Remote Insurance Claims Specialist

Placements24; Soweto; Hybrid; ZAR 300,000 - 540,000; Full time

Benefits offered by this job

Competitive salary

Fully remote role

Health insurance

Dental insurance

Life insurance

Retirement plan

Training and development

Job summary

Placements24 is seeking a dedicated Remote Insurance Claims Specialist to manage claims efficiently from a remote location. You will handle the full claims process—from initiation through investigation, assessment, and final resolution—delivering professional, empathetic service to policyholders.

The ideal candidate has proven claims experience in insurance, strong analytical and negotiation skills, and proficiency with claims management software.

Qualifications

• Proven experience as a Claims Specialist or in a similar role within the insurance industry.
• Thorough knowledge of policies, procedures, and applicable legislation.
• Strong analytical, negotiation, and decision-making abilities.
• Excellent communication and interpersonal skills for sensitive client interactions.
• Experience with claims management software and standard office tools.
• Ability to work independently in a remote setting.

Responsibilities

• Receive, record, and manage insurance claims from initiation to closure.
• Conduct investigations to determine claim validity, coverage, and liability.
• Assess damages and negotiate settlements with policyholders and third parties.
• Maintain detailed records in the claims management system.
• Communicate updates and explanations to policyholders with empathy.
• Identify potential fraudulent claims.

Skills

Claims experience

Insurance policies & procedures

Analytical & negotiation skills

Communication & empathy

Claims management software

Remote work ability

Job description

About the Role

Our client is looking for a dedicated and experienced Remote Insurance Claims Specialist to manage claims efficiently and effectively from a remote location. This role is vital in providing exceptional service to policyholders by handling claims with professionalism, empathy, and accuracy. You will be responsible for the entire claims process, from initial reporting through investigation, assessment, and final resolution. This is an ideal opportunity for a self-motivated individual with strong claims handling skills who values the flexibility of remote work and is committed to upholding the company's reputation for reliable service.

Key Responsibilities

• Receive, record, and manage insurance claims from initiation to closure.
• Conduct thorough investigations to determine claim validity, coverage, and liability.
• Assess damages and negotiate settlements with policyholders and third parties fairly and efficiently.
• Maintain accurate and detailed records of all claim activities within the claims management system.
• Communicate effectively and empathetically with policyholders, providing updates and explanations throughout the claims process.
• Identify potential fraudulent claims and

Requirements

• Proven experience as a Claims Specialist or in a similar claims handling role within the insurance industry.
• Comprehensive knowledge of insurance policies, claims procedures, and relevant legislation.
• Strong analytical, negotiation, and decision-making skills.
• Excellent communication and interpersonal skills, with the ability to manage sensitive customer interactions.
• Proficiency in using claims management software and standard office applications.
• Ability to work independently and manage time effectively in a remote setting.

Benefits

• Competitive annual salary and potential for performance bonuses.
• Fully remote position offering significant flexibility.
• Comprehensive health, dental, and life insurance coverage.
• Retirement savings plan with company contributions.
• Ongoing training and development opportunities to enhance claims expertise.