Senior Claims Adjuster – Complex & Large-Loss (Nelspruit)

Placements24; Mbombela (Nelspruit); Vor Ort; ZAR 420.000 - 660.000; Vollzeit

Benefits dieser Stelle

Medical aid

Provident fund

Life assurance

Career development

Zusammenfassung

Placements24 on behalf of a leading insurer in Nelspruit seeks an experienced Claims Adjuster to manage complex claims, determine liability, and negotiate settlements. The role requires strong analytical skills and thorough investigations to deliver fair, timely resolutions.

You will work with a team to assess coverage, liaise with legal and engineering experts, and ensure compliance with South African regulations while delivering excellent customer service.

Qualifikationen

• Minimum of 5 years in claims adjusting, handling complex and large-loss claims.
• In-depth knowledge of insurance principles and policy wordings.
• Familiarity with South African insurance laws and regulations.

Aufgaben

• Investigate, evaluate, and adjudicate complex insurance claims.
• Determine coverage and liability based on policy terms.
• Conduct site inspections and gather documentation.
• Interview claimants, witnesses, and relevant parties.
• Negotiate settlements and manage reserves within authority.
• Liaise with legal counsel, engineers, and experts as needed.
• Prepare detailed status reports and recommendations.
• Ensure compliance with policies and regulatory requirements.
• Provide excellent customer service throughout the claims process.

Kenntnisse

Analytical thinking

Negotiation

Communication skills

Problem solving

Decision making

Ausbildung

Tertiary qualification (Law/Business/Risk Management)

Tools

Claims management software

Jobbeschreibung

Placements24 on behalf of a leading insurer in Nelspruit seeks an experienced Claims Adjuster to manage complex claims, determine liability, and negotiate settlements. The role requires strong analytical skills and thorough investigations to deliver fair, timely resolutions.

You will work with a team to assess coverage, liaise with legal and engineering experts, and ensure compliance with South African regulations while delivering excellent customer service.