40 Insurance Claims Adjuster jobs in whatjobs

Insurance Claims Adjuster

50200 Bungoma, Western KES85000 Annually WhatJobs

Posted 4 days ago

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Job Description

full-time
Our client, a reputable insurance provider, is seeking a diligent and detail-oriented Insurance Claims Adjuster to manage and process a diverse range of insurance claims. This role offers a hybrid work arrangement, combining remote flexibility with occasional in-office collaboration. The Claims Adjuster will be responsible for investigating insurance claims, determining the extent of liability, negotiating settlements, and ensuring timely and fair resolution for policyholders. You will conduct thorough investigations, gather evidence, interview claimants and witnesses, and analyze policy coverage to make informed decisions. Excellent analytical skills, strong negotiation abilities, and a commitment to customer service are vital for success in this role. Key responsibilities include:
  • Investigating assigned insurance claims thoroughly to determine coverage and liability.
  • Gathering necessary documentation, including police reports, medical records, and repair estimates.
  • Interviewing claimants, witnesses, and other involved parties to obtain detailed accounts of incidents.
  • Analyzing policy documents to ensure accurate interpretation of coverage terms and conditions.
  • Estimating the value of damages and negotiating settlements with policyholders and their representatives.
  • Approving and authorizing claim payments within established guidelines.
  • Maintaining clear and comprehensive claim files, documenting all activities and decisions.
  • Communicating effectively with policyholders, providing updates and explaining claim processes.
  • Collaborating with legal counsel, medical providers, and other external parties as needed.
  • Identifying potential cases of fraud and escalating them for further investigation.
  • Ensuring compliance with all relevant insurance regulations and company policies.
The ideal candidate will possess a Bachelor's degree in a relevant field, such as Business Administration, Finance, or Law, or equivalent work experience. Prior experience in insurance claims adjusting or a related field is highly preferred. Strong investigative, analytical, and negotiation skills are essential. Excellent written and verbal communication skills are required, along with proficiency in claims management software. A commitment to ethical practices and a high level of integrity are paramount. This role involves a hybrid work model, requiring presence in the Bungoma, Bungoma, KE office on specific days.
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Insurance Claims Adjuster

01000 Machakos, Eastern KES65000 Annually WhatJobs

Posted 4 days ago

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Job Description

full-time
Our client, a leading insurance provider, is seeking a diligent and customer-focused Insurance Claims Adjuster to join their remote claims processing team. This is a 100% remote position, offering you the flexibility to manage claims efficiently from your home office. You will be responsible for investigating, evaluating, and settling insurance claims in accordance with policy coverage and company guidelines. This role requires excellent analytical skills, a strong understanding of insurance policies, and the ability to communicate effectively with policyholders, witnesses, and legal professionals.

Responsibilities:
  • Investigate insurance claims by gathering information from policyholders, accident reports, police reports, and other sources.
  • Evaluate the coverage provided by the insurance policy and determine liability.
  • Assess the extent of damages or losses and estimate the cost of repairs or replacement.
  • Negotiate settlements with policyholders or their representatives.
  • Process claim payments accurately and efficiently.
  • Maintain detailed and accurate records of all claim activities and communications.
  • Ensure compliance with all relevant insurance laws, regulations, and company policies.
  • Respond to claimant inquiries and provide clear explanations of claim status and decisions.
  • Identify potential fraud and escalate suspicious claims for further investigation.
  • Collaborate with internal legal counsel and external adjusters when necessary.
  • Continuously update knowledge of insurance products, claims procedures, and industry best practices.
  • Provide exceptional customer service throughout the claims process.

Qualifications:
  • Proven experience as an Insurance Claims Adjuster or in a similar claims handling role.
  • Strong understanding of insurance policies, terminology, and claims investigation processes.
  • Excellent analytical, negotiation, and problem-solving skills.
  • Proficiency in claims management software.
  • Exceptional communication and interpersonal skills, with the ability to handle sensitive situations with empathy and professionalism.
  • Ability to work independently and manage a caseload effectively in a remote environment.
  • Relevant insurance licenses (e.g., Adjuster's License) are required or must be obtained upon hire.
  • Bachelor's degree in Business, Finance, or a related field (or equivalent experience).
  • Detail-oriented with a commitment to accuracy and fairness.
  • Strong organizational and time management skills.

This is a rewarding opportunity for a skilled claims professional seeking a flexible, remote work arrangement while providing essential services to clients. You will have the autonomy to manage your workload and contribute to a seamless claims experience. This position is conceptually tied to the Machakos, Machakos, KE region, but the work is fully remote, opening opportunities to a wider pool of talent. Apply to join our dedicated team and make a difference in people's lives during challenging times.
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Insurance Claims Adjuster

01000 Makongeni KES180000 Annually WhatJobs

Posted 4 days ago

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Job Description

full-time
Our client is seeking a meticulous and empathetic Insurance Claims Adjuster to manage a diverse portfolio of claims. This role requires a keen eye for detail, strong investigative skills, and the ability to deliver fair and efficient claim resolutions. You will be responsible for investigating insurance claims, determining liability, assessing damages, and negotiating settlements with policyholders and third parties. This will involve thorough review of policy terms, gathering evidence, interviewing witnesses, and working with experts when necessary. The ability to clearly and concisely communicate claim status and decisions, both verbally and in writing, is essential. You will maintain accurate claim files, ensuring all documentation is complete and up-to-date. A strong understanding of insurance regulations and claims handling best practices is crucial. This position involves a hybrid work arrangement, offering a blend of remote flexibility and essential in-person interactions within the **Thika, Kiambu, KE** area. You will need to be adept at managing your workload independently, prioritizing tasks effectively, and meeting established performance metrics. Building and maintaining positive relationships with policyholders, while upholding the integrity of the claims process, is a core responsibility. The ideal candidate possesses excellent problem-solving skills, a commitment to customer service, and the ability to remain calm and professional under pressure. This role offers a fantastic opportunity to develop your career within the insurance industry, contributing to client satisfaction and the overall success of our client's claims operations.
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Insurance Claims Adjuster

0100 Meru KES85000 Annually WhatJobs

Posted 5 days ago

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Job Description

full-time
Our client, a reputable and established insurance company, is actively seeking a skilled and detail-oriented Insurance Claims Adjuster to join their fully remote claims department. This is a crucial role responsible for investigating, evaluating, and settling insurance claims efficiently and fairly. You will be tasked with reviewing policy coverage, gathering information from claimants and witnesses, assessing damages, negotiating settlements, and ensuring compliance with company policies and regulatory requirements. The ideal candidate will possess a strong understanding of insurance principles and practices, with experience in claims handling across various lines of business (e.g., auto, property, casualty). Excellent investigative, analytical, negotiation, and communication skills are paramount. You must be able to manage a caseload effectively, make sound judgments, and maintain a high level of professionalism and customer service, all within a remote work environment. Proficiency in claims management software and standard office applications is essential. We are looking for a diligent, empathetic, and organized individual who can work autonomously and contribute to the efficient and equitable resolution of insurance claims. This remote role offers a significant opportunity to make a meaningful impact in assisting policyholders during challenging times and to grow your career within a supportive and established organization.

Key Responsibilities:
  • Investigate insurance claims by gathering relevant documentation and information.
  • Review insurance policies to determine coverage and assess liability.
  • Interview claimants, witnesses, and other parties involved in the claim.
  • Evaluate damages and determine the appropriate settlement amount.
  • Negotiate settlements with claimants and their representatives.
  • Manage a caseload of claims efficiently and prioritize tasks effectively.
  • Ensure compliance with all company policies, procedures, and regulatory requirements.
  • Maintain accurate and detailed claim files and records.
  • Communicate effectively with claimants, internal teams, and external stakeholders.
  • Provide excellent customer service throughout the claims process.
Qualifications:
  • High school diploma or equivalent; Bachelor's degree in a related field is a plus.
  • Minimum of 3-5 years of experience as a Claims Adjuster or in a similar insurance role.
  • Possession of relevant insurance adjuster licenses (if required by jurisdiction).
  • Strong understanding of insurance policies, coverage, and claims procedures.
  • Excellent investigative, analytical, and problem-solving skills.
  • Exceptional negotiation and communication abilities.
  • Proficiency in claims management software and Microsoft Office Suite.
  • Ability to work independently, manage time effectively, and meet deadlines in a remote setting.
  • High degree of integrity, empathy, and professionalism.
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Insurance Claims Adjuster

40300 Tuwan KES85000 Annually WhatJobs

Posted 6 days ago

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Job Description

full-time
Our client is seeking a thorough and ethical Insurance Claims Adjuster to join their team in Kitale, Trans-Nzoia, KE . This role is critical in evaluating insurance claims, determining coverage, and ensuring fair and timely settlements for policyholders. The ideal candidate will possess strong analytical skills, a keen attention to detail, and excellent communication and negotiation abilities. You will be responsible for investigating claims, gathering evidence, interviewing involved parties, and assessing damages. This involves interpreting policy terms and conditions to make informed decisions regarding claim validity and payout amounts. You will need to maintain accurate records of investigations, decisions, and correspondence. Building rapport with claimants and providing clear explanations of the claims process is essential. The ability to work independently, manage a caseload efficiently, and adhere to regulatory requirements is paramount. We are looking for individuals who are diligent, objective, and committed to providing excellent customer service while upholding the integrity of the insurance process. Your role will involve fieldwork, assessing damage at various locations, and reporting findings meticulously. This position offers a challenging yet rewarding career in the insurance sector, ensuring fairness and reliability for our clients.

Key Responsibilities:
  • Investigate insurance claims thoroughly and impartially.
  • Determine coverage based on policy terms and conditions.
  • Gather evidence, including statements, reports, and documentation.
  • Assess the extent of damages and liability.
  • Negotiate claim settlements with policyholders and their representatives.
  • Authorize payments within policy limits and company guidelines.
  • Maintain accurate and detailed claim files.
  • Provide clear explanations of policy coverage and claims procedures.
  • Conduct on-site inspections and assessments of damages.
  • Ensure compliance with all relevant laws and regulations.

Qualifications:
  • High school diploma or equivalent; Bachelor's degree is a plus.
  • Proven experience as an Insurance Claims Adjuster or in a similar role.
  • Strong understanding of insurance policies and claims processes.
  • Excellent investigative, analytical, and problem-solving skills.
  • Proficiency in claim management software is desirable.
  • Strong negotiation and communication abilities.
  • Ability to work independently and manage time effectively.
  • Detail-oriented with a commitment to accuracy.
  • Valid driver's license and a clean driving record.
  • Ethical conduct and professional demeanor.
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Insurance Claims Adjuster

10100 Nyeri Town KES75000 Annually WhatJobs

Posted 7 days ago

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Job Description

full-time
Our client is seeking a diligent and customer-focused Insurance Claims Adjuster to join their fully remote claims department. This position plays a vital role in evaluating insurance claims, determining coverage, and facilitating timely and fair settlements for policyholders. As a remote employee, you will manage your caseload efficiently from your home office, ensuring excellent service standards. Your responsibilities will include investigating claims by gathering information, interviewing claimants and witnesses, inspecting damaged property (when necessary and feasible remotely), and analyzing policy details to assess liability and coverage. You will negotiate settlements within established guidelines and prepare detailed reports on claim dispositions. The ideal candidate will possess strong investigative, analytical, and communication skills, with a keen eye for detail. Experience in the insurance industry, particularly in claims handling, is highly desirable. This role requires excellent organizational skills and the ability to manage a high volume of claims effectively. Our client is committed to providing comprehensive training and professional development opportunities within a supportive remote work environment. This is an excellent opportunity for an individual who is empathetic, ethical, and adept at problem-solving to build a rewarding career. You will be instrumental in helping clients navigate the claims process during challenging times. The ability to work independently, make sound judgments, and maintain accurate records is crucial. We are looking for a motivated individual who can build rapport with clients and service providers while upholding company policies and regulatory requirements. The **Nyeri, Nyeri, KE** location is relevant for administrative purposes, but this role is completely remote.

Qualifications:
  • Bachelor's degree in Business, Finance, Law, or a related field.
  • Proven experience as a Claims Adjuster or in a similar role within the insurance industry.
  • Strong understanding of insurance policies and claims investigation procedures.
  • Excellent negotiation, communication, and interpersonal skills.
  • Proficiency in claims management software and Microsoft Office Suite.
  • Ability to analyze complex situations and make informed decisions.
  • Strong organizational skills and attention to detail.
  • Must be able to work independently in a remote setting and manage time effectively.
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Insurance Claims Adjuster

00100 Abothuguchi West KES80000 Monthly WhatJobs

Posted 8 days ago

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Job Description

full-time
Our client, a leading insurance provider, is looking for a dedicated and detail-oriented Insurance Claims Adjuster to join their team in Nairobi, Nairobi, KE . The successful candidate will be responsible for investigating insurance claims, determining the extent of liability, and negotiating settlements with policyholders and third parties. This role requires a thorough understanding of insurance policies, excellent investigative skills, and strong negotiation abilities. You will play a vital part in ensuring fair and efficient claims processing, maintaining customer satisfaction, and upholding the integrity of the company.

Key Responsibilities:
  • Investigate insurance claims by gathering information, interviewing claimants and witnesses, and inspecting damaged property.
  • Analyze policy coverage and determine the extent of the insurer's liability.
  • Calculate claim settlements based on policy terms, damages, and applicable laws.
  • Negotiate settlements with policyholders, claimants, and their representatives.
  • Prepare detailed reports documenting investigation findings, claim evaluations, and settlement recommendations.
  • Ensure compliance with all relevant insurance regulations and company policies.
  • Manage a caseload of claims efficiently, prioritizing urgent matters.
  • Provide clear explanations of policy coverage and claim procedures to policyholders.
  • Maintain accurate and organized claim files.
  • Attend mediations, arbitrations, or court proceedings as required.

Qualifications:
  • Minimum of 3 years of experience as a claims adjuster or in a related insurance role.
  • In-depth knowledge of insurance policies, claims handling procedures, and relevant legal statutes.
  • Excellent investigative, analytical, and problem-solving skills.
  • Strong negotiation and conflict resolution abilities.
  • Exceptional written and verbal communication skills.
  • Proficiency in using claims management software and standard office applications.
  • Ability to work independently and manage time effectively.
  • A degree in Business Administration, Law, or a related field is preferred.
  • Relevant professional certifications (e.g., AIC, CPCU) are a significant advantage.
  • Willingness to travel within the assigned territory for claim investigations.
  • High ethical standards and a commitment to fairness.

This is a challenging yet rewarding position that offers the opportunity to make a significant impact in the insurance industry. If you possess the required expertise and are committed to delivering exceptional service, we encourage you to apply.
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Insurance Claims Adjuster

01001 Mlolongo, Eastern KES90000 Annually WhatJobs

Posted 10 days ago

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Job Description

full-time
Our client, a reputable insurance company, is seeking a diligent and customer-focused Insurance Claims Adjuster to join their fully remote claims department. This role is essential in investigating, evaluating, and settling insurance claims efficiently and fairly. You will be responsible for gathering information, assessing damages or losses, determining coverage, and negotiating settlements with policyholders and claimants. As a fully remote position, you will leverage advanced digital tools for claim management, communication, and documentation, allowing you to serve clients from anywhere. We are looking for individuals with strong analytical skills, excellent communication abilities, and a commitment to providing exceptional service, with a focus on supporting the company's operations that may extend to regions including Mlolongo, Machakos, KE .

Key Responsibilities:
  • Investigate insurance claims by gathering pertinent information, including police reports, witness statements, and policy details.
  • Evaluate the extent of liability and damages or losses sustained by policyholders or third parties.
  • Determine coverage under the terms of the insurance policy.
  • Conduct thorough reviews of claim documentation and evidence.
  • Negotiate settlements with policyholders, claimants, and legal representatives in accordance with company guidelines and regulations.
  • Maintain accurate and detailed records of all claim activities and communications.
  • Utilize claims management software and digital tools to process claims efficiently.
  • Provide clear and timely communication to all parties involved regarding claim status and decisions.
  • Identify potential fraudulent claims and escalate them for further investigation.
  • Stay informed about relevant insurance laws, regulations, and company policies.
  • Contribute to the improvement of claims handling processes and customer service.
  • Adhere to ethical standards and company best practices in all claim interactions.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, Law, or a related field.
  • Minimum of 3 years of experience in insurance claims adjusting or a related role within the insurance industry.
  • Strong understanding of insurance policies, coverage, and claims procedures.
  • Excellent investigative, analytical, and problem-solving skills.
  • Exceptional communication, negotiation, and interpersonal skills.
  • Proficiency in using claims management software and standard office applications.
  • Ability to manage a caseload effectively, prioritize tasks, and meet deadlines in a remote environment.
  • High degree of integrity and attention to detail.
  • Customer-centric approach with a commitment to fair and timely resolution of claims.
  • Relevant insurance certifications (e.g., adjuster licenses) are a significant advantage.
This is a crucial role in ensuring customer satisfaction and the financial integrity of the company. If you are a skilled claims professional seeking a rewarding remote career opportunity, we encourage you to apply.
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Insurance Claims Adjuster

80200 Nairobi, Nairobi KES120000 Annually WhatJobs

Posted 11 days ago

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Job Description

full-time
Our client is seeking a diligent and empathetic Insurance Claims Adjuster to join their team in **Malindi, Kilifi, KE**. This role is critical in investigating insurance claims, determining liability, and settling claims in accordance with policy provisions and company guidelines. You will be responsible for inspecting damaged property, interviewing claimants and witnesses, and gathering evidence to support claim investigations. Key responsibilities include assessing the extent of damages, estimating repair costs, and negotiating fair settlements with policyholders. The ideal candidate will possess excellent communication, negotiation, and analytical skills, with a keen eye for detail. A thorough understanding of insurance policies, relevant laws, and claims handling procedures is essential. You will need to maintain accurate and detailed records of all claim activities and decisions. This position requires strong interpersonal skills to build rapport with claimants during often stressful situations. The ability to work independently, manage a caseload effectively, and make sound judgments under pressure is crucial. Field visits to inspect damages will be a significant part of the role, requiring regular travel within the **Malindi, Kilifi, KE** area. We are looking for a trustworthy individual with a commitment to providing excellent customer service and upholding the integrity of the claims process. Previous experience in the insurance industry or a related field is highly advantageous. A valid driver's license and reliable transportation are required.
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Insurance Claims Adjuster

20200 Kericho, Rift Valley KES75000 Annually WhatJobs

Posted 11 days ago

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Job Description

full-time
Our client, a reputable insurance provider, is actively seeking a dedicated and detail-oriented Insurance Claims Adjuster to join their team. This essential role involves investigating, evaluating, and settling insurance claims efficiently and fairly. You will be the primary point of contact for policyholders, providing guidance and support throughout the claims process. A strong understanding of insurance policies, investigative techniques, and legal/regulatory requirements is crucial. The ideal candidate will possess excellent communication skills, a keen eye for detail, and the ability to handle sensitive situations with empathy and professionalism. This is an on-site position based at our Kericho, Kericho, KE office, requiring regular field visits to assess damages and conduct interviews. Responsibilities include:
  • Investigating insurance claims to determine coverage and liability.
  • Gathering relevant information, including statements from claimants, witnesses, and relevant parties.
  • Reviewing policy documents, police reports, and other relevant evidence.
  • Assessing property damage or personal injuries resulting from covered incidents.
  • Negotiating settlements with policyholders and/or their representatives.
  • Recommending claim payouts based on investigation findings and policy terms.
  • Documenting all claim activities and decisions accurately in the claims management system.
  • Ensuring compliance with all company policies and regulatory requirements.
  • Maintaining a high level of customer service and professionalism.
  • Visiting accident sites or claimant locations as needed for investigations.

Qualifications:
  • High school diploma or equivalent; Bachelor's degree preferred.
  • Previous experience in insurance claims adjusting or a related field is highly advantageous.
  • Strong understanding of insurance principles and claims handling procedures.
  • Excellent investigative, analytical, and problem-solving skills.
  • Exceptional interpersonal and communication skills, both written and verbal.
  • Ability to empathize with claimants while maintaining objectivity.
  • Proficiency in claims management software.
  • Valid driver's license and willingness to travel locally.

This is an excellent opportunity for an individual with a passion for service and a commitment to fairness to contribute to a trusted insurance organization. If you are organized, ethical, and ready to take on the challenges of claims adjustment, we encourage you to apply.
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