Senior Claims Specialist Remote - Complex Claims

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

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.