Senior Claims Adjuster – Complex Claims Specialist

Placements24; Bloemfontein; Hybrid; ZAR 600,000 - 900,000; Full time

Benefits offered by this job

Competitive salary

Performance incentives

Medical aid

Retirement fund contributions

Professional development

Job summary

Placements24 in Bloemfontein seeks an experienced Claims Adjuster specializing in complex, high-value claims within the insurance sector. You will investigate, evaluate, and negotiate settlements while ensuring regulatory compliance and cost management.

The role requires a Bachelor's degree, 5+ years of experience, strong analytical and communication skills, and travel within the region as needed. A CIP/CPL certification is advantageous and proficiency with claims software and MS Office is

Qualifications

• Bachelor's degree in Law, Business Administration, Finance, or related field.
• CIP or CPL certification is advantageous.
• Minimum 5 years of experience as a Claims Adjuster, with complex/high-value claims.
• Strong knowledge of insurance contracts, investigation techniques, and settlement negotiations.
• Excellent analytical and problem-solving skills.
• Strong interpersonal and communication skills; professional handling of sensitive situations.
• Proficiency with claims management software and MS Office.
• Ability to work independently and meet deadlines.
• Understanding of South African legal and insurance landscape.
• Detail-oriented with high accuracy.
• Willingness to travel within the region.

Responsibilities

• Investigate complex insurance claims thoroughly and gather documentation.
• Analyze policy coverage to determine liability and adjudication.
• Evaluate damages and negotiate settlements with claimants and third parties.
• Manage a caseload of complex claims and meet settlement timelines.
• Conduct on-site inspections when required.
• Maintain detailed claim files and document communications.
• Collaborate with internal/external parties to resolve claims.
• Ensure compliance with regulations and company policies.
• Identify potential fraudulent claims and escalate as needed.
• Provide clear, empathetic communication to claimants.

Skills

Analytical skills

Negotiation

Communication

Attention to detail

Time management

Education

Bachelor's degree in Law/Business/Finance

Tools

Claims software

Microsoft Office

Job description

Placements24 in Bloemfontein seeks an experienced Claims Adjuster specializing in complex, high-value claims within the insurance sector. You will investigate, evaluate, and negotiate settlements while ensuring regulatory compliance and cost management.

The role requires a Bachelor's degree, 5+ years of experience, strong analytical and communication skills, and travel within the region as needed. A CIP/CPL certification is advantageous and proficiency with claims software and MS Office is