Senior Insurance Claims Assessor

Placements24; Rustenburg; Hybrid; ZAR 600,000 - 900,000; Full time

Benefits offered by this job

Hybrid work model

Medical aid

Retirement savings

Professional development

Career progression

Collaborative environment

Job summary

Placements24 in Rustenburg is seeking a seasoned Senior Insurance Claims Assessor to enhance operations, oversee complex claims, ensure accuracy and policy compliance, and guide junior team members.

You will mentor, improve processes, maintain meticulous records in the claims management system, and collaborate with stakeholders to deliver high-quality service to policyholders.

Qualifications

• Minimum of 5 years hands-on experience in insurance claims.
• Understanding of insurance products and adjudication processes.
• Experience with claims management software and data analysis tools.

Responsibilities

• Manage a caseload of complex insurance claims and assess coverage/liability.
• Conduct investigations, gather documentation, and liaise with involved parties.
• Ensure settlements align with policy terms and regulations.
• Mentor junior claims assessors and provide technical feedback.
• Maintain precise records in the claims management system.
• Recommend process improvements and contribute to training initiatives.

Skills

Analytical skills

Communication

Negotiation

Education

Professional qualifications or certifications in insurance

Tools

Claims software

Data analysis

Job description

About the Role

Our client seeks a seasoned Senior Insurance Claims Assessor to enhance their operations in Rustenburg . This role is essential for ensuring the accurate and efficient processing of insurance claims, upholding policy integrity, and delivering exceptional service to policyholders. You will serve as a subject matter expert, guiding less experienced team members and contributing to the development of streamlined claims procedures. Joining our client means becoming part of a forward-thinking organization that values expertise and client-centricity within the active economic hub of the North West province.

Key Responsibilities

• Manage a caseload of complex insurance claims, performing detailed assessments of coverage and liability.
• Conduct thorough investigations, gather necessary documentation, and liaise with involved parties to substantiate claims.
• Ensure all claim settlements are processed in line with policy terms, conditions, and relevant regulations.
• Mentor and guide junior claims assessors, providing technical expertise and feedback to improve their performance.
• Maintain precise records of claim activities and resolutions within the company's claims management system.
• Recommend process improvements and contribute to training initiatives to elevate the overall claims handling capability in Rustenburg .

Requirements

• Minimum of 5 years of hands-on experience in the insurance claims field, with a strong track record of success.
• Comprehensive understanding of various insurance products and claims adjudication processes.
• Excellent analytical skills and the ability to make sound judgments under pressure.
• Proficient communication and negotiation abilities, essential for stakeholder interactions.
• Relevant professional qualifications or certifications in the insurance industry are preferred.
• Demonstrated experience with claims management software and data analysis tools.

Benefits

• Competitive annual salary based on your experience and skills.
• A hybrid working arrangement that balances office presence in Rustenburg with remote flexibility.
• Access to a comprehensive medical aid plan and retirement savings benefit.
• Opportunities for continued professional development and career progression.
• A collaborative work environment within a respected insurance institution.