Remote Senior Specialized Insurance Claims Adjuster

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

Benefits offered by this job

Remote work

Medical aid

Life insurance

Retirement contributions

Professional development

Job summary

Placements24 is seeking a highly experienced Senior Insurance Claims Adjuster for its fully remote team. You will manage complex, high-value claims across specialized lines (e.g., professional indemnity, construction, liability) with thorough investigations and skilled negotiations.

You will assess coverage, coordinate external experts, and ensure compliant, timely resolutions while maintaining client relationships and service excellence.

Qualifications

• 8+ years of experience in insurance claims adjusting, focusing on specialized risks such as professional indemnity, D&O, liability, and construction.
• Strong understanding of complex policies, legal principles, and claims resolution processes.
• Proven ability to work autonomously in a remote environment and manage a demanding caseload.

Responsibilities

• Manage a portfolio of complex, high-value specialized insurance claims from inception to closure.
• Conduct in-depth investigations and determine claim validity with consideration of coverage and regulation.
• Appoint and coordinate external experts (loss adjusters, engineers, legal counsel) as needed.
• Negoitate fair settlements with claimants, their representatives, and third parties.
• Provide timely, clear communication to all stakeholders and document case progress.
• Identify subrogation opportunities and pursue recoveries where applicable.
• Ensure compliance with regulatory requirements and internal procedures.
• Prepare detailed reports and summaries for management review.
• Contribute to ongoing improvements in claims handling for specialized risks.

Skills

Analytical skills

Investigations

Negotiation

Communication

Education

ACII

CIP

Tools

Claims management software

Digital collaboration tools

Job description

Placements24 is seeking a highly experienced Senior Insurance Claims Adjuster for its fully remote team. You will manage complex, high-value claims across specialized lines (e.g., professional indemnity, construction, liability) with thorough investigations and skilled negotiations.

You will assess coverage, coordinate external experts, and ensure compliant, timely resolutions while maintaining client relationships and service excellence.