Remote Senior Claims Adjuster - Complex Loss Specialist

Placements24; Pietermaritzburg; Hybrid; ZAR 600,000 - 900,000; Full time

Benefits offered by this job

Competitive salary

Medical aid and retirement fund

Professional development

Flexible remote hours

Access to cutting-edge claims tech

Generous annual leave

Collaborative remote culture

Job summary

Placements24 is seeking a Senior Claims Adjuster for a fully remote role within South Africa. You will manage complex claims from inception to settlement, liaising with policyholders, legal reps, and internal teams while upholding regulatory standards.

The ideal candidate has 5+ years in claims adjusting, strong negotiation and analytical skills, and proficiency with claims software. A disciplined, self-driven professional with excellent communication will thrive in this remote environment.

Qualifications

• Minimum 5 years of experience in claims adjusting within the insurance industry.
• Proven experience handling complex casualty, property, or liability claims.
• In-depth knowledge of insurance principles, policies and claims procedures.
• Strong analytical, negotiation and problem-solving skills.
• Excellent written and verbal communication, able to articulate complex information clearly.
• Proficiency in claims management software and standard office applications.
• Ability to work independently and manage time effectively in a remote setting.

Responsibilities

• Investigate, evaluate, and negotiate claims in line with company policies and regulatory requirements.
• Manage a caseload of complex and potentially litigated claims, ensuring prompt and fair settlements.
• Conduct thorough damage assessments, liability investigations, and quantum analyses.
• Liaise with policyholders, witnesses, and external experts to gather information.
• Prepare detailed reports and maintain accurate claim files.
• Provide guidance and mentorship to junior claims handlers.
• Ensure compliance with relevant legislation and industry best practices.
• Develop and maintain relationships with internal departments and external service providers.
• Identify opportunities for fraud detection and prevention.
• Contribute to continuous improvement of claims handling processes.

Job description

Placements24 is seeking a Senior Claims Adjuster for a fully remote role within South Africa. You will manage complex claims from inception to settlement, liaising with policyholders, legal reps, and internal teams while upholding regulatory standards.

The ideal candidate has 5+ years in claims adjusting, strong negotiation and analytical skills, and proficiency with claims software. A disciplined, self-driven professional with excellent communication will thrive in this remote environment.