Senior Claims Adjuster

Placements24; KwaZulu-Natal; Hybrid; ZAR 600,000 - 900,000; Full time

Benefits offered by this job

Competitive salary

Health insurance

Paid time off

Professional development

Hybrid work

Pension plan

Job summary

Placements24 is seeking a Senior Claims Adjuster in Pietermaritzburg, KwaZulu-Natal, to lead complex insurance claims with a focus on fair settlements and customer service. The role integrates office collaboration with remote work within a hybrid model.

The ideal candidate has at least 5 years of claims experience, strong negotiation and analytical skills, and a track record of accurate policy interpretation. Travel within the region may be required.

Qualifications

• Minimum 5 years in insurance claims adjusting with complex case experience.
• Strong negotiation and communication skills.
• Ability to interpret policy terms accurately.

Responsibilities

• Investigate, evaluate, and negotiate a diverse portfolio of claims.
• Determine coverage levels and policy limits for adjudication.
• Gather documentation and review police reports, statements, estimates.
• Communicate with policyholders, claimants, legal representatives, stakeholders.
• Prepare reports on investigations, findings, settlements.
• Manage claim files with regulatory compliance and policy adherence.
• Mentor junior adjusters and identify subrogation opportunities.
• Stay updated on industry trends through training and development.

Skills

Insurance claims adjustment

Negotiation

Analytical thinking

Communication

Claims management software

Travel willingness

Education

CIP/CTP certification advantageous

Tools

Claims management software

Job description

About the Role

Our client, a prominent and rapidly expanding insurance provider, is seeking a highly experienced and motivated Senior Claims Adjuster to join their dynamic team in Pietermaritzburg, KwaZulu-Natal. This pivotal role involves managing complex insurance claims, ensuring timely and fair settlements while upholding the company's commitment to exceptional customer service. The successful candidate will play a crucial part in the claims department's success, contributing to operational efficiency and client satisfaction. We are looking for an individual with a proven track record in the insurance sector, possessing strong analytical skills and a deep understanding of claims handling procedures. This position offers a fantastic opportunity for career growth within a supportive and professional environment, with a hybrid work model balancing office collaboration and remote flexibility. If you are a detail-oriented professional with a passion for problem-solving and a dedication to excellence, we encourage you to apply for this exciting opportunity in Pietermaritzburg.

Key Responsibilities

• Investigate, evaluate, and negotiate a diverse portfolio of insurance claims, including but not limited to property, casualty, and liability.
• Determine coverage levels and policy limitations to ensure accurate claim adjudication.
• Gather and review all relevant documentation, including police reports, witness statements, and repair estimates.
• Communicate effectively with policyholders, claimants, legal representatives, and other stakeholders throughout the claims process.
• Prepare detailed reports on claim investigations, findings, and settlement recommendations.
• Manage claim files with meticulous attention to detail, ensuring compliance with regulatory requirements and company policies.
• Mentor and provide guidance to junior claims adjusters, fostering a collaborative team environment.
• Identify potential subrogation opportunities and fraud indicators.
• Participate in ongoing training and professional development to stay abreast of industry trends and best practices.

Requirements

• A minimum of 5 years of progressive experience in insurance claims adjusting, with a strong emphasis on complex case management.
• Proven ability to interpret and apply insurance policy terms and conditions accurately.
• Exceptional negotiation, communication, and interpersonal skills.
• Strong analytical and critical thinking abilities, with a keen eye for detail.
• Proficiency in claims management software and standard office applications.
• A valid driver's license and a willingness to travel within the Pietermaritzburg region as required.
• Relevant professional qualifications or certifications in insurance (e.g., CIP, CTP) are highly advantageous.
• Demonstrated ability to work independently and as part of a team, managing a demanding workload effectively.
• Resilience and a proactive approach to problem-solving in a fast-paced environment.

Benefits

• Competitive annual salary package reflecting your experience and expertise.
• Comprehensive health, dental, and vision insurance coverage.
• Generous paid time off and holiday leave.
• Opportunities for professional development, training, and career advancement.
• A supportive and collaborative work environment with a focus on employee well-being.
• Hybrid work arrangement providing a balance between office and remote work.
• Pension fund contribution and other retirement benefits.
• Access to cutting-edge claims management technology.