Senior Claims Adjuster

Placements24; Pretoria; On-site; ZAR 700,000 - 900,000; Full time

Benefits offered by this job

Competitive salary

Medical aid

Retirement fund

Paid leave

Company vehicle or allowance

Continuous training

Clear career progression

Employee assistance program

Job summary

Placements24 in Pretoria is seeking a Senior Claims Adjuster to manage complex insurance claims with strong investigative and negotiation skills. The role emphasizes fair resolution for policyholders while protecting the company’s interests and involves close collaboration with internal teams.

The ideal candidate will have extensive experience in property, casualty, or motor claims, knowledge of insurance law, and proficient use of claims management software.

Qualifications

• Bachelor's degree in Business Administration, Law, or a related field preferred.
• Minimum of 6 years of experience as an insurance claims adjuster with focus on complex claims.
• Proven expertise in investigating, evaluating, and settling claims across various lines of insurance.

Responsibilities

• Investigate, evaluate, and negotiate complex insurance claims.
• Conduct thorough investigations with claimants and witnesses, inspect damage, review documents.
• Determine coverage eligibility and liability, and make fair settlement decisions.
• Manage a caseload of diverse claims with timely resolution.
• Liaise with legal counsel, contractors, and other third parties as needed.
• Prepare detailed reports on investigations, findings, and settlements.

Skills

Negotiation

Investigations

Claims management

Communication

Interpersonal skills

Education

Bachelor's degree in Business Administration or Law

Tools

Claims management software

Job description

About the Role

Our client, a leading insurance company, is seeking a highly experienced and dedicated Senior Claims Adjuster to join their established team in **Pretoria**. This role is essential for managing complex insurance claims, ensuring fair and efficient resolution for policyholders while protecting the company's interests. The successful candidate will possess strong investigative skills, excellent negotiation abilities, and a thorough understanding of insurance policies and legal frameworks. This position offers a significant opportunity for professional growth and the chance to contribute to a reputable organization committed to customer service excellence. Located in **Pretoria**, this role is primarily office-based, allowing for close collaboration with internal teams and immediate access to necessary resources. We are looking for a meticulous and empathetic professional who can handle challenging claims with integrity and professionalism. The ideal candidate will demonstrate a keen eye for detail and a commitment to delivering exceptional service throughout the claims process. This is a challenging yet rewarding role for an experienced adjuster.

Key Responsibilities

• Investigate, evaluate, and negotiate complex insurance claims in accordance with policy provisions and company guidelines.
• Conduct thorough investigations, including interviewing claimants and witnesses, inspecting damage, and reviewing documentation.
• Determine coverage eligibility and liability, making fair and accurate settlement decisions.
• Manage a caseload of diverse claims, ensuring timely and efficient resolution.
• Liaise with legal counsel, contractors, and other third parties as needed.
• Prepare detailed reports on claim investigations, findings, and settlement recommendations.
• Maintain accurate and up-to-date claim files and documentation.
• Provide exceptional customer service to policyholders throughout the claims process.
• Mentor junior claims adjusters and assist with complex case escalations.

Requirements

• A Bachelor's degree in Business Administration, Law, or a related field is preferred.
• A minimum of 6 years of experience as an insurance claims adjuster, with a focus on complex claims.
• Proven expertise in investigating, evaluating, and settling claims across various lines of insurance (e.g., property, casualty, motor).
• Strong knowledge of insurance law, regulations, and claims best practices.
• Excellent negotiation, communication, and interpersonal skills.
• Demonstrated ability to manage a high volume of claims efficiently and effectively.
• Proficiency in claims management software and standard office tools.
• Strong analytical and problem-solving capabilities.
• Relevant professional designations (e.g., FLMI, AIC) are a strong asset.
• Must possess a valid driver's license and be able to conduct site inspections in and around **Pretoria**.

Benefits

• Competitive salary and performance-based bonuses.
• Comprehensive medical aid plan and retirement fund.
• Generous annual leave and paid sick days.
• Opportunities for professional development and continuing education.
• Supportive team environment and collaborative culture.
• Company vehicle or mileage reimbursement for site visits.
• Access to ongoing training in claims handling best practices.
• Clear career progression paths within the claims department.
• Employee assistance program for personal and professional support.