Senior Claims Assessor - Commercial Insurance

Placements24; Pietermaritzburg; Hybrid; ZAR 520.000 - 760.000; Vollzeit

Benefits dieser Stelle

Competitive salary

Bonuses and incentives

Medical aid

Retirement fund

Leave allowance

Professional development

Hybrid work model

Zusammenfassung

Placements24 in Pietermaritzburg, KwaZulu-Natal, seeks a highly experienced Senior Claims Assessor to join our client’s team in the Southern African insurance sector. The role focuses on complex commercial claims, from investigation through resolution, with emphasis on policy terms and customer satisfaction.

This hybrid position requires 5+ years in claims assessing, strong analytical and negotiation abilities, and proficiency with claims software and MS Office.

Qualifikationen

• Minimum of 5 years of proven experience in claims assessing, focused on commercial insurance.
• Strong understanding of insurance principles, policy wordings, and SA legislation.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong negotiation and written/verbal communication abilities.
• Proficient in claims management software and MS Office.
• Tertiary qualification in Insurance, Law, Commerce or related field is advantageous.
• Hybrid work readiness and ability to manage workload.

Aufgaben

• Investigate, evaluate, and process complex commercial claims per policy coverage.
• Assess damages, liabilities, and quantum with supporting docs.
• Liaise with policyholders, brokers, legal reps to gather info.
• Negotiate settlements fairly and timely.
• Identify potentially fraudulent claims for further investigation.
• Maintain accurate claim files with detailed documentation.
• Provide guidance to junior staff on claims matters.
• Contribute to process improvements in claims handling.
• Ensure compliance with regulatory requirements and industry best practices.
• Support achievement of departmental KPIs.

Kenntnisse

Analytical skills

Negotiation

Communication

Independent & team work

Ausbildung

Tertiary qualification in Insurance/Law/Commerce

Tools

Claims management software

Microsoft Office

Jobbeschreibung

About the Role

Our client, a prominent player in the South African insurance sector, is seeking a highly experienced and analytical Senior Claims Assessor to join their dynamic team in **Pietermaritzburg, KwaZulu-Natal**. This is an exciting opportunity for a seasoned professional to contribute to the effective management of complex commercial insurance claims. The role involves thorough investigation, assessment, and resolution of claims, ensuring adherence to policy terms and conditions while maintaining a high level of customer satisfaction. You will play a crucial role in risk mitigation and financial accuracy within the claims department, working within a supportive and growth-oriented environment. This position offers a hybrid work arrangement, blending the benefits of in-office collaboration with the flexibility of remote work, allowing for a sustainable work-life balance in the vibrant region of **Pietermaritzburg**.

Key Responsibilities

• Investigate, evaluate, and process complex commercial insurance claims in accordance with policy coverage and company guidelines.
• Conduct thorough assessments of damages, liabilities, and quantum of claims, requiring detailed analysis of supporting documentation.
• Liaise effectively with policyholders, brokers, legal representatives, and other relevant parties to gather information and facilitate claim resolution.
• Negotiate settlements with claimants and/or their representatives in a fair and timely manner.
• Identify potential fraudulent claims and elevate them to the appropriate internal departments for further investigation.
• Maintain accurate and comprehensive claim files, ensuring all activities and decisions are meticulously documented.
• Provide expert advice and guidance to junior claims staff and other stakeholders on claims-related matters.
• Contribute to the continuous improvement of claims handling processes and procedures.
• Ensure compliance with all relevant regulatory requirements and industry best practices.
• Contribute to the achievement of departmental Key Performance Indicators (KPIs).

Requirements

• A minimum of 5 years of proven experience in claims assessing, with a strong focus on commercial insurance lines.
• Comprehensive understanding of insurance principles, policy wordings, and relevant legislation within **South Africa**.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong negotiation and communication abilities, both written and verbal.
• Proficiency in claims management software and Microsoft Office Suite.
• A relevant tertiary qualification in Insurance, Law, Commerce, or a related field is highly advantageous.
• Ability to work independently and as part of a team in a hybrid work environment.
• Demonstrated ability to manage a demanding workload and meet strict deadlines.
• High level of integrity and attention to detail.
• Residency or willingness to commute to **Pietermaritzburg, KwaZulu-Natal** for the in-office component of the hybrid role.

Benefits

• Competitive salary package commensurate with experience and qualifications.
• Performance-based bonuses and incentives.
• Comprehensive medical aid and retirement fund contributions.
• Generous leave allowance and potential for study leave.
• Opportunities for professional development and career advancement within a leading insurer.
• Supportive and collaborative work environment.
• Hybrid work model offering flexibility and work-life balance.
• Exposure to a wide range of complex and challenging commercial claims.