Senior Remote Insurance Claims Assessor

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

Benefits offered by this job

Fully remote

Job summary

Placements24 is seeking a highly capable Senior Remote Insurance Claims Assessor to join its fully remote team, serving clients nationwide. You will evaluate and manage complex insurance claims, guiding decisions while upholding policy integrity from your home office.

The role emphasizes autonomy, meticulous digital record-keeping, and mentoring remote junior assessors to ensure consistent quality and timely settlements.

Qualifications

• Minimum 5 years hands-on experience in insurance claims assessment.
• Understanding of policies, regulations, and adjudication principles.
• Strong analytical and decision-making skills.
• Excellent remote communication and collaboration.
• Home-office setup and confidentiality required.

Responsibilities

• Conduct remote investigations and assessments of insurance claims.
• Analyze claim details and regulations to determine liability and settlements.
• Communicate with policyholders, brokers, and internal teams via digital channels.
• Mentor remote junior claims assessors to ensure quality.
• Maintain digital records in the claims management system.
• Identify process improvements in remote claims handling.

Skills

Insurance claims assessment

Analytical thinking

Remote communication

Decision making

Education

ACII

CIP

Job description

About the Role

Our client is seeking a highly motivated and experienced Senior Remote Insurance Claims Assessor to join their expanding, fully remote team, serving clients nationwide. In this critical role, you will be responsible for the meticulous evaluation and management of complex insurance claims, ensuring fair and timely resolutions from the comfort of your home office. You will leverage your expertise to guide decision-making, uphold policy integrity, and provide exceptional service through digital channels. This position is ideal for an autonomous, detail-oriented professional who thrives in a remote-first environment and is committed to maintaining the highest standards of claims assessment.

Key Responsibilities

• Conduct comprehensive remote investigations and assessments of diverse insurance claims, ensuring accuracy and adherence to policy terms.
• Analyze claim details, supporting documentation, and relevant regulations to determine liability and appropriate settlement values.
• Communicate effectively via digital platforms (email, phone, video conferencing) with policyholders, brokers, and internal teams.
• Provide expert guidance and mentorship to remote junior claims assessors, ensuring consistency and quality across the team.
• Maintain meticulous digital records of all claim activities, decisions, and correspondence within the claims management system.
• Identify opportunities for process improvement within the remote claims handling framework and contribute to best practice development.

Requirements

• A minimum of 5 years of hands-on experience in insurance claims assessment , with a proven ability to manage complex cases remotely.
• In-depth understanding of insurance policies, legal requirements, and claims adjudication principles.
• Exceptional analytical, problem-solving, and decision-making skills, with strong attention to detail.
• Excellent remote communication and virtual collaboration skills are essential.
• Must possess a reliable home office setup conducive to productivity and confidentiality.
• Relevant professional insurance certifications (e.g., ACII, CIP) are advantageous.

Benefits

• Competitive annual salary, reflecting your expertise and the fully remote nature of the role.
• Fully remote working arrangement, offering significant flexibility and work-life balance.
• Comprehensive medical aid and retirement fund benefits.
• Access to online professional development resources and opportunities for advancement.
• Be part of a forward-thinking, collaborative remote team dedicated to exceptional service.