Senior Claims Adjuster

Placements24; Midrand; Hybrid; ZAR 650,000 - 950,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Professional development

Hybrid work model

Paid time off

Retirement plan

Job summary

Placements24 in Midrand seeks a Senior Claims Adjuster to manage complex claims end-to-end, ensuring accuracy, fairness, and regulatory compliance. The role involves mentoring juniors and collaborating across stakeholders in a hybrid work setup.

The ideal candidate brings 5+ years in senior claims, deep policy knowledge, and strong negotiation and communication skills. Familiarity with claims software is essential for documenting and resolving cases.

Qualifications

• Minimum 5 years in a senior claims role.
• In-depth knowledge of insurance policies and coverage analysis.
• Strong analytical and negotiation skills.
• Excellent communication and interpersonal abilities.
• Proficiency with claims management software.

Responsibilities

• Investigate, evaluate, and negotiate complex claims including property, casualty, and liability.
• Conduct policy analysis to determine coverage and liability for claims.
• Communicate with claimants, policyholders, legal counsel, and stakeholders throughout the process.
• Document all claim activities, decisions, and settlements in the claims system.
• Mentor and guide junior claims adjusters to foster expertise and continuous learning.
• Ensure adherence to company policies, procedures, and industry regulations in claim handling.

Skills

Claims adjustment

Negotiation

Analytical thinking

Policy analysis

Communication

Education

Insurance certifications

Tools

Claims management software

Job description

About the Role

Our client, a prominent player in the insurance sector, is seeking an experienced and diligent Senior Claims Adjuster to join their dynamic team in Midrand. This pivotal role involves managing complex insurance claims from inception to settlement, ensuring accuracy, fairness, and compliance with all regulatory standards. You will be instrumental in maintaining client satisfaction by providing expert guidance and resolution on a wide range of insurance matters. This hybrid position offers a blend of in-office collaboration and remote flexibility, supporting a balanced and productive work environment within a company that values professional growth and employee well-being.

Key Responsibilities

• Investigate, evaluate, and negotiate complex insurance claims , including property, casualty, and liability.
• Conduct thorough policy analysis to determine coverage and liability for claims presented.
• Communicate effectively with claimants, policyholders, legal counsel, and other stakeholders throughout the claims process.
• Document all claim activities, decisions, and settlements meticulously in the company's claims management system.
• Mentor and provide guidance to junior claims adjusters, fostering a culture of expertise and continuous learning.
• Ensure adherence to all company policies, procedures, and relevant industry regulations in claim handling.

Requirements

• Proven experience as a Claims Adjuster , with at least 5 years in a senior capacity.
• In-depth knowledge of insurance policies, claims investigation techniques , and settlement negotiations.
• Strong analytical and problem-solving skills with meticulous attention to detail.
• Excellent communication, interpersonal, and negotiation abilities.
• Relevant professional certifications or qualifications in insurance are highly advantageous.
• Proficiency in using claims management software and standard office applications.

Benefits

• Competitive annual salary and performance-based incentives.
• Access to comprehensive medical, dental, and vision insurance plans.
• Opportunities for professional development and career advancement within the insurance industry.
• Hybrid work model promoting work-life balance.
• Generous paid time off and company-contributed retirement fund.