Senior Claims Adjuster

Placements24; Mbombela (Nelspruit); Hybrid; ZAR 540,000 - 750,000; Full time

Benefits offered by this job

Remote work flexibility

Medical aid & retirement plans

Training and development opportunities

Job summary

Placements24 in South Africa seeks an experienced Senior Claims Adjuster to join a fully remote team serving clients from the Nelspruit region. You will investigate, evaluate, and negotiate complex insurance claims while maintaining high standards of integrity and client service.

With 5+ years in claims adjusting across property, liability or auto lines, you will manage a heavy caseload, document findings, and provide expert guidance to colleagues in a remote setting.

Qualifications

• Minimum 5 years of experience in claims adjusting, handling complex cases.
• Experience across property, liability, or auto claims.
• Strong negotiation and communication abilities for remote work.

Responsibilities

• Conduct in-depth investigations of insurance claims, documenting findings and assessing liability and damages.
• Manage a high-volume workload of complex claims, ensuring compliance with procedures.
• Negotiate settlements with claimants, legal counsel, and third-party adjusters to reach mutual favorable outcomes.
• Develop accurate financial reserves and prepare settlement documentation.
• Maintain understanding of policies, precedents, and best practices in claims.
• Provide expert advice and support to colleagues within the remote claims department.

Skills

Investigations

Negotiation

Analytical skills

Remote collaboration

Claims software

Tools

Claims management software

Job description

About the Role

Our client is seeking an accomplished Senior Claims Adjuster to join their expanding team, operating entirely remotely and servicing clients effectively from the Nelspruit region. This vital role involves the expert investigation, evaluation, and negotiation of challenging insurance claims, ensuring timely and equitable resolutions. You will be responsible for managing a complex caseload, providing exceptional service, and upholding the company's commitment to integrity and fairness. This is an exceptional opportunity for a seasoned claims professional to leverage their expertise in a fully remote setting, contributing to significant operational success and client satisfaction. The role thrives on strong communication and analytical skills in a virtual environment.

Key Responsibilities

• Conduct in-depth investigations of insurance claims, meticulously documenting findings and assessing liability and damages.


• Manage a high-volume workload of complex claims, ensuring adherence to company procedures and regulatory requirements.


• Negotiate settlements with claimants, legal counsel, and third-party adjusters to achieve mutually agreeable outcomes.


• Develop accurate financial reserves and prepare comprehensive reports and settlement documentation.


• Maintain a thorough understanding of insurance policies, legal precedents, and claims best practices.


• Provide expert advice and support to colleagues within the remote claims department.

Requirements

• A minimum of 5 years of experience in claims adjusting , specifically handling complex cases.


• Proven expertise in various lines of insurance, such as property, liability, or auto claims.


• Strong grasp of insurance contracts, legal principles, and claims investigation methodologies.


• Excellent negotiation, analytical, and communication abilities, adapted for remote collaboration.


• Proficiency in claims management software and standard office productivity suites.


• Relevant professional certifications or designations are highly valued.

Benefits

• A competitive salary complemented by performance-based incentives.


• Fully remote work arrangements offering maximum flexibility and autonomy.


• Comprehensive medical aid and retirement savings plans.


• Dedicated support for professional growth through training and development initiatives.


• A collaborative and supportive virtual team culture that fosters mutual success.