Senior Claims Adjuster

Placements24; Johannesburg; On-site; ZAR 350,000 - 650,000; Full time

Benefits offered by this job

Competitive salary

Medical benefits

Retirement plan

Career development

Job summary

Placements24 seeks an experienced Senior Claims Adjuster in Johannesburg to manage complex insurance claims from report to settlement, assess damages, negotiate settlements, and guide policyholders and internal teams.

The role emphasizes integrity, analytical scrutiny, compliance with insurance regulations, accurate file-keeping, and collaboration with stakeholders, with a strong focus on customer satisfaction and professional development.

Qualifications

• Proven experience as a Claims Adjuster with knowledge of insurance principles.
• In-depth understanding of relevant legislation and regulatory requirements in insurance.
• Excellent analytical, negotiation, and communication skills.
• Ability to interpret complex policy wordings and assess liability accurately.

Responsibilities

• Investigate, evaluate, and settle insurance claims per policy provisions and regulations.
• Assess damages and liabilities using appropriate investigation techniques.
• Negotiate settlements with claimants and representatives for fair resolutions.
• Maintain detailed claim files documenting all activities and communications.
• Provide expert guidance to policyholders and internal stakeholders on claims matters.
• Identify fraud indicators and escalate suspicious claims for investigation.

Skills

Claims adjustment

Analytical thinking

Negotiation

Communication

Education

Professional qualifications or certifications in insurance claims handling

Tools

Claims management software

Job description

Our client is seeking an experienced and detail-oriented Senior Claims Adjuster to join their established team in Johannesburg . This pivotal role involves managing complex insurance claims from initial report to final settlement, ensuring fairness and accuracy while upholding the company's reputation. You will be instrumental in assessing damages, negotiating settlements, and providing expert guidance to policyholders and internal stakeholders. This position offers a significant opportunity to contribute to a leading insurer's success, working within a dynamic environment that values expertise, integrity, and customer satisfaction, and fostering a culture of continuous professional development.

Key Responsibilities

• Investigate, evaluate, and settle insurance claims in accordance with policy provisions and applicable regulations.
• Conduct thorough assessments of damages and liabilities, utilizing appropriate investigation techniques and resources.
• Negotiate settlements with claimants and their representatives, ensuring fair and equitable resolutions.
• Maintain accurate and detailed claim files, documenting all activities, decisions, and communications.
• Provide expert advice and guidance to policyholders, internal teams, and external stakeholders on claims-related matters.
• Identify potential fraud indicators and escalation suspicious claims for further investigation.

Requirements

• Proven experience as a Claims Adjuster , with a strong understanding of insurance principles and practices.
• In-depth knowledge of relevant legislation and regulations governing the insurance industry.
• Excellent analytical, negotiation, and communication skills.
• Ability to interpret complex policy wordings and assess liability accurately.
• Proficiency in claims management software and standard office applications.
• Relevant professional qualifications or certifications in insurance claims handling.

Benefits

• Competitive annual salary package commensurate with experience.
• Performance-based incentives and bonuses.
• Comprehensive medical and retirement benefits.
• Opportunities for professional growth and career advancement.
• A supportive work environment with a focus on teamwork and ethical conduct.