Remote Senior Claims Adjuster - Special Risks

Placements24; Klerksdorp; Hybrid; ZAR 900,000 - 1,300,000; Full time

Benefits offered by this job

Remote working

Competitive salary

Medical aid

Retirement benefits

Professional development

Training & certifications

Remote collaboration tools

Diverse team

Job summary

Placements24, on behalf of a leading national insurer, seeks a Remote Senior Claims Adjuster specializing in Special Risks to join their distributed team in South Africa. You will manage end-to-end, conduct investigations, assess coverage, negotiate settlements, and coordinate with experts and legal counsel from a remote setup.

The role demands strong analytical, negotiation, and regulatory knowledge, with a track record in high-value claims and independence.

Qualifications

• Minimum 7 years in claims handling, with at least 4 years in complex special risks.
• Expertise in evaluating and settling specialized insurance claims.
• In-depth knowledge of South African insurance law and regulatory frameworks.
• Excellent analytical, critical thinking and problem-solving skills.
• Strong negotiation, influencing, and conflict-resolution abilities.
• Outstanding written and verbal communication skills for remote collaboration.
• Proven ability to manage workload independently and meet deadlines remotely.
• Experience with claims management systems and digital tools.
• Degree in Law, Commerce, Risk Management, or related discipline is advantageous.
• Ability to work autonomously with high self-discipline and initiative.

Responsibilities

• Manage a portfolio of complex and high-value special risks claims from notification to final settlement.
• Conduct in-depth investigations, analyze policy wordings, and determine coverage for intricate claims scenarios.
• Evaluate liability, assess damages, and negotiate settlements with claimants and their legal counsel.
• Appoint and manage external experts such as loss adjusters, engineers, and legal advisors as required.
• Ensure compliance with South African legislation, regulatory requirements, and internal procedures.
• Maintain meticulous claim files, documenting all correspondence and actions.
• Identify potential subrogation or salvage opportunities.
• Provide expert advice on special risks to internal teams and external parties.
• Proactively manage claim reserves and ensure accuracy.
• Contribute to development and improvement of special risks claims handling strategies in a remote framework.

Skills

Claims handling

Special risks

Negotiation

Analytical thinking

Remote collaboration

Workload management

Education

Law/Commerce/Risk Management degree

Tools

Claims management systems

Digital communication tools

Job description

About the Role

Our client, a leading national insurer, is looking for an experienced and highly capable **Remote Senior Claims Adjuster specializing in Special Risks** to join their distributed team. This is a fully remote position, offering the flexibility to work from anywhere within South Africa. You will be responsible for the end-to-end management of complex and high-value special risk claims, requiring exceptional analytical skills, negotiation expertise, and a deep understanding of specialized insurance policies. This role demands a proactive, self-disciplined individual who thrives in an independent work environment. You will liaise with policyholders, legal representatives, loss adjusters, and other stakeholders to ensure fair and efficient claim resolution. The successful candidate will be a subject matter expert, guiding the claims process with precision and upholding our client's commitment to service excellence. This remote opportunity is perfect for seasoned professionals seeking autonomy and the chance to make a significant impact without geographical constraints.

Key Responsibilities

• Manage a portfolio of complex and high-value special risks claims from initial notification to final settlement.
• Conduct in-depth investigations, analyze policy wordings, and determine coverage for intricate claims scenarios.
• Evaluate liability, assess damages, and negotiate settlements with claimants and their legal counsel.
• Appoint and manage external experts such as loss adjusters, engineers, and legal advisors as required.
• Ensure compliance with all relevant South African legislation, regulatory requirements, and internal claims handling procedures.
• Maintain meticulous claim files, documenting all correspondence, decisions, and actions taken.
• Identify potential subrogation or salvage opportunities.
• Provide expert advice and guidance on special risks matters to internal teams and external parties.
• Proactively manage claim reserves and ensure their accuracy.
• Contribute to the ongoing development and improvement of special risks claims handling strategies and best practices within a remote framework.

Requirements

• A minimum of 7 years of comprehensive experience in claims handling, with at least 4 years specifically focused on complex special risks (e.g., high-value property, construction, business interruption, liability).
• Demonstrated expertise in evaluating and settling specialized insurance claims.
• In-depth knowledge of South African insurance law and regulatory frameworks.
• Exceptional analytical, critical thinking, and problem-solving skills.
• Strong negotiation, influencing, and conflict resolution abilities.
• Outstanding written and verbal communication skills, essential for remote collaboration.
• Proven ability to manage workload independently, maintain high productivity, and meet strict deadlines in a remote setting.
• Proficiency with claims management systems and digital communication tools.
• A degree in Law, Commerce, Risk Management, or a related discipline is highly advantageous.
• Ability to work autonomously with a high degree of self-discipline and initiative.

Benefits

• Highly competitive salary package reflecting extensive experience and specialization.
• Full remote working arrangement, offering flexibility and autonomy.
• Comprehensive medical aid and retirement benefits.
• Significant opportunities for professional development, including specialized training and certifications.
• Direct impact on complex claims resolution and business outcomes.
• Access to advanced technology and virtual collaboration tools.
• Membership in a forward-thinking, geographically diverse team.
• Opportunity to work with a reputable leader in the insurance industry.