Senior Claims Adjuster

Placements24; South Africa; Remote; ZAR 300,000 - 540,000; Full time

Benefits offered by this job

Fully remote

Health, dental & vision insurance

Equipment provided

Professional development

Job summary

Placements24 is seeking a Remote Claims Adjuster in South Africa to manage insurance claims from reporting to settlement from a home office. The role emphasizes independent work, strong investigative skills, and timely, fair resolution for policyholders.

Candidates should have at least 3 years' experience as a Claims Adjuster, with a solid understanding of policy provisions, regulatory standards, and excellent communication abilities.

Qualifications

• Minimum 3 years as a Claims Adjuster or similar in insurance.
• Strong knowledge of insurance policies and claims investigations.
• Excellent written and verbal communication; negotiation skills.

Responsibilities

• Investigate, evaluate, and negotiate claims to determine coverage and liability.
• Gather and review documents (police reports, medical records, witness statements).
• Communicate with policyholders and third parties throughout the process.
• Process payments and manage reserves for assigned caseload.
• Ensure compliance with regulations and company policies.
• Maintain detailed claim records in the claims system.

Skills

Remote work experience

Negotiation

Investigation

Communication

Time management

Education

Relevant tertiary qualification

Insurance certification

Tools

Claims management software

Job description

Showing 7 Senior Claims Adjuster jobs in Mpumalanga

• What Senior Claims Adjuster Jobs are in Mpuma...

Our client is seeking a dedicated and detail-oriented Remote Claims Adjuster to join their fully remote team, supporting operations from Cape Town. In this crucial role, you will manage insurance claims from initial reporting through to settlement, ensuring fair and efficient resolution for policyholders while adhering to company policies and regulatory standards. You will be instrumental in maintaining customer satisfaction and upholding the integrity of our client's claims process. This position is ideal for a proactive individual who excels at independent work, possesses strong investigative skills, and is committed to providing exceptional service in the insurance industry from their home office.

About the Role

Our client is seeking a dedicated and detail-oriented Remote Claims Adjuster to join their fully remote team, supporting operations from Cape Town. In this crucial role, you will manage insurance claims from initial reporting through to settlement, ensuring fair and efficient resolution for policyholders while adhering to company policies and regulatory standards. You will be instrumental in maintaining customer satisfaction and upholding the integrity of our client's claims process. This position is ideal for a proactive individual who excels at independent work, possesses strong investigative skills, and is committed to providing exceptional service in the insurance industry from their home office.

Key Responsibilities

• Investigate, evaluate, and negotiate assigned insurance claims to determine coverage and liability.
• Gather and review claim documentation, including police reports, medical records, and witness statements.
• Communicate effectively with policyholders, claimants, and third parties throughout the claims process.
• Process claim payments and manage reserve setting for assigned caseload.
• Ensure compliance with all relevant state and federal regulations and company policies.
• Maintain accurate and detailed claim file documentation within the company's claims management system.

Requirements

• Minimum of 3 years of experience as a Claims Adjuster or in a similar insurance claims role.
• Proficiency with claims management software and standard office applications.
• Strong understanding of insurance policies, legal principles, and claims investigation techniques.
• Excellent written and verbal communication skills, with a knack for negotiation and conflict resolution.
• Ability to work independently, manage time effectively, and meet deadlines in a remote setting.
• Relevant insurance certifications (e.g., AIC, CPCU) are a plus.

Benefits

• Competitive annual salary, commensurate with experience.
• Fully remote work arrangement with flexibility in scheduling.
• Comprehensive health, dental, and vision insurance plans.
• Paid time off, including vacation, sick leave, and holidays.
• Opportunities for career advancement and specialized training within the insurance field.

Our client is seeking a dedicated and detail-oriented Remote Claims Adjuster to join their fully remote team, serving clients across South Africa. In this role, you will be responsible for investigating, evaluating, and settling insurance claims efficiently and fairly, ensuring compliance with policy terms and regulatory requirements. You will manage a caseload of diverse claims, conduct thorough investigations using available digital tools, and negotiate settlements with policyholders and involved parties. This is an excellent opportunity for an experienced claims professional to work autonomously from home, offering flexibility and autonomy while making a significant contribution to client satisfaction and the company's claims management excellence.

About the Role

Our client is seeking a dedicated and detail-oriented Remote Claims Adjuster to join their fully remote team, serving clients across South Africa. In this role, you will be responsible for investigating, evaluating, and settling insurance claims efficiently and fairly, ensuring compliance with policy terms and regulatory requirements. You will manage a caseload of diverse claims, conduct thorough investigations using available digital tools, and negotiate settlements with policyholders and involved parties. This is an excellent opportunity for an experienced claims professional to work autonomously from home, offering flexibility and autonomy while making a significant contribution to client satisfaction and the company’s claims management excellence.

Key Responsibilities

• Investigate insurance claims by gathering necessary information, including policy details, incident reports, and witness statements.
• Evaluate the extent of liability and damages, determining the validity and coverage of claims according to policy provisions.
• Negotiate settlements with policyholders and claimants, ensuring fair and timely resolution of claims.
• Maintain accurate and detailed records of all claims activities and communications within the claims management system.
• Adhere strictly to company policies, industry regulations, and ethical standards in all claims handling processes.
• Collaborate remotely with internal teams, legal counsel, and external experts as needed to resolve complex claims.

Requirements

• Proven experience as a Claims Adjuster or similar role in the insurance industry.
• In-depth knowledge of insurance policies, claims procedures, and relevant legal frameworks.
• Strong analytical, investigative, and negotiation skills.
• Excellent written and verbal communication abilities for effective remote interaction.
• Proficiency in using claims management software and other digital tools for remote work.
• A relevant tertiary qualification or professional insurance certification is advantageous.

Benefits

• Competitive annual salary and potential for performance bonuses.
• Fully remote work arrangement offering significant flexibility and work-life balance.
• Company-provided equipment and support for home office setup.
• Comprehensive health, dental, and vision insurance plans.
• Opportunities for continuous learning and professional development within a remote-first environment.

Our client is actively recruiting a dedicated Remote Claims Adjuster with expertise in Auto insurance to enhance their remote claims processing capabilities. In this vital role, you will manage the end-to-end claims process for auto incidents, from initial reporting to final settlement, all from the comfort of your home office. You will conduct thorough investigations, assess damages, and ensure fair and timely resolution for policyholders, contributing to the company's commitment to excellent service and efficient claims handling. This role is perfect for a detail-oriented professional seeking autonomy and a significant impact in the insurance sector.

About the Role

Our client is actively recruiting a dedicated Remote Claims Adjuster with expertise in Auto insurance to enhance their remote claims processing capabilities. In this vital role, you will manage the end-to-end