Senior Claims Adjuster - Personal Lines

Placements24; Johannesburg; Hybrid; ZAR 420,000 - 640,000; Full time

Benefits offered by this job

Health insurance

Retirement savings

Professional development

Hybrid work model

Cutting-edge claims technology

Job summary

Placements24 is seeking a Senior Claims Adjuster for a hybrid role in Johannesburg, Gauteng. You will investigate, evaluate, and negotiate complex personal lines claims, guiding cases from initial assessment to settlement while upholding service excellence.

The ideal candidate has at least 5 years in claims adjusting, a solid understanding of policy wordings and regulatory requirements, and the ability to mentor junior adjusters in a fast-paced environment.

Qualifications

• A tertiary qualification in insurance, law, commerce or related field is highly preferred.
• Minimum of 5 years of proven experience in claims adjusting, preferably personal lines.
• In-depth knowledge of insurance policies, legal principles and claims investigation techniques.
• Excellent analytical, problem-solving and decision-making skills.
• Strong negotiation and communication abilities, both written and verbal.

Responsibilities

• Investigate, evaluate, and negotiate insurance claims within established guidelines and regulatory requirements.
• Assess damages, liabilities, and policy coverage for personal lines claims.
• Communicate with policyholders, claimants, witnesses and counsel to gather information and explain processes.
• Prepare detailed reports, claim summaries, and settlement documentation.
• Manage a caseload of complex claims to ensure timely and accurate resolution.
• Identify subrogation or salvage opportunities and collaborate with underwriting and legal teams.
• Provide guidance and mentorship to junior claims adjusters.
• Maintain accurate claim files in the claims management system.

Skills

Analytical skills

Negotiation

Communication

Time management

Independent work

Education

Tertiary qualification in insurance/law/commerce

Tools

Claims management software

Job description

About the Role

Our client, a leading provider in the insurance sector, is seeking a highly motivated and experienced Senior Claims Adjuster to join their dynamic team. This is an exciting opportunity for a professional to take on complex cases and contribute to the exceptional service delivery that our client is known for. The role is based in the vibrant city of Johannesburg, Gauteng , and offers a hybrid work model, blending the flexibility of remote work with the collaborative environment of the office. You will be instrumental in ensuring fair and efficient claims resolution, upholding the company's reputation and customer trust. We are looking for an individual with a strong understanding of insurance policies, excellent analytical skills, and a commitment to professional integrity. This position is crucial to the claims department's success and offers significant growth potential within the organization.

Key Responsibilities

• Investigate, evaluate, and negotiate insurance claims within established guidelines and regulatory requirements.
• Conduct thorough assessments of damages, liabilities, and policy coverage for a diverse range of personal lines insurance claims.
• Communicate effectively with policyholders, claimants, witnesses, and legal counsel to gather information and explain claim processes.
• Prepare detailed reports, claim summaries, and settlement documentation.
• Manage a caseload of complex claims, ensuring timely and accurate resolution.
• Identify potential subrogation or salvage opportunities.
• Collaborate with underwriting and legal departments to resolve complex claim issues.
• Provide guidance and mentorship to junior claims adjusters.
• Maintain accurate and up-to-date claim files in the company's claims management system.
• Stay informed about industry trends, regulatory changes, and best practices in claims adjusting.

Requirements

• A relevant tertiary qualification in insurance, law, commerce, or a related field is highly preferred.
• A minimum of 5 years of proven experience in claims adjusting, preferably within personal lines insurance.
• In-depth knowledge of insurance policies, legal principles, and claims investigation techniques.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong negotiation and communication abilities, both written and verbal.
• Proficiency in claims management software and standard office applications.
• Ability to work independently and manage time effectively in a hybrid work environment.
• A valid driver's license and willingness to travel occasionally for claim investigations in and around Johannesburg, Gauteng .
• Demonstrated commitment to ethical conduct and customer service excellence.
• Experience in handling complex or high-value claims is a distinct advantage.

Benefits

• Our client offers a competitive remuneration package commensurate with experience and qualifications.
• Employees benefit from a comprehensive health insurance plan, retirement savings contributions, and opportunities for continuous professional development and career advancement.
• This hybrid role provides a structured work-life balance, access to cutting-edge claims technology, and the chance to work with a supportive and experienced team in Johannesburg .
• Furthermore, access to ongoing training and industry certifications will be provided.