About the Role
Our client, a reputable insurer, is seeking a highly experienced Senior Claims Assessor to manage complex liability and specialized risk claims. This hybrid role, based in our Sandton, Gauteng office, requires an individual with exceptional analytical skills and a deep understanding of insurance law and policy interpretation. You will be responsible for the end-to-end management of challenging claims, from investigation and assessment to negotiation and settlement, ensuring fair outcomes while mitigating potential financial exposure for the company. The ideal candidate will possess a strong track record in handling liability claims, including public liability, professional indemnity, and directors and officers (D&O) insurance. You will act as a subject matter expert, providing guidance to junior team members and collaborating with legal counsel and external experts when necessary. This is a critical role demanding meticulous attention to detail, robust negotiation abilities, and a commitment to upholding the highest professional standards in a sophisticated business environment.
Key Responsibilities
- Investigate, evaluate, and manage complex liability and specialized insurance claims from initiation to closure.
- Interpret policy wordings, legal statutes, and contractual obligations to determine coverage and liability.
- Conduct thorough claim investigations, including gathering evidence, interviewing witnesses, and reviewing expert reports.
- Assess damages and determine appropriate settlement amounts, negotiating effectively with claimants and their representatives.
- Liaise with legal counsel, loss adjusters, and other external service providers to manage claims efficiently.
- Identify potential subrogation or recovery opportunities.
- Prepare detailed claims reports and recommendations for senior management and reinsurance purposes.
- Mentor and guide junior claims handlers, sharing expertise on liability and specialized claims.
- Stay abreast of legal developments, industry best practices, and emerging risks within liability insurance.
- Ensure claims handling is conducted in compliance with regulatory requirements and company policies.
Requirements
- Minimum of 6 years of experience in insurance claims handling, with a significant focus on liability and specialized risks.
- In-depth knowledge of various liability insurance products (e.g., Public Liability, Professional Indemnity, D&O).
- Strong understanding of insurance law, claims procedures, and regulatory frameworks.
- Exceptional analytical, investigative, and problem-solving skills.
- Excellent negotiation, communication, and interpersonal abilities.
- Proven ability to manage complex caseloads and make sound judgments.
- Proficiency in claims management software and Microsoft Office Suite.
- A relevant tertiary qualification (e.g., Law degree, Insurance Diploma) is highly advantageous.
- Ability to work effectively in a hybrid environment, balancing office and remote duties.
- Professional demeanor and strong ethical conduct.
Benefits
- Competitive salary and attractive bonus structure based on performance.
- Comprehensive medical aid, retirement fund, and life insurance benefits.
- Significant opportunities for professional growth and development.
- Hybrid work arrangement for flexibility.
- Exposure to high-value and complex claims in a leading financial hub.
- Supportive and experienced team environment.
- Generous annual leave entitlement.
- Access to cutting-edge claims management technology.
- Career progression within a well-established insurance organization.
- Be based in the prestigious business district of Sandton, Gauteng .