Senior Claims Assessor - Elite Insurance Claims Expert

Placements24; Midrand; Hybrid; ZAR 700,000 - 900,000; Full time

Benefits offered by this job

Competitive salary

Bonuses

Medical aid

Retirement fund

Job summary

Placements24 is seeking a Senior Claims Assessor for our client in Midrand, Gauteng. The role focuses on managing complex insurance claims from initiation to settlement, ensuring policy terms and regulatory compliance are met.

You will investigate and adjudicate across multiple lines, gather supporting documentation, negotiate settlements, and mentor junior staff while staying abreast of regulatory changes and industry best practices.

Qualifications

• Minimum of 5 years of insurance claims assessment experience.
• Qualifications in Insurance, Law, Commerce, or related field.
• Professional designations (e.g., CIP) are advantageous.
• Strong knowledge of SA insurance principles and legislation.
• Proven negotiation and analytical skills.

Responsibilities

• Investigate, evaluate, and adjudicate complex insurance claims across multiple lines of business.
• Gather and analyse policy details, incident reports, expert opinions, and financial statements.
• Determine coverage, liability, and damages per policy provisions and legislation.
• Negotiate settlements with claimants and legal representatives.
• Manage claim reserves and update through the lifecycle.
• Prepare comprehensive claim reports for management review.
• Collaborate with underwriters, legal counsel, and support staff.
• Mentor junior claims assessors and promote learning.
• Identify potential fraud and escalate for investigation.
• Stay updated on industry trends and regulatory changes.

Skills

Analytical thinking

Negotiation

Communication

Problem-solving

Attention to detail

Team collaboration

Education

Relevant tertiary qualification

CIP designation

Tools

Claims software

MS Office

Job description

Placements24 is seeking a Senior Claims Assessor for our client in Midrand, Gauteng. The role focuses on managing complex insurance claims from initiation to settlement, ensuring policy terms and regulatory compliance are met.

You will investigate and adjudicate across multiple lines, gather supporting documentation, negotiate settlements, and mentor junior staff while staying abreast of regulatory changes and industry best practices.