Senior Claims Adjuster - Auto Division

Placements24; Pietermaritzburg; Sur place; ZAR 600 000 - 900 000; Plein temps

Avantages offerts par ce poste

Health insurance

Pension fund

Paid time off

Professional development

Employee assistance program

Résumé du poste

Placements24 is seeking a Senior Claims Adjuster for a leading insurer in Pietermaritzburg. The role focuses on complex auto claims, investigation, negotiation, and timely settlements, with mentoring responsibilities for junior staff.

The ideal candidate has 5+ years in auto insurance claims, strong analytical, negotiation, and communication skills, and proficiency with claims software and Microsoft Office. Relocation to Pietermaritzburg is supported where needed.

Qualifications

• 5+ years of progressive auto insurance claims adjusting experience.
• Proven track record in managing and settling complex claims.
• Deep knowledge of insurance policies, legal principles and investigation techniques.
• Strong negotiation, communication and interpersonal skills.
• Excellent analytical and problem-solving abilities.
• Proficiency with claims management software and MS Office.
• Relevant professional certifications or qualifications in insurance are highly desirable.
• Ability to work independently and in a team in a fast-paced environment.
• Attention to detail and accuracy.
• Based in or willing to relocate to Pietermaritzburg.

Responsabilités

• Investigate, evaluate and negotiate auto insurance claims, including property damage and bodily injury.
• Determine coverage based on policy terms, regulations and company guidelines.
• Conduct thorough investigations: interview claimants/witnesses, review police reports, inspect vehicles.
• Assess liability and damages to ensure fair settlements.
• Manage a caseload of complex/high-value claims within timelines and service standards.
• Prepare claim reports and correspondence for internal/external stakeholders.
• Liaise with legal counsel, repair shops, medical providers and third parties.
• Mentor junior claims adjusters and share best practices.
• Identify fraud indicators and escalate suspicious claims.
• Contribute to ongoing improvement of claims handling processes.

Connaissances

Negotiation

Communication

Interpersonal skills

Analytical thinking

Claims software

MS Office

Formation

Insurance certifications

Outils

Claims management software

MS Office Suite

Description du poste

About the Role

Our client, a leading insurance provider, is seeking a highly experienced and motivated Senior Claims Adjuster to join their dynamic team in Pietermaritzburg . This is an excellent opportunity for a seasoned professional to take on greater responsibility, mentor junior staff, and contribute to the efficient and effective processing of complex auto insurance claims. The ideal candidate will possess a deep understanding of insurance policies, investigative techniques, and negotiation strategies, ensuring fair and timely settlements for our policyholders while protecting the company's interests. This role is crucial in maintaining the company's reputation for excellence in customer service and claims management.

Key Responsibilities

• Investigate, evaluate, and negotiate assigned auto insurance claims, including property damage and bodily injury.
• Determine coverage based on policy terms and conditions, regulatory requirements, and company guidelines.
• Conduct thorough investigations, which may include interviewing claimants and witnesses, reviewing police reports, and inspecting damaged vehicles.
• Assess liability and quantum of damages, ensuring accuracy and fairness in settlement offers.
• Manage a caseload of complex and high-value claims, ensuring adherence to established timelines and service standards.
• Prepare detailed claim reports, documentation, and correspondence for internal and external stakeholders.
• Liaise with legal counsel, repair shops, medical providers, and other third parties as necessary.
• Mentor and provide guidance to junior claims adjusters, sharing expertise and best practices.
• Identify potential fraud indicators and elevate suspicious claims for further investigation.
• Contribute to the continuous improvement of claims handling processes and procedures.

Requirements

• A minimum of 5 years of progressive experience in auto insurance claims adjusting.
• Proven track record of successfully managing and settling complex claims.
• In-depth knowledge of insurance policies, legal principles, and claims investigation techniques.
• Strong negotiation, communication, and interpersonal skills.
• Excellent analytical and problem-solving abilities.
• Proficiency in claims management software and Microsoft Office Suite.
• Relevant professional certifications or qualifications in insurance are highly desirable.
• Ability to work independently and as part of a team in a fast-paced environment.
• Attention to detail and a commitment to accuracy.
• Based in or willing to relocate to Pietermaritzburg .

Benefits

• Competitive annual salary package.
• Comprehensive health, dental, and vision insurance.
• Generous paid time off and holiday schedule.
• Opportunities for professional development and career advancement.
• Pension fund contribution.
• Employee assistance program.
• A supportive and collaborative work environment in Pietermaritzburg .