Senior Claims Assessor - Remote, Autonomy & Growth

Placements24; Rustenburg; Hybrid; ZAR 420,000 - 650,000; Full time

Benefits offered by this job

Competitive salary

Remote work flexibility

Medical and retirement benefits

Professional development

Job summary

Placements24 is recruiting a Senior Claims Assessor for a fully remote role within South Africa. The position suits a seasoned professional who can manage complex claims independently while delivering excellent customer service.

You will investigate, evaluate, and settle claims, determine coverage, negotiate settlements, and maintain detailed files. The role emphasizes autonomy, integrity, and collaboration with legal counsel and external adjusters.

Qualifications

• 5+ years of experience in claims assessment in insurance.
• Proven track record handling complex claims.
• Strong knowledge of policies, laws, and investigation techniques.
• Autonomous, remote-friendly with strong communication.
• Proficiency with claims software and MS Office.

Responsibilities

• Investigate, evaluate and settle complex claims efficiently.
• Gather evidence, interview claimants and witnesses.
• Determine coverage eligibility and liability.
• Negotiate settlements while protecting company interests.
• Maintain detailed claim files and documentation.
• Identify potential fraud indicators.
• Support junior claims handlers with guidance.
• Ensure compliance with insurance laws and policies.

Skills

Claims assessment

Negotiation

Investigation

Remote work

Attention to detail

Policy knowledge

Tools

Claims software

Job description

Placements24 is recruiting a Senior Claims Assessor for a fully remote role within South Africa. The position suits a seasoned professional who can manage complex claims independently while delivering excellent customer service.

You will investigate, evaluate, and settle claims, determine coverage, negotiate settlements, and maintain detailed files. The role emphasizes autonomy, integrity, and collaboration with legal counsel and external adjusters.