Remote Senior Claims Analyst — South Africa

Placements24; Pietermaritzburg; Hybrid; ZAR 480,000 - 720,000; Full time

Benefits offered by this job

Competitive salary package

Medical and retirement benefits

Generous annual leave

Remote work technology & support

Performance-based bonuses

Wellness programs

Professional development opportunities

Job summary

Placements24 is seeking a highly experienced Senior Claims Assessor to join a remote-first team serving clients across South Africa. You will assess complex insurance claims, interpret policy wordings, determine coverage and settlements, and ensure compliant outcomes.

The role requires at least 5 years in claims assessment within insurance, strong analytical and negotiation skills, and the ability to mentor junior assessors while helping enhance claims procedures.

Qualifications

• Minimum 5 years of demonstrable claims assessing experience.
• Tertiary qualification in Insurance, Law, Commerce or related field.
• In-depth knowledge of SA insurance legislation and practices.
• Experience with short-term, long-term, property and liability claims.

Responsibilities

• Thoroughly investigate, evaluate, and adjudicate complex insurance claims across various policy types.
• Interpret policy wordings, determine coverage, and assess liability accurately.
• Communicate effectively with policyholders, brokers, and other stakeholders to gather information and explain claim decisions.
• Negotiate settlements within approved authority limits.
• Prepare detailed assessment reports and maintain accurate claim records.
• Identify potential fraud indicators and elevate as necessary.
• Collaborate with legal and technical experts when required.
• Mentor and guide junior claims assessors, providing training and support.
• Contribute to the development and refinement of claims handling procedures and best practices.
• Ensure adherence to regulatory requirements and company standards.

Skills

Analytical skills

Negotiation

Communication skills

Remote work

Time management

Education

Tertiary qualification in Insurance, Law, Commerce, or related field

Tools

Claims management software

Job description

Placements24 is seeking a highly experienced Senior Claims Assessor to join a remote-first team serving clients across South Africa. You will assess complex insurance claims, interpret policy wordings, determine coverage and settlements, and ensure compliant outcomes.

The role requires at least 5 years in claims assessment within insurance, strong analytical and negotiation skills, and the ability to mentor junior assessors while helping enhance claims procedures.