Senior Claims Assessor: Complex Claims, Leadership & Growth

Placements24; Pietermaritzburg; Hybrid; ZAR 600.000 - 900.000; Vollzeit

Benefits dieser Stelle

Competitive salary

Performance bonus

Medical & retirement benefits

Professional development

Supportive work environment

Generous leave

Zusammenfassung

Placements24 in Pietermaritzburg, KwaZulu-Natal, seeks a Senior Claims Assessor with a proven track record in evaluating complex insurance claims. You will oversee investigations, determine coverage and liabilities, and ensure settlements comply with policy terms and regulatory standards.

The role includes mentoring junior assessors and coordinating with external partners. Ideal candidates bring strong analytical, negotiation and communication skills, plus leadership potential to contribute to a

Qualifikationen

• Minimum of 5 years in insurance claims assessment.
• Tertiary qualification in Insurance, Law or Business.
• Strong knowledge of SA insurance legislation and regulatory frameworks.
• Excellent communication, negotiation and interpersonal skills.
• Ability to mentor junior claims assessors.

Aufgaben

• Conduct investigations and assessments of complex claims across policy types.
• Analyze policy documentation to determine coverage, exclusions and liabilities.
• Communicate with policyholders, witnesses, legal representatives and stakeholders.
• Appoint and manage external assessors and service providers.
• Calculate and authorize claim payments within authority limits.
• Identify potential fraudulent claims and escalate for further investigation.
• Maintain comprehensive claim files documenting activities and decisions.
• Mentor and guide junior claims assessors in the Pietermaritzburg office.
• Stay updated on industry trends, legislation and best practices in claims management.

Kenntnisse

Analytical skills

Communication skills

Leadership

Negotiation

Problem solving

Team collaboration

Ausbildung

Tertiary qualification in Insurance, Law or Business

Tools

Claims management software

Microsoft Office

Jobbeschreibung

Placements24 in Pietermaritzburg, KwaZulu-Natal, seeks a Senior Claims Assessor with a proven track record in evaluating complex insurance claims. You will oversee investigations, determine coverage and liabilities, and ensure settlements comply with policy terms and regulatory standards.

The role includes mentoring junior assessors and coordinating with external partners. Ideal candidates bring strong analytical, negotiation and communication skills, plus leadership potential to contribute to a