Senior Claims Adjuster

Placements24; Polokwane; Hybrid; ZAR 350,000 - 550,000; Full time

Benefits offered by this job

Remote work

Health insurance

Dental insurance

Vision insurance

Professional development

Bonuses

Job summary

Placements24 is seeking an experienced Senior Claims Adjuster to join their fully remote team, supporting operations from Polokwane. You will investigate, evaluate, and negotiate complex insurance claims to ensure fair outcomes and high customer satisfaction.

The role emphasizes remote collaboration, mentorship to less experienced handlers, and ongoing compliance with insurance laws and best practices.

Qualifications

• 5+ years of professional experience in claims adjusting, focusing on complex claims.
• Experience evaluating property, casualty, or liability claims.
• Deep knowledge of insurance policies and claims handling procedures.
• Strong written and verbal communication for remote work.
• Familiar with claims management software and virtual platforms.
• Industry certifications are highly desirable.

Responsibilities

• Investigate complex insurance claims and assess liability, policy coverage, and damages.
• Manage a large caseload with timely progress and accurate documentation.
• Negotiate settlements with claimants and parties.
• Prepare reports, reserve calculations, and settlement recommendations.
• Stay updated on insurance laws and industry best practices.
• Mentor less experienced team members in a remote setting.

Skills

Claims investigation

Negotiation

Remote collaboration

Analytical skills

Clear communication

Tools

Claims software

Virtual platforms

Job description

About the Role

Our client is seeking an experienced and highly capable Senior Claims Adjuster to join their fully remote team, supporting operations originating from Polokwane . This position is critical for the expert management and resolution of complex insurance claims, ensuring fair outcomes and maintaining high customer satisfaction standards. You will apply your extensive knowledge to investigate, evaluate, and negotiate claims, contributing significantly to the company's reputation for integrity and efficiency. This is an excellent opportunity for a seasoned professional to excel in a remote capacity, providing expert guidance and driving successful claim resolutions. The role requires a proactive approach and strong virtual collaboration skills, benefiting our client's dispersed operational model.

Key Responsibilities

• Conduct thorough investigations into complex insurance claims, assessing liability, policy coverage, and damages.
• Manage a demanding caseload of claims, ensuring timely progress, accurate documentation, and adherence to settlement timelines.
• Negotiate fair settlements with claimants, legal representatives, and other relevant parties.
• Prepare detailed reports, reserve calculations, and settlement recommendations for management review.
• Maintain up-to-date knowledge of relevant insurance laws, regulations, and industry best practices.
• Offer mentorship and technical guidance to less experienced claims handlers within the remote team structure.

Requirements

• A minimum of 5 years of professional experience in claims adjusting , with a focus on complex claims.
• Demonstrated expertise in evaluating property, casualty, or liability claims.
• In-depth understanding of insurance policies, contract language, and claims handling procedures.
• Exceptional analytical, negotiation, and communication skills suitable for remote engagement.
• Proficiency in utilizing claims management software and virtual communication platforms effectively.
• Relevant industry certifications are highly desirable.

Benefits

• A competitive salary package with performance-driven bonuses.
• A completely remote work environment, offering extensive flexibility.
• Comprehensive health, dental, and vision insurance coverage.
• Opportunities for continuous professional development and virtual training.
• A collaborative and supportive virtual team culture committed to excellence.