Senior Claims Assessor

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

Benefits offered by this job

Remote work

Flexible hours

Health, dental, and vision insurance

Generous paid leave

Job summary

Placements24 is seeking a highly experienced Senior Claims Assessor to join our fully remote team. The role involves managing complex insurance claims from registration through to settlement, ensuring compliance with policy terms and regulatory requirements.

You will interpret policy wordings, assess liability and damages, and communicate with policyholders and stakeholders to gather information. The position offers flexible hours, competitive benefits, and ongoing professional development

Qualifications

• 5+ years of proven experience as a Claims Assessor or in a similar insurance role.
• In-depth understanding of personal and commercial lines insurance products and claims processes.
• Proficient in claims management software and standard office applications.

Responsibilities

• Conduct thorough investigations into insurance claims, assessing coverage, liability, and damages.
• Interpret policy wordings and conditions to determine claim validity and payout amounts.
• Communicate effectively with policyholders, witnesses, legal representatives, and other stakeholders to gather information.
• Negotiate settlements with claimants and third parties to achieve fair and timely resolutions.
• Prepare detailed reports and recommendations for claim disposition and authorize payments.
• Mentor junior team members and contribute to the continuous improvement of claims handling procedures.

Skills

Analytical skills

Problem-solving

Decision-making

Negotiation

Communication

Education

Insurance professional certifications

Tools

Claims management software

Office applications

Job description

About the Role

Our client is seeking a highly experienced and detail-oriented Senior Claims Assessor to join their dynamic remote team. This pivotal role involves managing complex insurance claims from initial registration through to settlement, ensuring adherence to policy terms and regulatory requirements. You will play a crucial part in delivering exceptional customer service and maintaining the integrity of the claims process, working independently within a collaborative virtual environment. This is an ideal opportunity for a seasoned insurance professional looking to leverage their expertise in a fully remote setting that fosters professional growth and work-life balance.

Key Responsibilities

• Conduct thorough investigations into insurance claims, assessing coverage, liability, and damages.
• Interpret policy wordings and conditions to determine claim validity and payout amounts.
• Communicate effectively with policyholders, witnesses, legal representatives, and other stakeholders to gather information.
• Negotiate settlements with claimants and third parties to achieve fair and timely resolutions.
• Prepare detailed reports and recommendations for claim disposition and authorize payments.
• Mentor junior team members and contribute to the continuous improvement of claims handling procedures.

Requirements

• Minimum of 5 years of proven experience as a Claims Assessor or in a similar insurance role.
• In-depth understanding of various insurance products (e.g., personal lines, commercial lines) and claims processes.
• 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.
• Relevant professional certifications in the insurance industry are highly advantageous.

Benefits

• Competitive annual salary with performance-based bonuses.
• Fully remote work arrangement with flexible working hours.
• Comprehensive health, dental, and vision insurance plans.
• Generous annual leave and sick leave policies.
• Opportunities for professional development, training, and career advancement.