Senior Personal Lines Claims Lead (Hybrid)

Placements24; Pietermaritzburg; Ibrido; ZAR 420.000 - 660.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical aid

Retirement fund contributions

Professional development

Hybrid work arrangements

Descrizione del lavoro

Placements24 is seeking a Senior Claims Assessor for a leading insurer in Pietermaritzburg. You will manage complex personal lines claims from inception to settlement, ensuring fair resolutions and regulatory compliance.

The role requires strong analytical and negotiation skills, in-depth knowledge of the South African market, and the ability to mentor junior assessors. A relevant tertiary qualification is preferred, with potential KwaZulu-Natal travel.

Competenze

• Minimum 5 years of experience in personal lines claims assessment.
• Deep understanding of SA insurance market and regulations.
• Strong analytical, negotiation and communication skills.

Mansioni

• Investigate, assess, and adjudicate personal lines insurance claims accurately and efficiently.
• Interpret policy wordings, conditions, and exclusions to determine coverage.
• Communicate effectively with policyholders, brokers, and third parties throughout the claims process.
• Negotiate settlements within prescribed authority limits.
• Identify potential fraud and escalate suspicious claims for further investigation.
• Maintain accurate and up-to-date claims files and documentation.
• Provide guidance and mentorship to junior claims assessors.
• Contribute to process improvement initiatives within the claims department.
• Ensure compliance with all relevant legislation and company policies.

Conoscenze

Personal lines claims assessment

Analytical thinking

Negotiation

Communication

Claims software

MS Office

Formazione

Tertiary qualification in Insurance/Law

Strumenti

Claims management software

MS Office

Descrizione del lavoro

Placements24 is seeking a Senior Claims Assessor for a leading insurer in Pietermaritzburg. You will manage complex personal lines claims from inception to settlement, ensuring fair resolutions and regulatory compliance.

The role requires strong analytical and negotiation skills, in-depth knowledge of the South African market, and the ability to mentor junior assessors. A relevant tertiary qualification is preferred, with potential KwaZulu-Natal travel.