Senior Complex Claims Adjuster — High-Value Claims

Placements24; Centurion; On-site; ZAR 900,000 - 1,300,000; Full time

Job summary

Placements24 is actively seeking a seasoned Complex Claims Adjuster based in Centurion, Gauteng. The role requires managing high-value, potentially litigious insurance claims with meticulous attention to policy provisions and regulatory compliance.

You will investigate, evaluate, and negotiate settlements, review policy wordings, gather evidence, and communicate effectively with all stakeholders to ensure fair and accurate resolutions.

Qualifications

• Minimum 6 years of demonstrable experience handling complex insurance claims.
• Strong understanding of insurance principles, contract law, and investigation techniques.
• Experience with litigation management is advantageous.

Responsibilities

• Investigate, evaluate, and negotiate settlement of complex and potentially litigated claims.
• Review policy wordings and endorsements to determine coverage.
• Gather and analyze evidence including statements and expert reports.
• Communicate with policyholders, claimants, legal representations, and stakeholders.
• Determine liability and indemnity, ensuring fair claim valuations.
• Approve payments and manage claim reserves.

Skills

Complex claims

Analytical thinking

Negotiation

Insurance concepts

Stakeholder communication

Education

Bachelor's degree or equivalent

Tools

Claims software

MS Office

Job description

Placements24 is actively seeking a seasoned Complex Claims Adjuster based in Centurion, Gauteng. The role requires managing high-value, potentially litigious insurance claims with meticulous attention to policy provisions and regulatory compliance.

You will investigate, evaluate, and negotiate settlements, review policy wordings, gather evidence, and communicate effectively with all stakeholders to ensure fair and accurate resolutions.