Senior Remote Insurance Claims Adjuster (Complex Claims)

Placements24; Johannesburg; Remote; ZAR 600,000 - 900,000; Full time

Benefits offered by this job

Health insurance

Bonuses

Paid time off

Retirement plan

Fully remote

Professional development

Advanced claims technology

Job summary

Placements24 is seeking a Senior Insurance Claims Adjuster for a fully remote role, to manage complex claims across lines of business. You will investigate, evaluate, negotiate settlements, and ensure compliant, timely resolutions while upholding high ethics.

The ideal candidate has at least 7 years of experience, licenses, and strong analytics, with exceptional communication and proficiency in claims management software. Remote work requires autonomy and meticulous documentation.

Qualifications

• Bachelor's degree in a related field.
• 7+ years as an Insurance Claims Adjuster handling complex claims.
• Current licenses and certifications in claims adjustment.
• In-depth knowledge of policies, laws, and investigation techniques.
• Strong negotiation, mediation and conflict-resolution skills.
• Analytical, critical thinking and problem-solving abilities.
• Proficiency with claims software and standard office tools.
• Exceptional written and verbal communication.
• Ability to work remotely with a high workload and discretion.
• High ethical standards and confidentiality.

Responsibilities

• Investigate, evaluate, and resolve complex claims across multiple lines.
• Gather evidence, assess damages, and determine coverage.
• Negotiate fair settlements with policyholders and legal representatives.
• Maintain accurate claim files in the system.
• Communicate clearly and empathetically with all parties.
• Ensure compliance with legal/regulatory requirements and policies.
• Identify potential fraud and expedite investigations.
• Mentor junior adjusters as needed.
• Stay updated on industry trends and best practices.

Skills

Analytical thinking

Negotiation

Communication

Remote work

Claims software

Education

Bachelor's degree in Business Administration/Finance/Law

Tools

Claims management software

Job description

Placements24 is seeking a Senior Insurance Claims Adjuster for a fully remote role, to manage complex claims across lines of business. You will investigate, evaluate, negotiate settlements, and ensure compliant, timely resolutions while upholding high ethics.

The ideal candidate has at least 7 years of experience, licenses, and strong analytics, with exceptional communication and proficiency in claims management software. Remote work requires autonomy and meticulous documentation.