Senior Claims Adjuster

Placements24; Cape Town; Hybrid; ZAR 420,000 - 540,000; Full time

Benefits offered by this job

Fully remote

Competitive salary

Health benefits

Paid time off

Professional development

Collaborative culture

Job summary

Placements24 seeks a Senior Claims Adjuster to join its fully remote team, serving clients across Southern Africa from the Cape Town hub. You will investigate, negotiate, and settle claims with a minimum of five years’ experience in property or casualty claims, and a solid grasp of policy terms and regulatory requirements.

The position offers a competitive salary, comprehensive health benefits, generous PTO, and a supportive, collaborative virtual team culture.

Qualifications

• Minimum 5 years of progressive experience in claims adjustment.
• Experience with property or casualty claims.
• Strong knowledge of insurance policies and regulatory frameworks.
• Excellent communication and negotiation skills suitable for remote work.
• Proficiency with digital claims management systems.

Responsibilities

• Conduct investigations into insurance claims and assess liability and coverage.
• Manage a diverse portfolio of claims, meeting deadlines and maintaining timely communications.
• Negotiate settlements with claimants and other parties.
• Prepare detailed and accurate reports and settlement documentation.
• Stay informed on industry best practices, regulatory changes, and insurance legislation.
• Provide guidance to junior team members in complex claim resolution remotely.

Skills

Claims adjustment

Remote communication

Negotiation

Investigation

Tools

Claims management software

Job description

About the Role

Our client is actively seeking a dedicated and experienced Senior Claims Adjuster to join their fully remote team, serving clients across the region from their operational hub in Cape Town . This pivotal role requires a highly motivated individual to manage and resolve insurance claims with efficiency and integrity, ensuring exceptional service delivery regardless of physical location. You will be instrumental in investigating, negotiating, and settling claims, contributing significantly to the company's commitment to fairness and customer satisfaction. This is an ideal opportunity for a seasoned professional who excels in a remote work environment and desires to make a substantial impact on claim outcomes while fostering a culture of proactive problem-solving and continuous improvement within our virtual team structure.

Key Responsibilities

• Conduct comprehensive investigations into insurance claims, assessing liability and coverage based on policy provisions and applicable laws.
• Manage a diverse portfolio of claims, ensuring all deadlines are met and communications are promptly handled.
• Negotiate settlements effectively with claimants, legal representatives, and other involved parties.
• Prepare detailed and accurate reports, documentation, and settlement documentation for review and approval.
• Stay current with industry best practices, regulatory changes, and insurance legislation impacting claims handling.
• Provide guidance and support to junior team members on complex claim resolution strategies remotely.

Requirements

• A minimum of 5 years of progressive experience in claims adjustment within the insurance sector.
• Demonstrated expertise in handling various claim types, with a strong preference for those involving complex property or casualty.
• In-depth knowledge of insurance policies, claims procedures, and relevant legal frameworks.
• Exceptional communication, negotiation, and problem-solving skills suitable for remote interaction.
• Proficiency with digital claims management systems and virtual collaboration tools.
• Relevant professional qualifications or certifications are a significant plus.

Benefits

• Competitive salary commensurate with experience, plus performance incentives.
• A fully remote work arrangement, offering unparalleled flexibility.
• Comprehensive health, dental, and vision insurance plans.
• Generous paid time off and opportunities for virtual professional development.
• A supportive and inclusive virtual team culture focused on collaboration and mutual success.