Senior Claims Adjuster - Remote, Complex Claims

Placements24; Randburg; Hybrid; ZAR 700,000 - 1,000,000; Full time

Benefits offered by this job

Remote work

Medical, dental, and vision insurance

Retirement plan

Professional development

Performance incentives

Job summary

Placements24 is partnering with a well-established insurance company to recruit a Senior Claims Adjuster for fully remote support centered in Randburg, Gauteng. You will manage complex claims from inception to settlement with strong policy knowledge and negotiation skills.

Responsibilities include independent claim handling, regulatory compliance, mentoring juniors, and delivering exceptional service to policyholders in South Africa.

Qualifications

• 6+ years experience as a Claims Adjuster, focusing on complex claims.
• Strong knowledge of insurance claims processes, policy wordings, and legal frameworks.
• Excellent negotiation, communication, and conflict-resolution skills.
• Ability to work independently in a remote setting and manage a caseload.

Responsibilities

• Investigate, evaluate, and negotiate settlement of complex claims.
• Interpret policy coverage to determine liability and validity.
• Gather and analyse relevant documentation, evidence, and expert reports.
• Interview claimants, witnesses, and other parties.
• Assess damages and determine settlements within authorized limits.
• Communicate claim status clearly to stakeholders.
• Identify subrogation or salvage opportunities.
• Ensure compliance with legal and regulatory requirements.
• Mentor junior claims adjusters and maintain detailed records.

Skills

Negotiation skills

Analytical thinking

Communication skills

Conflict resolution

Remote work ability

Education

CIP

NQF Level 4

Tools

Claims management software

MS Office

Job description

Placements24 is partnering with a well-established insurance company to recruit a Senior Claims Adjuster for fully remote support centered in Randburg, Gauteng. You will manage complex claims from inception to settlement with strong policy knowledge and negotiation skills.

Responsibilities include independent claim handling, regulatory compliance, mentoring juniors, and delivering exceptional service to policyholders in South Africa.