3 Remote Senior Insurance Claims Adjuster jobs in WhatJobs Direct

Remote Senior Insurance Claims Adjuster

20100 Karagita KES220000 Annually WhatJobs Direct

Posted 5 days ago

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Job Description

full-time
Our client is seeking an experienced and meticulous Senior Insurance Claims Adjuster to join their fully remote claims processing team. In this crucial role, you will be responsible for investigating, evaluating, and negotiating insurance claims for a variety of policy types, ensuring fair and timely settlements. You will conduct thorough reviews of policy coverage, gather necessary documentation, interview claimants and witnesses, and determine liability and damages. Strong analytical and critical thinking skills are essential for assessing complex claims and making informed decisions. You will maintain accurate and detailed records of all claims activities, adhering to company procedures and regulatory requirements. This remote position requires exceptional communication and interpersonal skills, enabling you to effectively interact with policyholders, legal representatives, and other stakeholders via phone, email, and video conferencing. You will also be adept at managing a caseload of claims efficiently, prioritizing tasks, and meeting deadlines. Experience with specialized insurance lines such as property, casualty, or auto claims is highly desirable. The ideal candidate will possess a deep understanding of insurance contracts, claims settlement practices, and relevant legal frameworks. You will stay updated on industry trends and legislative changes that may impact claims handling. This role demands a high level of integrity, professionalism, and customer service orientation. The ability to work independently and manage your workload effectively in a remote setting is paramount. You will contribute to process improvements and team training, sharing your expertise with colleagues. We are looking for a dedicated professional who can provide expert claims resolution while upholding the company's reputation for fairness and efficiency. This is a fantastic opportunity for a seasoned claims professional to advance their career within a supportive and flexible remote work environment, contributing to the financial security of our policyholders.
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Remote Senior Insurance Claims Adjuster

30250 Tuwan KES650000 Annually WhatJobs Direct

Posted 5 days ago

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Job Description

full-time
Our client is seeking an experienced and detail-oriented Senior Insurance Claims Adjuster to join their fully remote claims department. This role is critical in managing and resolving complex insurance claims efficiently and equitably. You will be responsible for investigating claims, determining coverage, negotiating settlements, and ensuring compliance with all relevant regulations. The ideal candidate possesses a deep understanding of insurance policies, exceptional analytical skills, and the ability to work independently and proactively in a remote setting. Strong communication and negotiation skills are paramount, as you will interact with policyholders, legal counsel, and other parties involved in the claims process. We are looking for a self-starter who can manage their workload effectively and deliver outstanding service.

Responsibilities:
  • Investigate, evaluate, and adjust complex insurance claims across various lines of business.
  • Interpret policy provisions to determine coverage and liability.
  • Communicate effectively with policyholders to explain claim status and processes.
  • Conduct thorough investigations, including gathering evidence and interviewing witnesses remotely.
  • Negotiate fair and equitable settlements with claimants and their representatives.
  • Prepare detailed claim reports, including findings, recommendations, and reserve calculations.
  • Ensure compliance with industry regulations and company policies.
  • Manage a caseload of claims efficiently and prioritize effectively.
  • Collaborate with legal counsel on litigated claims when necessary.
  • Contribute to process improvements within the claims department.

This is an excellent opportunity for a seasoned claims professional to leverage their expertise in a remote work environment. Our client is committed to providing the tools and support necessary for success, fostering a collaborative and productive virtual team. If you are a dedicated adjuster looking for a flexible and challenging remote role, we want to hear from you.
Location: Kitale, Trans-Nzoia, KE
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Remote Senior Insurance Claims Adjuster

90130 Mlolongo, Eastern KES120000 Annually WhatJobs Direct

Posted 5 days ago

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Job Description

full-time
Our client is looking for an experienced and highly ethical Remote Senior Insurance Claims Adjuster to join their expanding team. In this fully remote role, you will be responsible for investigating, evaluating, and settling insurance claims efficiently and fairly, ensuring adherence to company policies and regulatory requirements. You will manage a portfolio of complex claims, conducting thorough investigations, interviewing claimants and witnesses, reviewing documentation, and determining liability and coverage. Your expertise will be critical in negotiating settlements with policyholders and third parties, while always upholding the company's commitment to customer service and integrity. This position requires a keen eye for detail, strong analytical skills, and the ability to make sound judgments under pressure. You will leverage technology to manage your caseload, document investigations, and communicate updates to relevant stakeholders. This is an excellent opportunity for a seasoned professional to advance their career in the insurance sector, enjoying the flexibility and autonomy of a remote work arrangement.

Responsibilities:
  • Investigate, evaluate, and settle insurance claims in accordance with policy provisions and company guidelines.
  • Manage a caseload of complex claims, including property, casualty, or liability claims, depending on specialization.
  • Conduct thorough investigations, including gathering evidence, interviewing claimants, witnesses, and other parties.
  • Review police reports, medical records, repair estimates, and other relevant documentation.
  • Determine coverage and liability based on policy terms and applicable laws.
  • Negotiate fair and equitable settlements with policyholders and their representatives.
  • Communicate claim status updates regularly to claimants, internal stakeholders, and legal counsel when necessary.
  • Maintain accurate and detailed claim files, documenting all actions taken and decisions made.
  • Ensure compliance with all state and federal insurance regulations and company procedures.
  • Identify potential fraud and escalate suspicious claims according to established protocols.
  • Provide exceptional customer service throughout the claims process.
  • Continuously develop knowledge of insurance products, industry trends, and claims best practices.

Qualifications:
  • Proven experience as a Claims Adjuster, preferably with a focus on senior or complex claims.
  • In-depth knowledge of insurance policies, claim investigation techniques, and settlement practices.
  • Strong analytical, negotiation, and decision-making skills.
  • Excellent written and verbal communication abilities.
  • Proficiency in claims management software and standard office applications.
  • Ability to work independently and manage time effectively in a remote setting.
  • High level of integrity, ethical conduct, and attention to detail.
  • Relevant insurance certifications or licenses (e.g., Adjuster's License) are highly desirable.
  • Bachelor's degree in a related field or equivalent work experience.
  • A dedicated home office space with reliable internet connectivity.
This role is a remote position, with the primary scope of claims handling relevant to Mlolongo, Machakos, KE .
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