Senior Insurance Claims Assessor

Placements24; Vereeniging; Hybrid; ZAR 480,000 - 720,000; Full time

Benefits offered by this job

Hybrid work model

Medical aid

Retirement fund

Career development

Job summary

Placements24 is seeking a Senior Insurance Claims Assessor based in Vereeniging to lead complex claim investigations and ensure accurate assessment of policy coverage and settlements.

You will mentor junior staff, collaborate with stakeholders, and contribute to refining claims handling procedures while balancing client service with regulatory compliance.

Qualifications

• 5+ years of progressive experience in insurance claims assessment or related field.
• Comprehensive knowledge of insurance products, underwriting principles, and relevant legislation.
• Strong analytical, problem-solving, and decision-making skills.
• Excellent written and verbal communication abilities, with strong negotiation skills.
• Industry certifications or qualifications are highly desirable.

Responsibilities

• Manage and process a diverse portfolio of insurance claims, ensuring adherence to policy terms and conditions.
• Conduct thorough investigations, gather evidence, and decide on claim validity and settlement.
• Communicate clearly with policyholders, claimants, and external stakeholders throughout the process.
• Provide mentorship and technical support to junior claims assessors.
• Maintain accurate records of all claim activities and outcomes in company systems.
• Identify trends and propose improvements to claims handling procedures to enhance efficiency and customer satisfaction in Vereeniging.

Skills

Insurance claims

Policy knowledge

Analytical skills

Communication skills

Mentorship

Education

Industry certifications

Job description

About the Role

Our client is seeking an experienced Senior Insurance Claims Assessor to join their growing team based in Vereeniging . This role is integral to ensuring the accurate and timely assessment of insurance claims, upholding policy compliance, and delivering exceptional service to clients. You will be a key point of contact for complex claim investigations, providing expert guidance to junior staff and contributing to the refinement of claims handling procedures. This is an excellent opportunity to advance your career within a reputable insurance organization located in the bustling industrial region of Gauteng .

Key Responsibilities

Manage and process a diverse portfolio of insurance claims, ensuring adherence to policy terms and conditions. Conduct thorough investigations, gather necessary evidence, and make informed decisions regarding claim validity and settlement. Communicate clearly and professionally with policyholders, claimants, and external stakeholders throughout the claims process. Provide mentorship and technical support to junior claims assessors, fostering their professional development. Maintain accurate and detailed records of all claim activities and outcomes within the company's systems. Identify trends and propose improvements to claims handling procedures to enhance efficiency and customer satisfaction in Vereeniging .

Requirements

• A minimum of 5 years of progressive experience in insurance claims assessment or a related field.
• Comprehensive knowledge of insurance products, underwriting principles, and relevant legislation.
• Strong analytical, problem-solving, and decision-making skills.
• Excellent written and verbal communication abilities, with strong negotiation skills.
• Relevant industry certifications or qualifications are highly desirable.
• Proficiency with claims management software and standard office applications.

Benefits

• Competitive annual salary and performance-based incentives.
• Hybrid work model offering flexibility between office-based duties in Vereeniging and remote work.
• Comprehensive medical aid and retirement fund benefits.
• Opportunities for continuous learning, professional development, and career progression.
• A collaborative and supportive team environment committed to excellence.