Senior Insurance Claims Assessor

Placements24; George; On-site; ZAR 420,000 - 660,000; Full time

Benefits offered by this job

Medical and retirement benefits

Structured training and development

Job summary

Placements24 in George is seeking a Senior Insurance Claims Assessor to lead and manage a portfolio of claims, ensuring fair resolutions and regulatory compliance. You will mentor junior staff and contribute to process improvements within the George claims team.

The role emphasizes thorough investigations, accurate documentation, and strong collaboration with clients and internal teams to uphold service excellence in the Western Cape region.

Qualifications

• Minimum of 5 years of progressive experience in insurance claims handling.
• In-depth knowledge of insurance principles, policy wordings, and SA legal frameworks.
• Strong analytical and decision‑making capabilities with attention to detail.
• Effective communication and interpersonal skills for client and team engagement.
• INSETA qualifications are advantageous.
• Proficiency with digital claims platforms and MS Office.

Responsibilities

• Manage and process a portfolio of insurance claims from initiation to closure.
• Analyze policy documents and evidence to determine coverage and liability.
• Negotiate settlements within policy limits.
• Provide leadership and guidance to junior claims handlers.
• Maintain detailed records in the claims management system.
• Identify trends and suggest process improvements for George.

Skills

Insurance claims handling

5+ years experience

Analytical decision making

Communication skills

Leadership mentoring

Education

INSETA qualifications

Tools

Digital claims platforms

Microsoft Office

Job description

About the Role

Our client is seeking a highly competent Senior Insurance Claims Assessor to join their established team in George . In this critical role, you will be responsible for the thorough investigation and assessment of diverse insurance claims, ensuring timely and fair resolutions that align with policyholder agreements and regulatory standards. Your expertise will be vital in mentoring junior staff and contributing to the overall efficiency and integrity of the claims department. This position offers the chance to make a significant impact within the picturesque region of the Garden Route , working for a company dedicated to excellence in service and claims management.

Key Responsibilities

• Manage and process a portfolio of insurance claims from initiation to closure, applying thorough investigative techniques.
• Analyze policy documentation, incident reports, and supporting evidence to determine coverage and liability.
• Negotiate settlements with claimants and their representatives, ensuring fair compensation within policy limits.
• Provide leadership and support to junior claims handlers, offering guidance on complex cases and best practices.
• Maintain accurate and detailed records of all claim activities, decisions, and communications within the claims management system.
• Proactively identify trends and suggest improvements to claims handling processes to enhance efficiency and customer satisfaction in George .

Requirements

• A minimum of 5 years of progressive experience in insurance claims handling , preferable with a focus on property and/or casualty.
• In-depth knowledge of insurance principles, policy wordings, and relevant South African legal frameworks.
• Exceptional analytical and decision‑making capabilities, with a strong attention to detail.
• Effective communication and interpersonal skills for professional engagement with clients and internal teams.
• Relevant industry certifications (e.g., INSETA qualifications) are advantageous.
• Proficiency with digital claims management platforms and Microsoft Office Suite.

Benefits

• An attractive annual salary, reflecting your expertise and contribution.
• The role is based in our George office, fostering strong team collaboration.
• Comprehensive medical and retirement benefits package.
• Structured training programs and support for continuous professional growth.
• A positive work environment within a reputable insurance firm in the Western Cape .