Senior Claims Handler

Placements24; Klerksdorp; Hybrid; ZAR 500,000 - 900,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Generous annual leave

Sick leave

Professional development

Job summary

Placements24 seeks an experienced Senior Claims Handler to join a fully remote team serving clients nationwide. You will manage complex high-value claims from initiation to settlement, mentor junior staff, and ensure regulatory compliance with precision and empathy.

The role emphasizes analytical excellence, thorough investigations, and skilled negotiation to achieve fair outcomes. Strong communication with policyholders and internal teams is essential in a remote, performance-driven environment.

Qualifications

• Minimum of 5 years of progressive experience in claims handling within the insurance industry, focusing on complex claims.
• Strong investigation, assessment, negotiation, and settlement expertise.
• Solid understanding of insurance law and regulatory requirements.

Responsibilities

• Manage a caseload of complex, potentially litigious insurance claims and ensure timely resolution.
• Conduct in-depth investigations, interview witnesses, review docs, coordinate with loss adjusters and legal counsel.
• Interpret policy terms to determine coverage and liability with precision.
• Negotiate settlements with claimants and third parties for fair outcomes.
• Provide clear, empathetic communication to policyholders throughout the process.
• Mentor junior claims handlers and provide training on best practices.

Skills

Claims handling

Negotiation

Investigation

Regulatory compliance

Communication

Mentoring

Education

Insurance qualifications

Job description

About the Role

Our client is seeking an experienced and highly competent Senior Claims Handler to join their fully remote team, servicing clients nationwide. This pivotal role involves managing complex and high-value insurance claims from initiation to settlement, requiring exceptional analytical skills, thorough investigation, and adept negotiation. You will mentor junior team members, ensure compliance with all regulatory standards, and uphold the company's commitment to fair and efficient claims resolution. This is an outstanding opportunity for a seasoned professional who excels in a remote work environment and thrives on resolving challenging claims with precision and empathy.

Key Responsibilities

• Manage a caseload of complex and potentially litigious insurance claims, ensuring timely and accurate resolution.
• Conduct in-depth investigations, including interviewing witnesses, reviewing documentation, and liaising with loss adjusters and legal counsel.
• Interpret policy terms and conditions to determine coverage and liability with precision.
• Negotiate settlements with claimants and third parties, aiming for fair and equitable outcomes.
• Provide clear and empathetic communication to policyholders throughout the claims process.
• Mentor and guide junior claims handlers, providing training and support on best practices and complex cases.

Requirements

• Minimum of 5 years of progressive experience in claims handling within the insurance industry, with a focus on complex claims.
• Demonstrated expertise in claims investigation, assessment, negotiation, and settlement.
• Strong understanding of insurance law, regulatory requirements, and claims best practices.
• Exceptional analytical, critical thinking, and problem-solving abilities.
• Excellent communication, interpersonal, and client service skills, suitable for a remote setting.
• Relevant professional qualifications or certifications in insurance claims management are highly desirable.

Benefits

• Competitive senior-level salary with potential for performance-based bonuses.
• Fully remote working environment, offering maximum flexibility and autonomy.
• Comprehensive health, dental, and vision insurance plans.
• Generous annual leave and paid sick leave.
• Opportunities for continued professional development and leadership training.