Senior Claims Adjuster - Remote

Placements24; África do Sul; Teletrabalho; ZAR 600 000 - 900 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Bonuses

Health benefits

Paid time off

Remote work

Home office stipend

Resumo da oferta

Placements24 is seeking a Senior Claims Adjuster for a fully remote role based in South Africa. You will investigate, evaluate, and negotiate complex property and casualty claims, ensuring compliance with policy terms and regulatory requirements.

You will mentor junior adjusters, collaborate with underwriting, and stay up to date with industry trends to improve processes in a flexible, remote-first environment that prioritizes service excellence.

Qualificações

• Minimum 5 years of proven experience as a Claims Adjuster, preferably in property and casualty
• Strong understanding of insurance principles, claims handling procedures, and relevant legislation
• Excellent analytical, problem-solving, and decision-making skills
• Exceptional communication, negotiation, and interpersonal abilities
• Proficiency in claims management software and standard office applications
• Ability to work independently and manage time effectively in a remote setting
• Commitment to ethical conduct and professional integrity
• Relevant tertiary qualification in insurance, law, or a related field is highly desirable
• Experience handling large loss claims is a significant advantage

Responsabilidades

• Investigate, evaluate, and negotiate complex insurance claims, ensuring compliance with policy terms and regulatory requirements
• Manage a diverse caseload, prioritizing effectively to meet SLAs and client expectations
• Conduct thorough investigations, including gathering evidence, interviewing witnesses, and assessing damages
• Interpret policies, endorsements, and exclusions to determine coverage and liability
• Communicate effectively with policyholders, claimants, legal counsel, and other stakeholders
• Prepare detailed reports, settlement documents, and claim files for review and approval
• Identify potential subrogation or salvage opportunities
• Collaborate with underwriting and other departments to share insights and improve processes
• Mentor and guide less experienced adjusters
• Stay current with industry trends, legal developments, and best practices in claims management

Conhecimentos

Analytical thinking

Negotiation

Communication

Time management

Formação académica

Tertiary qualification in insurance or related field

Ferramentas

Claims management software

Descrição da oferta de emprego

About the Role

Our client, a leading provider in the insurance sector, is seeking an experienced and highly motivated Senior Claims Adjuster to join their fully remote team. This is an exceptional opportunity to leverage your expertise in a dynamic and supportive environment, contributing to the efficient and fair resolution of insurance claims. As a remote-first organization, we are committed to providing our employees with the tools and flexibility needed to succeed from anywhere in South Africa. You will be instrumental in upholding our client's reputation for excellence and customer satisfaction, managing complex cases and mentoring junior team members.

Key Responsibilities

• Investigate, evaluate, and negotiate complex insurance claims, ensuring compliance with policy terms and regulatory requirements.


• Manage a diverse caseload, prioritizing effectively to meet service level agreements and client expectations.


• Conduct thorough investigations, including gathering evidence, interviewing witnesses, and assessing damages.


• Interpret insurance policies, endorsements, and exclusions accurately to determine coverage and liability.


• Communicate effectively with policyholders, claimants, legal counsel, and other stakeholders throughout the claims process.


• Prepare detailed reports, settlement documents, and claim files for review and approval.


• Identify potential subrogation or salvage opportunities.


• Collaborate with underwriting and other departments to share insights and improve processes.


• Mentor and provide guidance to less experienced claims adjusters, fostering a culture of continuous learning and development.


• Stay current with industry trends, legal developments, and best practices in claims management.

Requirements

• A minimum of 5 years of proven experience as a Claims Adjuster, preferably with a focus on property and casualty insurance.


• Deep understanding of insurance principles, claims handling procedures, and relevant legislation.


• Excellent analytical, problem-solving, and decision-making skills.


• Exceptional communication, negotiation, and interpersonal abilities.


• Proficiency in claims management software and standard office applications.


• Ability to work independently and manage time effectively in a remote setting.


• A commitment to ethical conduct and a strong sense of professional integrity.


• Relevant tertiary qualification in insurance, law, or a related field is highly desirable.


• Experience in handling large loss claims is a significant advantage.

Benefits

• Competitive salary package with performance-based bonuses.


• Comprehensive health and wellness benefits.


• Generous paid time off and holiday schedule.


• Opportunities for professional development and career advancement.


• A supportive and collaborative remote work environment.


• Access to cutting-edge technology and resources.


• Company-provided home office setup stipend.