Remote Senior Claims Adjuster for Complex Claims

Placements24; Midrand; Remote; ZAR 350,000 - 700,000; Full time

Benefits offered by this job

Competitive remuneration

Performance-based bonuses

Medical aid

Retirement fund

Job summary

Placements24 is seeking a highly experienced Senior Claims Adjuster for a fully remote role in South Africa. You will manage complex claims from report to settlement, interpret policy wordings, and negotiate settlements with claimants within your authority.

This role requires independence, high analytical ability, and strong communication with internal and external stakeholders. Remote work enables you to operate from a home office with reliable internet.

Qualifications

• Minimum 5 years of claims adjusting experience.
• In-depth knowledge of SA insurance principles and legislation.
• Experience with motor, property, or liability claims is preferred.

Responsibilities

• Investigate complex claims and assess liability and damages.
• Interpret policy wordings to determine coverage.
• Negotiate settlements within prescribed authority limits.
• Manage a remote caseload and ensure timely resolutions.
• Prepare detailed investigative reports and correspondence.
• Collaborate with legal and repair service providers.
• Identify potential fraud indicators and escalate for review.
• Mentor junior claims adjusters.
• Stay updated on relevant legislation and industry best practices.

Skills

Negotiation

Analytical thinking

Communication skills

Remote work readiness

Education

Professional qualifications in insurance

Tools

Claims management software

MS Office

Job description

Placements24 is seeking a highly experienced Senior Claims Adjuster for a fully remote role in South Africa. You will manage complex claims from report to settlement, interpret policy wordings, and negotiate settlements with claimants within your authority.

This role requires independence, high analytical ability, and strong communication with internal and external stakeholders. Remote work enables you to operate from a home office with reliable internet.