Senior Claims Assessor - Motor

Placements24; Midrand; Hybrid; ZAR 550,000 - 850,000; Full time

Benefits offered by this job

Competitive salary package

Medical aid and retirement fund

Professional development opportunities

State-of-the-art facilities

Wellness and leave benefits

Job summary

Placements24 in Midrand, Gauteng, seeks a Senior Claims Assessor with at least 5 years in motor vehicle claims to lead investigations and settlements. You will interpret complex policy wordings, review repair quotes, and manage claims end-to-end while ensuring regulatory compliance and customer satisfaction.

You will mentor juniors, liaise with assessors and repairers, and uphold meticulous records, contributing to a high-performing insurance claims team.

Qualifications

• Minimum 5 years of motor vehicle claims assessment experience in the insurance sector.
• Relevant tertiary qualification in Insurance, Law, or related field (NQF 4/5).
• Strong understanding of motor vehicle components, repair methods and accident investigations.
• Ability to interpret complex policy wordings and legal documents.
• Excellent negotiation, communication and interpersonal skills.
• Proven analytical and detail-oriented approach with deadline discipline.

Responsibilities

• Conduct thorough investigations into motor vehicle accidents to determine liability and coverage.
• Assess damages by reviewing repair quotes, invoices and expert reports.
• Negotiate settlements with policyholders, third parties, and legal representatives.
• Interpret policy wordings, endorsements and exclusions accurately.
• Manage a portfolio of claims from inception to closure with timely resolution.
• Identify potentially fraudulent claims and escalate for further investigation.
• Provide guidance to junior claims assessors and support ongoing learning.
• Maintain detailed records on the company claims management system.
• Liaise with external service providers, including assessors and repairers.

Skills

Negotiation

Communication

Interpersonal skills

Analytical thinking

Problem-solving

Attention to detail

Proficiency with claims management

Education

Tertiary qualification in Insurance, Law or related (NQF 4/5)

Tools

Claims management software

Job description

About the Role

Our client, a leading player in the insurance sector, is seeking an experienced and highly motivated Senior Claims Assessor to join their dynamic team in Midrand, Gauteng. This pivotal role involves the comprehensive assessment and settlement of motor vehicle insurance claims, ensuring adherence to policy terms, company guidelines, and regulatory requirements. You will play a crucial part in maintaining customer satisfaction by delivering efficient and fair claim resolutions. The ideal candidate will possess a strong understanding of motor vehicle repair processes, accident reconstruction, and various insurance products. This is an excellent opportunity to advance your career within a reputable organization that values expertise and dedication. We are looking for an individual who can contribute to the team's success through their analytical skills and commitment to excellence in the Midrand area. The role offers a challenging yet rewarding environment where you can utilize your extensive knowledge of the insurance industry.

Key Responsibilities

• Conduct thorough investigations into the circumstances surrounding motor vehicle accidents to determine liability and coverage.
• Assess the quantum of damages, reviewing repair quotes, invoices, and expert reports.
• Negotiate settlements with policyholders, third parties, and legal representatives in a professional and ethical manner.
• Interpret and apply policy wordings, endorsements, and exclusions accurately.
• Manage a portfolio of claims from inception to closure, ensuring timely and cost-effective resolution.
• Identify potential fraudulent claims and elevate them for further investigation.
• Provide guidance and support to junior claims assessors, fostering a culture of continuous learning and development.
• Maintain accurate and detailed records of all claim activities on the company's claims management system.
• Liaise with external service providers, including assessors, repairers, and legal advisors.
• Ensure compliance with all relevant legislation and industry codes of conduct.

Requirements

• A minimum of 5 years of experience in motor vehicle claims assessment within the insurance industry.
• Relevant tertiary qualification in Insurance, Law, or a related field (e.g., NQF Level 4/5).
• Comprehensive understanding of motor vehicle components, repair methodologies and accident investigation principles.
• Proven ability to interpret complex policy wordings and legal documentation.
• Excellent negotiation, communication, and interpersonal skills.
• Strong analytical and problem-solving abilities with meticulous attention to detail.
• Proficiency using claims management software and general office applications.
• Ability to work effectively under pressure and meet strict deadlines.
• Experience in managing complex or high-value claims is advantageous.
• Must be a resident or willing to commute to Midrand, Gauteng.

Benefits

• Competitive annual salary package with performance-based bonuses.
• Comprehensive medical aid and retirement fund contributions.
• Opportunities for professional development and further training.
• Access to state-of-the-art facilities and technology.
• A supportive and collaborative work environment.
• Generous leave days, including a contribution towards wellness programs.
• Potential for career progression within a growing organization in Midrand.
• Exposure to diverse and challenging claims within the insurance sector.