Senior Claims Handler

Placements24; Bellville; Hybrid; ZAR 420,000 - 640,000; Full time

Benefits offered by this job

Fully remote role

Medical aid

Retirement fund contributions

Career development

Job summary

Placements24 is seeking an experienced Senior Claims Handler for a fully remote role. You will manage complex insurance claims, act as primary contact for policyholders, and ensure timely, fair settlements from your home office.

The ideal candidate has 5+ years in claims, deep policy knowledge, and strong investigation, negotiation, and communication skills to operate autonomously in a remote environment.

Qualifications

• Minimum 5 years' experience in handling insurance claims, including complex claims.
• In-depth knowledge of insurance policies, procedures, and relevant laws.
• Strong analytical, investigative, and problem-solving skills.
• Excellent communication, negotiation, and interpersonal abilities.
• Ability to work independently in a remote, high-volume environment.
• Proficiency with claims management software and standard office apps.

Responsibilities

• Manage and process a diverse range of insurance claims from inception to closure.
• Investigate claim details, gather necessary documentation, and assess liability.
• Interpret policy terms and conditions to ensure accurate coverage determination.
• Communicate effectively with policyholders, claimants, third parties, and legal representatives.
• Negotiate settlements in a fair and timely manner, adhering to company guidelines and authority limits.
• Maintain detailed and accurate claim records using the company's claims management system.
• Identify potential subrogation or salvage opportunities.
• Provide guidance and support to less experienced claims handlers.
• Stay abreast of industry changes, regulations, and best practices in claims handling.
• Contribute to the continuous improvement of claims handling processes.

Skills

Investigations

Negotiation

Communication

Analytical thinking

Remote work

Education

Insurance certifications

Tools

Claims management software

Job description

About the Role

Our client, a prominent insurance firm, is seeking an experienced Senior Claims Handler to join their fully remote workforce. This vital role involves managing a portfolio of complex insurance claims, ensuring timely, fair, and accurate settlements. You will be the primary point of contact for policyholders throughout the claims process, demonstrating empathy, professionalism, and a thorough understanding of insurance policies. The successful candidate must be adept at investigation, negotiation, and resolution of claims, operating with a high degree of autonomy. This position is designed for a self-motivated individual who excels in a remote-first environment and is committed to delivering outstanding customer service. Your expertise will directly contribute to maintaining our client's reputation for excellence and reliability in the insurance industry, serving clients across various regions from the comfort of your home office.

Key Responsibilities

• Manage and process a diverse range of insurance claims from inception to closure.
• Investigate claim details, gather necessary documentation, and assess liability.
• Interpret policy terms and conditions to ensure accurate coverage determination.
• Communicate effectively with policyholders, claimants, third parties, and legal representatives.
• Negotiate settlements in a fair and timely manner, adhering to company guidelines and authority limits.
• Maintain detailed and accurate claim records using the company's claims management system.
• Identify potential subrogation or salvage opportunities.
• Provide guidance and support to less experienced claims handlers.
• Stay abreast of industry changes, regulations, and best practices in claims handling.
• Contribute to the continuous improvement of claims handling processes.

Requirements

• A minimum of 5 years of experience in handling insurance claims, with significant experience in complex claims.
• In-depth knowledge of insurance policies, claims procedures, and relevant legislation.
• Strong analytical, investigative, and problem-solving skills.
• Exceptional communication, negotiation, and interpersonal abilities.
• Proven ability to work independently and manage a demanding caseload in a remote setting.
• Proficiency in claims management software and standard office applications.
• Relevant professional certifications or qualifications in insurance are highly desirable.
• Demonstrated customer service excellence.
• A stable internet connection and a dedicated, quiet workspace are mandatory.

Benefits

This role offers a competitive annual salary, reflective of your experience and expertise, along with potential performance-based bonuses. Enjoy the significant flexibility and improved work-life balance associated with a fully remote position. Our client provides excellent opportunities for continuous professional development, training programs, and career advancement within the organization. A comprehensive benefits package, including medical aid and retirement fund contributions, is provided. You will be part of a supportive virtual team culture, equipped with the tools and technology needed to succeed in a dynamic remote work environment.