Remote Senior Claims Adjuster - Complex Claims Expert

Placements24; Klerksdorp; Remote; ZAR 420,000 - 540,000; Full time

Benefits offered by this job

Medical aid

Provident fund

Professional development

Remote work

Advanced claims management tech

Job summary

Placements24 is seeking a seasoned Remote Senior Claims Adjuster to join our distributed operations team. This fully remote role offers the flexibility to work from your preferred location in South Africa.

You will manage a caseload of complex insurance claims from initiation to settlement, requiring meticulous attention to detail and strong customer service. The ideal candidate has at least six years of claims handling experience, deep knowledge of policy coverage and regulatory requirements,

Qualifications

• Minimum of 6 years of experience as a claims adjuster or assessor.
• Strong knowledge of policy coverage, procedures and regulatory frameworks.
• Proven track record in settling complex claims.
• Excellent written and verbal communication.

Responsibilities

• Investigate, evaluate, and settle complex insurance claims promptly.
• Interpret policy documents to determine coverage and liability.
• Gather evidence, interview witnesses, and obtain expert reports.
• Negotiate settlements with claimants and legal representatives.
• Maintain accurate claim files in the management system.
• Identify potential fraud and report findings.
• Manage a remote caseload and meet deadlines.
• Ensure compliance with policies and regulations.

Skills

Claims handling

Analytical

Negotiation

Communication

Time management

Education

Professional qualification in insurance claims

Tools

Claims management software

Job description

Placements24 is seeking a seasoned Remote Senior Claims Adjuster to join our distributed operations team. This fully remote role offers the flexibility to work from your preferred location in South Africa.

You will manage a caseload of complex insurance claims from initiation to settlement, requiring meticulous attention to detail and strong customer service. The ideal candidate has at least six years of claims handling experience, deep knowledge of policy coverage and regulatory requirements,