Senior Claims Adjuster - Insurance

Placements24; Johannesburg; Híbrido; ZAR 480.000 - 720.000; Jornada completa

Descripción de la vacante

Placements24 is seeking a Senior Claims Adjuster in Johannesburg to lead the assessment, negotiation, and settlement of complex insurance claims. You will interact with policyholders, legal representatives, and internal teams to ensure fair outcomes and adherence to policy terms.

The role requires at least 5 years of claims adjusting experience, strong analytical skills, and a solid understanding of South African insurance laws.

Formación

• Minimum 5 years in insurance claims adjusting, with focus on complex claims.
• Proven track record in investigating, negotiating, and settling complex claims.
• In-depth knowledge of property, casualty, motor policies.
• Strong understanding of South African insurance laws and regulations.
• Analytical, problem-solving and decision-making abilities.
• Excellent communication, negotiation and interpersonal skills.
• Proficiency in claims management software and standard office applications.
• Ability to work independently and manage a caseload.
• Resident of Gauteng or willing to relocate to Gauteng, South Africa.

Responsabilidades

• Investigate, evaluate, and negotiate complex insurance claims.
• Assess damages, losses, and liabilities across types of claims.
• Communicate effectively with policyholders, legal representatives and stakeholders.
• Determine claim validity, coverage, and settlement amounts.
• Maintain accurate claim files and complete documentation.
• Collaborate with underwriting, legal, and other departments to resolve issues.
• Provide guidance on insurance policy interpretation and claims procedures.
• Identify potential fraudulent claims and escalate for investigation.
• Mentor junior claims adjusters as needed.
• Stay updated on legislation and regulatory changes impacting claims in Gauteng.

Conocimientos

Analytical thinking

Negotiation

Communication

Interpersonal skills

Independent work

Caseload management

Decision making

Educación

Tertiary qualification in insurance or law

Descripción del empleo

About the Role

Our client, a leading insurance provider in Johannesburg, is seeking an experienced and highly motivated Senior Claims Adjuster to join their dynamic team. This role is crucial in ensuring the efficient and fair settlement of insurance claims. You will be instrumental in upholding our client's reputation for excellence and customer satisfaction within the Gauteng region. The ideal candidate will possess a deep understanding of insurance policies, regulations, and best practices, combined with exceptional analytical and negotiation skills. This position offers a challenging yet rewarding environment where you can leverage your expertise to make a significant impact. The successful applicant will be part of a collaborative unit, contributing to the overall success of the claims department. We are looking for an individual who is proactive, detail-oriented, and committed to delivering superior service to policyholders during their time of need. Your role will involve direct interaction with clients, assessing damages, and determining liability in complex claims scenarios. This is a fantastic opportunity for career advancement within a reputable financial services institution.

Key Responsibilities

• Investigate, evaluate, and negotiate complex insurance claims in accordance with policy terms and conditions.
• Conduct thorough assessments of damages, losses, and liabilities for various insurance types.
• Communicate effectively with policyholders, legal representatives, and other stakeholders throughout the claims process.
• Determine claim validity, coverage, and settlement amounts based on policy provisions and investigation findings.
• Maintain accurate and detailed claim files, ensuring all documentation is complete and up-to-date.
• Collaborate with underwriting, legal, and other departments to resolve claim issues.
• Provide expert advice and guidance on insurance policy interpretation and claims procedures.
• Identify potential fraudulent claims and elevate them for further investigation.
• Stay abreast of relevant legislation, regulatory changes, and industry best practices impacting claims management in Johannesburg.
• Mentor and provide guidance to junior claims adjusters as needed.

Requirements

• A minimum of 5 years of experience in insurance claims adjusting, with a focus on complex claims.
• Proven track record in investigating, negotiating, and settling claims efficiently.
• In-depth knowledge of various insurance policies (e.g., property, casualty, motor).
• Excellent understanding of South African insurance laws and regulations.
• Strong analytical, problem-solving, and decision-making abilities.
• Exceptional communication, negotiation, and interpersonal skills.
• Proficiency in claims management software and standard office applications.
• Ability to work independently and manage a caseload effectively.
• Relevant tertiary qualification in insurance, law, or a related field is highly desirable.
• Must be a resident of or willing to relocate to Gauteng, South Africa.

Benefits

• Competitive annual salary package.
• Performance-based bonuses.
• Comprehensive health and medical aid benefits.
• Generous leave allowance.
• Opportunities for professional development and continuous learning.
• A supportive and collaborative work environment in Johannesburg.
• Potential for career progression within a leading insurance firm.
• Access to cutting-edge claims management technology.
• Retirement fund contributions.