Senior Claims Assessor - Insurance Specialist

Placements24; Midrand; Híbrido; ZAR 650.000 - 1.000.000; Tempo integral

Benefícios oferecidos por esta vaga

Hybrid work model

Medical aid and retirement benefits

Professional development and training

Collaborative work environment

Career advancement opportunities

Modern facilities in Midrand

Resumo da vaga

Placements24 in Midrand, Gauteng, seeks a Senior Claims Assessor to manage complex insurance claims from inception to resolution, ensuring policy compliance and excellent service to policyholders. This role offers a hybrid work model with a modern office in Midrand and strong opportunities for professional growth.

You will lead a team, mentor junior assessors, and contribute to ongoing process improvements within a collaborative claims team.

Qualificações

• A relevant tertiary qualification in Risk Management, Law, Commerce, or a related field is highly preferred.
• A minimum of 5 years of experience in insurance claims assessment, with a strong focus on complex claims.
• Proven understanding of insurance principles, policy wordings, and relevant legislation.
• Excellent analytical, problem-solving, and decision-making skills.
• Exceptional communication, negotiation, and interpersonal skills.
• Proficiency in claims management software and MS Office Suite.
• Ability to work independently and as part of a team in a fast-paced environment.
• Resilience and the ability to manage a demanding workload.
• A commitment to ethical conduct and customer service excellence.

Responsabilidades

• Investigate, evaluate, and settle insurance claims accurately and efficiently, adhering to company guidelines and regulatory requirements.
• Conduct thorough assessments of policy coverage, liability, and damages.
• Communicate effectively with policyholders, claimants, legal representatives, and other relevant parties throughout the claims process.
• Negotiate settlements within authorized limits.
• Maintain detailed and accurate claim files and documentation.
• Identify potential fraud and elevate suspicious cases.
• Provide expert advice and guidance on claims-related matters.
• Mentor and support junior claims assessors.
• Contribute to the continuous improvement of claims handling processes and procedures.

Conhecimentos

Analytical skills

Negotiation

Communication skills

Decision making

Team collaboration

Formação

Tertiary qualification in Risk Management, Law, Commerce or related field

Ferramentas

Claims management software

MS Office Suite

Descrição da vaga

About the Role

Our client is seeking a highly experienced and dedicated Senior Claims Assessor to join their dynamic team in Midrand, Gauteng. This pivotal role involves managing complex insurance claims from inception to resolution, ensuring adherence to policy terms and conditions, and providing exceptional service to policyholders. The successful candidate will be instrumental in maintaining the company's reputation for integrity and efficiency within the Insurance sector. This is an exciting opportunity for a seasoned professional looking to make a significant impact in a challenging yet rewarding environment. You will work within a collaborative team, contributing to the overall success of the claims department and supporting junior team members. The role offers a blend of independent work and team interaction, fostering professional growth and development. The Midrand office provides a modern and accessible workspace.

Key Responsibilities

• Investigate, evaluate, and settle insurance claims accurately and efficiently, adhering to company guidelines and regulatory requirements.
• Conduct thorough assessments of policy coverage, liability, and damages.
• Communicate effectively with policyholders, claimants, legal representatives, and other relevant parties throughout the claims process.
• Negotiate settlements within authorized limits.
• Maintain detailed and accurate claim files and documentation.
• Identify potential fraud and elevate suspicious cases.
• Provide expert advice and guidance on claims-related matters.
• Mentor and support junior claims assessors.
• Contribute to the continuous improvement of claims handling processes and procedures.

Requirements

• A relevant tertiary qualification in Risk Management, Law, Commerce, or a related field is highly preferred.
• A minimum of 5 years of experience in insurance claims assessment, with a strong focus on complex claims.
• Proven understanding of insurance principles, policy wordings, and relevant legislation.
• Excellent analytical, problem-solving, and decision-making skills.
• Exceptional communication, negotiation, and interpersonal skills.
• Proficiency in claims management software and MS Office Suite.
• Ability to work independently and as part of a team in a fast-paced environment.
• Resilience and the ability to manage a demanding workload.
• A commitment to ethical conduct and customer service excellence.

Benefits

• Competitive salary package commensurate with experience.
• Comprehensive medical aid and retirement benefits.
• Opportunities for professional development and ongoing training.
• A supportive and collaborative work environment.
• Potential for career advancement within a reputable Insurance company.
• Access to modern facilities in Midrand, Gauteng.
• Hybrid work model offering flexibility.