10 Insurance Claims Adjuster Remote jobs in whatjobs
Insurance Claims Adjuster - Remote
Posted 6 days ago
Job Viewed
Job Description
Our client is seeking a meticulous and empathetic Insurance Claims Adjuster to manage claims processes entirely remotely. This role is vital in ensuring fair and efficient resolution of insurance claims for policyholders. You will be responsible for investigating insurance claims, determining the extent of liability, negotiating settlements, and authorizing payments. This position requires excellent communication skills, a strong understanding of insurance policies and procedures, and the ability to handle sensitive situations with professionalism. You will work with a diverse range of claims, requiring adaptability and keen analytical skills to assess damages and policy coverage accurately.
Responsibilities:
Responsibilities:
- Investigate assigned insurance claims thoroughly and impartially.
- Interview claimants, witnesses, and other involved parties.
- Analyze policy coverage and determine the extent of the insurer's liability.
- Assess damages and estimate the cost of repairs or replacement.
- Negotiate settlements with claimants and their representatives.
- Authorize payments and process claim settlements in a timely manner.
- Maintain accurate and detailed records of all claims activities.
- Communicate claim status and decisions clearly to policyholders.
- Adhere to all regulatory requirements and company policies.
- Identify potential fraudulent claims and escalate for further investigation.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Professional certification in insurance (e.g., ACII, AIIK) is highly desirable.
- Minimum of 3 years of experience in insurance claims adjustment.
- Strong knowledge of insurance policies, legal principles, and claims investigation techniques.
- Excellent analytical, problem-solving, and decision-making skills.
- Exceptional communication, negotiation, and interpersonal skills.
- Proficiency in claims management software and standard office applications.
- Ability to manage a caseload effectively and meet deadlines in a remote environment.
- High degree of integrity and attention to detail.
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Insurance Claims Adjuster - Remote
Posted 11 days ago
Job Viewed
Job Description
Our client is seeking a diligent and empathetic Insurance Claims Adjuster to join their fully remote claims team. This position offers the flexibility to manage claims investigations and settlements from your home office. The ideal candidate will possess a strong understanding of insurance policies, claims processes, and investigative techniques. You will be responsible for receiving, investigating, and processing insurance claims, determining coverage, negotiating settlements, and ensuring fair and timely resolution for policyholders. Excellent communication, negotiation, and problem-solving skills are essential. A commitment to providing exceptional customer service while adhering to company guidelines and regulatory requirements is paramount.
Responsibilities:
Responsibilities:
- Receive, review, and investigate insurance claims submitted by policyholders.
- Determine coverage and liability based on policy terms, conditions, and relevant laws.
- Conduct thorough investigations, including interviewing claimants, witnesses, and other relevant parties.
- Gather and analyze evidence, such as police reports, medical records, and repair estimates.
- Assess the extent of damages or losses and determine the appropriate settlement amount.
- Negotiate settlements with claimants and/or their representatives.
- Manage a caseload of claims efficiently and effectively, ensuring adherence to service standards.
- Maintain accurate and detailed claim files, documenting all activities and decisions.
- Communicate claim status updates regularly to claimants and internal stakeholders.
- Ensure compliance with all applicable insurance regulations and company policies.
- Identify potential fraudulent claims and escalate as necessary.
- Provide exceptional customer service throughout the claims process.
- Collaborate with legal counsel, medical providers, and repair shops as needed.
- Stay updated on claims handling best practices and industry developments.
- Utilize claims management software and systems proficiently.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Minimum of 3 years of experience as an Insurance Claims Adjuster or in a related claims handling role.
- Solid understanding of insurance policies, coverage types, and claims investigation procedures.
- Excellent investigative, analytical, and problem-solving skills.
- Strong negotiation and conflict-resolution abilities.
- Exceptional communication (written and verbal) and interpersonal skills.
- Ability to work independently, manage time effectively, and handle a high volume of claims in a remote setting.
- Proficiency with claims management software and standard office applications.
- Relevant claims adjusting licenses and certifications are a strong asset.
- A proactive attitude and commitment to ethical conduct.
- Must have a reliable high-speed internet connection and a dedicated, quiet workspace.
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1
Insurance Claims Adjuster - Remote
Posted 13 days ago
Job Viewed
Job Description
Our client is seeking a diligent and detail-oriented Insurance Claims Adjuster to join their remote team. This position is fully remote, allowing you to work from the comfort of your home. You will be responsible for investigating, evaluating, and settling insurance claims accurately and efficiently. The ideal candidate will possess strong analytical skills, excellent customer service abilities, and a thorough understanding of insurance policies and claims processes. You will play a vital role in ensuring customer satisfaction and upholding the integrity of the claims department.
Responsibilities:
Qualifications:
This is an excellent opportunity for an experienced claims professional to excel in a remote role, contributing significantly to the efficient and fair resolution of claims for our client. The role is linked to **Nyeri, Nyeri, KE**, but the work is performed entirely remotely.
Responsibilities:
- Receive, investigate, and assess insurance claims.
- Interview claimants, policyholders, and witnesses to gather information.
- Examine policy coverage and determine the extent of the insurer's liability.
- Review damage reports, medical records, and other relevant documentation.
- Negotiate claim settlements with claimants or their representatives.
- Prepare detailed claim reports and documentation.
- Ensure compliance with all company policies, procedures, and regulatory requirements.
- Maintain accurate and up-to-date claim files in the claims management system.
- Provide excellent customer service throughout the claims process.
- Identify potential fraudulent claims and follow established protocols.
- Collaborate effectively with internal teams and external stakeholders in a remote setting.
- Manage a caseload of claims efficiently and prioritize effectively.
Qualifications:
- Proven experience as an Insurance Claims Adjuster or in a similar role.
- In-depth knowledge of insurance policies, claims investigation, and settlement procedures.
- Strong analytical, critical thinking, and problem-solving skills.
- Excellent communication, negotiation, and interpersonal skills.
- Proficiency in claims management software and MS Office Suite.
- Ability to work independently, manage time effectively, and meet deadlines in a remote environment.
- High school diploma or equivalent; Bachelor's degree is a plus.
- Relevant insurance certifications (e.g., FLMI) are an advantage.
- High level of integrity and attention to detail.
- Ability to handle sensitive information with discretion.
This is an excellent opportunity for an experienced claims professional to excel in a remote role, contributing significantly to the efficient and fair resolution of claims for our client. The role is linked to **Nyeri, Nyeri, KE**, but the work is performed entirely remotely.
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2
Insurance Claims Adjuster - Remote
Posted 19 days ago
Job Viewed
Job Description
Our client, a leading name in the insurance industry, is looking for a diligent and customer-focused Insurance Claims Adjuster to join their expanding, fully remote claims department. This position is ideal for a motivated professional who can manage a caseload of insurance claims efficiently and empathetically, all from a remote work environment. You will be responsible for investigating, evaluating, and settling insurance claims in accordance with company policies and legal regulations. This includes gathering information from policyholders, witnesses, and other relevant parties; analyzing policy coverage; determining liability; and negotiating fair settlements. The ideal candidate possesses a strong understanding of insurance principles and claims processes, excellent investigative skills, and the ability to make sound judgments. Exceptional communication, negotiation, and interpersonal skills are crucial for interacting with policyholders, claimants, and other stakeholders during often stressful situations. You must be highly organized, detail-oriented, and capable of managing multiple claims simultaneously while adhering to strict deadlines. As this is a fully remote role, a high degree of self-discipline, autonomy, and proficiency in using claims management software and remote communication tools is essential. You will play a vital role in upholding our client's commitment to fair and efficient claims handling, ensuring customer satisfaction and trust, all while working from the convenience of your home.
Responsibilities:
Qualifications:
Responsibilities:
- Investigate, evaluate, and settle insurance claims accurately and efficiently.
- Gather information from policyholders, witnesses, and relevant documentation.
- Analyze policy coverage and determine liability for claims.
- Negotiate claim settlements with policyholders and claimants.
- Communicate effectively with all parties involved in the claims process.
- Maintain accurate and up-to-date claim files and documentation.
- Ensure compliance with all relevant insurance laws and regulations.
- Adhere to company policies and procedures for claims handling.
- Identify potential fraud indicators and escalate as necessary.
- Contribute to process improvement initiatives within the claims department.
- This is a fully remote position, requiring the ability to work independently and manage a claims portfolio from a home office.
Qualifications:
- Bachelor's degree in Business Administration, Finance, or a related field.
- Relevant professional certifications (e.g., ACII, CPCU) are highly desirable.
- Minimum of 4 years of experience as an insurance claims adjuster or in a related claims role.
- Strong understanding of insurance policies, claims investigation, and settlement practices.
- Excellent investigative, analytical, and problem-solving skills.
- Superior negotiation and communication abilities.
- Proficiency in claims management software and standard office applications.
- High degree of organization, attention to detail, and time management skills.
- Ability to work autonomously and manage workload effectively in a remote setting.
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3
Insurance Claims Adjuster (Remote)
Posted 20 days ago
Job Viewed
Job Description
Our client is seeking a diligent and customer-focused Insurance Claims Adjuster to join their fully remote team. This role is essential for investigating, evaluating, and settling insurance claims efficiently and fairly. The successful candidate will manage a caseload of diverse claims, ensuring prompt resolution while adhering to company policies and regulatory requirements. You will conduct thorough investigations, gather evidence, interview claimants and witnesses, and assess damages to determine liability and coverage. Strong analytical and negotiation skills are crucial for evaluating claims and reaching mutually agreeable settlements. This position is remote, requiring excellent communication skills, attention to detail, and the ability to manage your workload effectively from home. You will be responsible for accurately documenting all claim activities, maintaining clear and concise records, and preparing detailed reports. Building rapport with clients and providing them with exceptional service throughout the claims process is paramount. The ability to interpret insurance policies and apply them to specific claim scenarios is essential. You will collaborate with internal departments, such as underwriting and legal, as well as external parties, including repair shops and medical providers. This role offers a rewarding opportunity to assist individuals during challenging times and contribute to the efficient operation of the insurance business.
Responsibilities:
Qualifications:
Responsibilities:
- Investigate insurance claims by gathering information, interviewing involved parties, and reviewing documentation.
- Evaluate claims to determine coverage, liability, and extent of damages.
- Negotiate settlements with claimants and their representatives.
- Manage a caseload of assigned claims from initiation to closure.
- Document all claim activities, findings, and decisions accurately and promptly.
- Prepare detailed claim reports for management review.
- Ensure compliance with all company policies and relevant insurance regulations.
- Maintain professional communication with claimants, witnesses, and other stakeholders.
- Assess damages and estimate repair or replacement costs.
- Collaborate with internal departments and external service providers.
- Identify potential fraud or suspicious claims and report them accordingly.
- Provide excellent customer service throughout the claims process.
Qualifications:
- High school diploma or equivalent; a Bachelor's degree is a plus.
- Proven experience as an Insurance Claims Adjuster or in a related role.
- Strong understanding of insurance policies, claims procedures, and relevant regulations.
- Excellent investigative, analytical, and problem-solving skills.
- Effective negotiation and communication abilities.
- Proficiency in claims management software and MS Office Suite.
- Ability to manage time effectively and prioritize tasks in a remote environment.
- Strong attention to detail and organizational skills.
- Customer-centric approach and ability to handle sensitive situations.
- Relevant insurance certifications are an advantage.
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4
Insurance Claims Adjuster (Remote)
Posted 25 days ago
Job Viewed
Job Description
Our client, a distinguished and reputable insurance company, is actively seeking a detail-oriented and experienced Insurance Claims Adjuster to join their fully remote team. This role is integral to the company's commitment to efficient and fair claims processing, ensuring policyholders receive prompt and accurate settlements. You will manage a caseload of diverse insurance claims, from initial reporting through investigation, evaluation, and final resolution. Responsibilities include interviewing claimants and witnesses, inspecting damaged property, reviewing policy coverage, negotiating settlements, and authorizing payments in accordance with policy terms and company guidelines. The ideal candidate possesses a strong understanding of insurance principles, claims investigation techniques, and relevant legal and regulatory requirements. Exceptional analytical, investigative, and negotiation skills are paramount. You must be adept at managing complex cases, maintaining meticulous documentation, and communicating effectively with claimants, legal counsel, and other parties involved. This is a remote position, requiring a high degree of self-discipline, organization, and proficiency in using digital claims management systems. A commitment to ethical practices and delivering outstanding customer service during challenging times for policyholders is essential. If you are a proactive problem-solver with a keen eye for detail and a desire to advance your career in the insurance industry from the comfort of your home office, this is an excellent opportunity. You will play a vital role in upholding the company's integrity and supporting policyholders when they need it most.
Responsibilities:
Responsibilities:
- Investigate insurance claims by gathering information, interviewing parties involved, and inspecting damages.
- Evaluate policy coverage and determine the extent of the insurer's liability.
- Negotiate settlements with claimants and their representatives.
- Authorize and process claim payments according to policy terms and company procedures.
- Maintain accurate and thorough claim files and documentation.
- Communicate claim status and decisions clearly and professionally to policyholders.
- Identify potential fraud and escalate suspicious claims for further investigation.
- Adhere to all applicable laws, regulations, and ethical standards.
- Utilize claims management software and other digital tools effectively.
- Provide exceptional customer service throughout the claims process.
- Bachelor's degree in Business, Finance, Law, or a related field.
- Minimum of 3-5 years of experience as an Insurance Claims Adjuster.
- In-depth knowledge of insurance policies, claims procedures, and relevant regulations.
- Strong analytical, investigative, and problem-solving skills.
- Excellent negotiation and communication abilities.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently and manage a caseload effectively in a remote environment.
- Relevant professional certifications (e.g., Associate in Claims - AIC) are a plus.
- A valid driver's license and a clean driving record may be required for occasional on-site inspections if applicable, though this is a remote role.
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5
Insurance Claims Adjuster - Remote
Posted 26 days ago
Job Viewed
Job Description
Our client, a reputable insurance provider, is seeking a diligent and professional Insurance Claims Adjuster to join their fully remote claims department. This role is responsible for managing and processing insurance claims efficiently and accurately, ensuring customer satisfaction while upholding company policies. You will investigate insurance claims, determine liability, negotiate settlements, and authorize payments within policy limits. The ideal candidate will have a strong understanding of insurance policies, claims procedures, and excellent customer service skills. This position offers the flexibility to work from home, requiring strong organizational skills and the ability to manage a caseload independently.
Key Responsibilities:
The ideal candidate will possess a Bachelor's degree in Business Administration, Finance, or a related field, or equivalent work experience. Relevant insurance certifications (e.g., ACII) are highly desirable. Proven experience as a Claims Adjuster or in a similar insurance role is required. Strong analytical, investigative, and negotiation skills are essential. Excellent written and verbal communication skills, along with a customer-centric approach, are paramount. Proficiency in claims management software and standard office applications is necessary. This remote position demands self-motivation, discipline, and the ability to work effectively without direct supervision.
Key Responsibilities:
- Receive, review, and process insurance claims in a timely and accurate manner.
- Investigate assigned claims by gathering information through interviews, reviewing policy details, and examining supporting documents.
- Determine coverage, liability, and validity of claims based on policy terms and conditions.
- Communicate effectively with policyholders, witnesses, and other relevant parties to gather information and explain claim status.
- Negotiate settlements with claimants and/or their legal representatives within authorized limits.
- Authorize payments for approved claims.
- Maintain detailed and accurate records of all claim activities, investigations, and decisions.
- Ensure compliance with all relevant insurance regulations and company procedures.
- Identify potential cases of fraud and escalate them for further investigation.
- Provide exceptional customer service throughout the claims process.
- Stay updated on changes in insurance law, policy interpretation, and claims handling best practices.
- Manage a caseload of diverse claims, prioritizing effectively to meet service level agreements.
The ideal candidate will possess a Bachelor's degree in Business Administration, Finance, or a related field, or equivalent work experience. Relevant insurance certifications (e.g., ACII) are highly desirable. Proven experience as a Claims Adjuster or in a similar insurance role is required. Strong analytical, investigative, and negotiation skills are essential. Excellent written and verbal communication skills, along with a customer-centric approach, are paramount. Proficiency in claims management software and standard office applications is necessary. This remote position demands self-motivation, discipline, and the ability to work effectively without direct supervision.
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6
Insurance Claims Adjuster - Remote
Posted 26 days ago
Job Viewed
Job Description
Our client, a prominent insurance provider, is seeking to onboard a dedicated and detail-oriented Insurance Claims Adjuster to join their fully remote claims processing team. This position is crucial for investigating, evaluating, and settling insurance claims efficiently and fairly. As a remote adjuster, you will manage claims from initiation to resolution, liaising with policyholders, witnesses, and other parties involved. This role demands strong analytical skills, excellent communication abilities, and a commitment to upholding ethical standards. The ability to work independently and manage a caseload effectively from a remote location is essential.
Key Responsibilities:
The ideal candidate will possess a Bachelor's degree or equivalent experience in a relevant field, such as business, finance, or law. Previous experience as a claims adjuster, in insurance, or in a related customer service or investigation role is highly advantageous. Strong analytical, negotiation, and decision-making skills are essential. Excellent written and verbal communication skills are required to interact effectively with a wide range of individuals. You must be highly organized, detail-oriented, and capable of managing your time effectively in a remote work environment. A proactive approach to problem-solving and a commitment to providing exceptional customer service are paramount. This remote position serves clients and operations relevant to the Embu, Embu, KE region and beyond.
Key Responsibilities:
- Investigate insurance claims by gathering relevant information, such as policy details, incident reports, and witness statements.
- Evaluate the extent of liability and coverage in accordance with policy terms and conditions.
- Conduct thorough damage assessments and determine the value of claims.
- Negotiate settlements with policyholders and claimants.
- Process claim payments and manage related documentation accurately.
- Communicate effectively with policyholders, providing clear explanations of claim status and settlement offers.
- Work collaboratively with internal legal counsel, medical professionals, and other experts as needed.
- Maintain up-to-date and detailed records of all claim activities in the company's claims management system.
- Ensure compliance with all relevant insurance regulations and company policies.
- Identify potential instances of fraud and escalate them to the appropriate department.
- Adhere to service level agreements (SLAs) for claim handling and resolution times.
- Continuously improve knowledge of insurance products, claims procedures, and industry best practices.
- Manage a diverse portfolio of claims remotely, prioritizing workload to meet deadlines.
The ideal candidate will possess a Bachelor's degree or equivalent experience in a relevant field, such as business, finance, or law. Previous experience as a claims adjuster, in insurance, or in a related customer service or investigation role is highly advantageous. Strong analytical, negotiation, and decision-making skills are essential. Excellent written and verbal communication skills are required to interact effectively with a wide range of individuals. You must be highly organized, detail-oriented, and capable of managing your time effectively in a remote work environment. A proactive approach to problem-solving and a commitment to providing exceptional customer service are paramount. This remote position serves clients and operations relevant to the Embu, Embu, KE region and beyond.
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7
Insurance Claims Adjuster (Remote)
Posted 27 days ago
Job Viewed
Job Description
Our client, a reputable and forward-thinking insurance provider, is seeking a dedicated and detail-oriented Insurance Claims Adjuster to join their expanding remote team. This role is crucial in ensuring that claims are processed efficiently, fairly, and in accordance with company policies and regulatory requirements. As a remote Claims Adjuster, you will be responsible for investigating insurance claims, determining coverage, and negotiating settlements with policyholders and claimants. This involves reviewing policy documents, gathering evidence, interviewing witnesses, assessing damages, and documenting all findings accurately. You will work closely with legal counsel, repair services, and medical professionals as needed to facilitate the claims process. The ability to communicate complex information clearly and empathetically to individuals who may be experiencing distress is paramount. This position requires strong analytical skills, excellent decision-making capabilities, and a commitment to providing exceptional customer service, all within a fully remote setup. You will manage a caseload of claims, prioritize tasks effectively, and adhere to strict deadlines. Proficiency in claims management software and a thorough understanding of insurance principles and practices are essential. This is an excellent opportunity for an experienced adjuster to advance their career in a flexible, remote capacity, contributing to the integrity and efficiency of our client's claims department.
Responsibilities:
Qualifications:
Responsibilities:
- Investigate and evaluate insurance claims thoroughly.
- Determine coverage based on policy terms and conditions.
- Negotiate settlements with claimants and policyholders.
- Document all claim activities and findings accurately.
- Gather evidence, including statements, reports, and photographs.
- Assess damages and estimate repair costs.
- Communicate effectively and empathetically with all parties involved.
- Manage a caseload of claims efficiently and prioritize effectively.
- Ensure compliance with company policies and relevant regulations.
- Collaborate with internal and external stakeholders as required.
Qualifications:
- Proven experience as an Insurance Claims Adjuster or in a similar role.
- In-depth knowledge of insurance policies, claims investigation, and settlement procedures.
- Strong analytical and problem-solving skills.
- Excellent negotiation and communication abilities.
- Proficiency in claims management software.
- Ability to work independently and manage time effectively in a remote setting.
- Relevant professional certifications are a plus.
- Bachelor's degree in a related field or equivalent experience.
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