Senior Claims Assessor - Specialist Liability

Placements24; Pietermaritzburg; Hybrid; ZAR 600,000 - 900,000; Full time

Benefits offered by this job

Bonus (performance-based)

Medical aid

Provident fund

Life assurance

Training sponsorship

Wellness programs

Job summary

Placements24 is seeking a Senior Claims Assessor specialized in complex liability cases in Pietermaritzburg, KwaZulu-Natal. You will manage and resolve high-value liability claims, ensure policy and regulatory compliance, and uphold company standards within a supportive team.

Ideal candidates have a strong analytical mindset, investigative skills, and a proven track record in liability claims. A CIP or equivalent qualification is advantageous, with willingness to travel within KwaZulu-Natal as

Qualifications

• Relevant tertiary qualification in Law, Commerce, Risk Management or related field.
• Minimum of 5 years of experience in claims assessing with a focus on liability.
• In-depth knowledge of South African insurance law, indemnity principles and liability assessment methodologies.
• Proven ability to interpret complex policy wordings and apply them to claim circumstances.
• Strong negotiation, communication and interpersonal skills.
• Proficiency in claims management software and Microsoft Office Suite.
• CIP designation or equivalent is advantageous.
• Valid driver’s license and willingness to travel within KwaZulu-Natal.

Responsibilities

• Investigate, evaluate and settle complex liability claims in line with policy provisions and legal frameworks.
• Conduct thorough factual investigations, including statements, documentation reviews and external input when needed.
• Analyze policy coverage, assess liability and determine quantum of damages for claims.
• Negotiate settlements with claimants, legal representatives and others to achieve fair resolutions.
• Manage a caseload with timely progress, accurate reserving and service-standard compliance.
• Prepare detailed reports on claim assessments, findings and settlement recommendations for management.
• Liaise with legal counsel on claims requiring litigation and provide input.
• Identify potential fraud indicators and escalate suspicious claims for further investigation.
• Mentor and guide junior claims staff, sharing liability assessment best practices.

Education

Relevant tertiary qualification in Law, Commerce, Risk Management or related field

Job description

About the Role

Our client, a leading name in the insurance sector, is seeking a highly skilled and experienced Senior Claims Assessor specializing in complex liability cases. This pivotal role is based in the dynamic city of Pietermaritzburg, KwaZulu-Natal . You will be instrumental in managing and resolving intricate claims, ensuring adherence to policy terms, regulatory requirements, and company standards. The ideal candidate will possess a strong analytical mindset, excellent investigative skills, and a proven track record in handling high-value and challenging liability claims. This position offers a unique opportunity to contribute to a reputable organization and grow within a supportive team environment. We are looking for a proactive professional who can make informed decisions and provide exceptional service to our policyholders and stakeholders.

Key Responsibilities

• Investigate, evaluate, and settle complex liability insurance claims in accordance with policy provisions and legal frameworks.
• Conduct thorough factual investigations, including obtaining statements, reviewing documentation, and collaborating with external experts where necessary.
• Analyze policy coverage, assess liability, and determine the quantum of damages for claims.
• Negotiate settlements with claimants, legal representatives, and other involved parties to achieve fair and efficient resolutions.
• Manage a caseload of claims, ensuring timely progress, accurate reserving, and compliance with service standards.
• Prepare detailed reports on claim assessments, investigation findings, and settlement recommendations for management review.
• Liaise with legal counsel on claims requiring litigation, providing expert input and strategic guidance.
• Identify potential fraud indicators and elevate suspicious claims for further investigation.
• Mentor and guide junior claims staff, sharing expertise and best practices in liability assessment.

Requirements

• A relevant tertiary qualification in Law, Commerce, Risk Management, or a related field is essential.
• Minimum of 5 years of experience in claims assessing, with a significant focus on liability claims.
• In-depth knowledge of South African insurance law, indemnity principles, and liability assessment methodologies.
• Proven ability to interpret complex policy wordings and apply them to specific claim circumstances.
• Strong negotiation, communication, and interpersonal skills.
• Excellent analytical, problem-solving, and decision-making capabilities.
• Proficiency in claims management software and Microsoft Office Suite.
• Professional designation such as Chartered Insurance Practitioner (CIP) or equivalent is advantageous.
• A valid driver's license and willingness to travel within the KwaZulu-Natal region as required.

Benefits

• Our client offers a competitive remuneration package commensurate with experience, including a performance-based bonus structure.
• Employees benefit from comprehensive medical aid, a generous provident fund contribution, and life assurance cover.
• Opportunities for continuous professional development and career advancement are actively supported through in-house training and external course sponsorships.
• Join a forward-thinking company that values its employees and fosters a collaborative and inclusive work culture in Pietermaritzburg .
• We also provide access to wellness programs and employee assistance services, ensuring your overall well-being.