accurate and processed promptly.
• Maintain detailed and accurate records of all claim activities, correspondence, and decisions in the claims management system.
• Identify potential fraudulent claims and escal…

Requirements

• Minimum of 4 years of experience in handling diverse insurance claims, with a strong understanding of claims procedures.
• Proven ability to work independently and manage a remote caseload effectively.Excellent communication, negotiation, and conflict-resolution skills.
• Proficiency in using claims management software and digital collaboration tools.
• Strong analytical skills and the ability to make sound judgments based on evidence and policy interpretation.

Benefits

• Competitive annual salary with performance-based incentives and a robust benefits package.
• The significant advantage of a fully remote work arrangement, allowing for flexibility and autonomy.
• Opportunities for career advancement and specialized training within the insurance sector.
• A supportive and collaborative virtual team environment dedicated to mutual success.
• Contribute to a company culture that values trust, efficiency, and customer‑centricity from anywhere in South Africa .