Remote Senior Claims Adjuster - Complex Claims Expert

Placements24; Gqeberha; Hybrid; ZAR 500,000 - 700,000; Full time

Benefits offered by this job

Fully remote role

Competitive salary

Health, dental & vision insurance

Retirement plan with employer matching

Continuous learning & certifications

Job summary

Placements24 is seeking an experienced and detail-oriented Remote Senior Claims Adjuster to join their fully remote team. You will manage a portfolio of complex insurance claims, interpreting policy terms and negotiating settlements while maintaining regulatory compliance.

Join a leading insurer with a flexible work-from-home setup, autonomous workload management, and opportunities for professional development and certifications in a supportive environment.

Qualifications

• Bachelor's degree or equivalent industry experience.
• Minimum of 5 years of progressive experience as a claims adjuster, with a focus on complex claims.
• Proven expertise in handling various types of insurance claims (property, casualty, auto).
• In-depth knowledge of insurance law, regulations, and best practices in claims handling.
• Strong negotiation, analytical, and problem-solving skills.

Responsibilities

• Investigate, evaluate, and settle complex insurance claims in a fair and efficient manner.
• Interpret policy terms and conditions to determine coverage and liability.
• Gather and analyze all relevant documentation (police reports, medical records, repair estimates).
• Conduct thorough interviews with claimants, witnesses, and relevant parties.
• Negotiate settlements within authorized limits.
• Manage assigned caseload with timely progress and accurate record-keeping.

Skills

Negotiation

Analytical thinking

Problem solving

Communication

Remote work

Autonomy

Education

Bachelor's degree or equivalent experience

Tools

Claims management software

Job description

Placements24 is seeking an experienced and detail-oriented Remote Senior Claims Adjuster to join their fully remote team. You will manage a portfolio of complex insurance claims, interpreting policy terms and negotiating settlements while maintaining regulatory compliance.

Join a leading insurer with a flexible work-from-home setup, autonomous workload management, and opportunities for professional development and certifications in a supportive environment.