Senior Insurance Claims Adjuster

Placements24; Bloemfontein; Hybrid; ZAR 600,000 - 1,000,000; Full time

Benefits offered by this job

Competitive salary

Bonuses

Medical benefits

Retirement plan

Professional development

Hybrid work arrangement

Company vehicle or travel allowance

Team events

Generous annual leave

Job summary

Placements24 in Bloemfontein seeks a Senior Insurance Claims Adjuster to lead complex claims from report to settlement. You will drive investigations, evaluate coverage, and negotiate settlements with a focus on accuracy and efficiency.

The ideal candidate has at least 5 years of claims experience, strong analytical skills, and a track record of leadership. A CIP is advantageous; a driver’s license is required.

Qualifications

• Bachelor's degree in Business Administration, Finance, Law, or a related field.
• Minimum of 5 years' experience in insurance claims adjusting with a proven track record of handling complex claims.
• In-depth knowledge of insurance principles, practices, and relevant legislation.
• Excellent negotiation, communication, and interpersonal skills.
• Proficiency with claims management software and Microsoft Office Suite.
• Willingness to travel within the Bloemfontein region; valid driver's license.
• Professional certifications in insurance (e.g., CIP) are advantageous.

Responsibilities

• Investigate, evaluate, and negotiate insurance claims per policy coverage and regulations.
• Conduct thorough interviews with claimants, witnesses, and other parties to gather information.
• Analyze policy provisions to determine coverage and liability.
• Assess damages and determine settlement amounts.
• Mentor junior claims adjusters and guide the team in best practices.
• Maintain accurate claim files in the claims management system.
• Coordinate with legal counsel, engineers, and other experts as needed.

Skills

Negotiation

Communication

Interpersonal skills

Analytical thinking

Leadership

Education

Bachelor's degree in Business Admin/Finance/Law

Tools

Claims management software

MS Office

Job description

About the Role

Our client, a leading name in the insurance sector, is seeking a highly experienced and diligent Senior Insurance Claims Adjuster to join their dynamic team in Bloemfontein. This pivotal role involves managing complex insurance claims from initial reporting through to final settlement. The ideal candidate will possess a deep understanding of insurance policies, claims investigation procedures, and client relations. You will be instrumental in ensuring fair and timely resolutions for our clients, upholding the company's reputation for integrity and efficiency. This position offers a challenging yet rewarding environment where your expertise will be valued and contribute directly to the company's success. You will work collaboratively with a team of dedicated professionals, sharing knowledge and best practices to foster continuous improvement within the claims department. The role requires a proactive approach to identifying potential fraud and mitigating risks associated with claims. Success in this role means becoming a trusted point of contact for policyholders during challenging times and ensuring their claims are handled with empathy and professionalism. The Bloemfontein office is a hub of activity, and this role requires a candidate who thrives in a professional, fast-paced setting while maintaining a high degree of accuracy and attention to detail. We are looking for a leader who can guide junior adjusters and contribute to strategic decision-making within the claims department.

Key Responsibilities

• Investigate, evaluate, and negotiate insurance claims in accordance with policy coverage and applicable regulations.
• Conduct thorough interviews with claimants, witnesses, and other relevant parties to gather information.
• Analyze policy provisions to determine coverage and liability.
• Assess damages and determine the appropriate settlement amount.
• Prepare detailed reports outlining findings, recommendations, and settlement offers.
• Manage a caseload of complex and high-value claims efficiently and effectively.
• Liaise with legal counsel, engineers, and other experts as needed to resolve claims.
• Ensure compliance with all company policies, procedures, and regulatory requirements.
• Mentor and provide guidance to junior claims adjusters.
• Maintain accurate and up-to-date claim files in the company's claims management system.

Requirements

• A Bachelor's degree in Business Administration, Finance, Law, or a related field.
• A minimum of 5 years of experience in insurance claims adjusting, with a proven track record of handling complex claims.
• In-depth knowledge of insurance principles, practices, and relevant legislation.
• Excellent negotiation, communication, and interpersonal skills.
• Strong analytical and problem-solving abilities with meticulous attention to detail.
• Proficiency in using claims management software and Microsoft Office Suite.
• Ability to work independently and as part of a team, managing multiple priorities effectively.
• Valid driver's license and willingness to travel within the Bloemfontein region as required.
• Professional certifications in insurance (e.g., CIP) are highly advantageous.
• Demonstrated leadership potential or experience.

Benefits

• Competitive salary package commensurate with experience.
• Performance-based bonuses.
• Comprehensive medical and retirement benefits.
• Opportunities for professional development and career advancement.
• A supportive and collaborative work environment.
• Generous annual leave allowance.
• Access to cutting-edge technology and resources to perform your role effectively.
• Potential for hybrid work arrangements, offering flexibility.
• Company-provided vehicle or travel allowance for business-related travel.
• Regular team-building activities and social events.