Senior Insurance Claims Assessor

Placements24; Soweto; On-site; ZAR 520,000 - 760,000; Full time

Benefits offered by this job

Competitive salary

Office-based in Soweto

Medical aid

Retirement fund

Professional development

Job summary

Placements24 in Soweto seeks a Senior Insurance Claims Assessor to manage a demanding caseload, adjudicate claims, and ensure compliance with policy wordings and South African regulations.

You will provide expert guidance, support junior assessors, and drive process improvements while maintaining accurate records. This office-based role offers comprehensive benefits and opportunities for professional development in a dynamic Gauteng environment.

Qualifications

• Minimum 5 years of experience in insurance claims assessment or a closely related field.
• Thorough understanding of insurance principles, policy interpretation, and relevant South African legislation.
• Excellent analytical, communication, and negotiation abilities for stakeholder interactions.

Responsibilities

• Investigate, evaluate, and adjudicate a variety of insurance claims, ensuring compliance with policy wordings and conditions.
• Determine claim validity, assess liability, and calculate settlement amounts accurately and efficiently.
• Liaise with policyholders, witnesses, and authorities to gather necessary information.
• Provide guidance to junior claims assessors and contribute to their development.
• Maintain precise records of all claim activities and outcomes in the claims management system.
• Support claims process improvements to enhance efficiency.

Skills

Analytical thinking

Negotiation skills

Communication skills

Attention to detail

Problem-solving

Education

Professional insurance qualifications

Tools

Claims management software

MS Office

Job description

About the Role

Our client is looking for a skilled Senior Insurance Claims Assessor to join their team in Soweto. This role is essential for ensuring that insurance claims are handled efficiently, accurately, and fairly, adhering to all policy terms and regulatory standards. You will be responsible for managing a challenging caseload, providing expert insights, and contributing to the development of streamlined claims processes within the community. This is a valuable opportunity for an experienced insurance professional to contribute significantly within the vibrant landscape of Gauteng.

Key Responsibilities

• Investigate, evaluate, and adjudicate a variety of insurance claims, ensuring compliance with policy wordings and conditions.
• Determine claim validity, assess liability, and calculate settlement amounts accurately and efficiently.
• Liaise effectively with policyholders, witnesses, and relevant authorities to gather all necessary information.
• Provide technical guidance and support to junior claims assessors, fostering their professional growth.
• Maintain precise and up-to-date records of all claim activities and outcomes in the claims management system.
• Contribute to process improvement initiatives within the claims department to enhance operational efficiency.

Requirements

• A minimum of 5 years of experience in insurance claims assessment or a closely related field.
• Thorough understanding of insurance principles, policy interpretation, and relevant South African legislation.
• Strong analytical and problem-solving skills, with a meticulous attention to detail.
• Excellent communication and negotiation abilities are required for stakeholder interactions.
• Relevant professional certifications or qualifications in the insurance sector are advantageous.
• Proficiency in using claims management software and standard office applications.

Benefits

• A competitive annual salary that reflects your experience and expertise.
• The role is office-based in Soweto, promoting strong team collaboration.
• Comprehensive medical aid and retirement fund benefits.
• Opportunities for ongoing professional development and career advancement.
• A supportive work environment within a well-respected insurance company.