Remote Senior Claims Adjuster — High-Value Claims Expert

Placements24; Durban; Hybrid; ZAR 900,000 - 1,200,000; Full time

Benefits offered by this job

Health insurance

Provident fund contribution

Generous annual leave

Online training and professional dev

Technology stipend for home office

Annual performance bonus

Job summary

Placements24 represents a globally recognized insurer seeking a Senior Claims Adjuster to manage complex cases remotely across South Africa. This role emphasizes independent work, thorough investigation, negotiation, and timely settlement of high-value claims.

You will leverage strong analytical skills, expert knowledge of policy terms, and proficiency with claims management software to guide complex cases from intake to resolution.

Qualifications

• Bachelor’s degree in Business, Law, or related field.
• At least 6 years of experience as a claims adjuster with complex/high-value claims.
• Experience handling property, liability, and bodily injury claims.
• Strong negotiation and communication skills.
• Ability to work independently in a remote setting.

Responsibilities

• Investigate, evaluate, and settle complex claims per policy terms.
• Review documentation including police reports, medical records, and expert opinions.
• Communicate with policyholders, witnesses, and legal counsel.
• Negotiate settlements within designated authority limits.
• Manage a caseload of complex claims and ensure timely progress.
• Identify potential fraud indicators and escalate when needed.
• Prepare detailed status reports and settlement recommendations.
• Maintain claim files in the claims management system.
• Provide guidance to less experienced adjusters on complex matters.
• Stay updated on laws, regulations, and industry best practices.

Skills

Claims adjustment

Negotiation

Communication

Analytical skills

Remote work

Time management

Education

Bachelor's degree in Business/Law

Tools

Claims management software

Digital communication tools

Job description

Placements24 represents a globally recognized insurer seeking a Senior Claims Adjuster to manage complex cases remotely across South Africa. This role emphasizes independent work, thorough investigation, negotiation, and timely settlement of high-value claims.

You will leverage strong analytical skills, expert knowledge of policy terms, and proficiency with claims management software to guide complex cases from intake to resolution.