12 Lead Claims Adjuster jobs in whatjobs

Lead Claims Adjuster

60200 Meru , Eastern KES280000 Annually WhatJobs

Posted 5 days ago

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full-time
Our client, a leading insurance provider, is looking for an experienced and detail-oriented Lead Claims Adjuster to manage and oversee the claims process within their remote operations. This position plays a crucial role in ensuring fair and efficient resolution of insurance claims, adhering to company policies and regulatory standards. As a fully remote role, you will collaborate with a distributed team of adjusters, underwriters, and legal counsel. Your core responsibilities will involve investigating complex claims, negotiating settlements, authorizing payments, and managing a caseload of high-value claims. You will also be responsible for training and mentoring junior claims adjusters, conducting quality assurance reviews, and contributing to the development of claims handling best practices. The ideal candidate possesses strong analytical skills, excellent communication and negotiation abilities, and a thorough understanding of insurance law and practices. Experience with claims management software is essential. We are seeking an individual with a proven track record of integrity, sound judgment, and customer advocacy. This is an excellent opportunity to lead a critical function within a growing insurance company, all from the comfort of your home office. You will be a key contributor to maintaining client satisfaction and upholding the company's reputation for fairness and efficiency. This role offers significant autonomy and the chance to make a real difference in the lives of policyholders. The successful candidate will demonstrate a commitment to continuous learning and adapting to the evolving landscape of the insurance industry. This position is associated with the Meru, Meru, KE region, but is a completely remote opportunity.
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Lead Claims Adjuster

60200 Meru , Eastern KES3800000 Annually WhatJobs

Posted 6 days ago

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full-time
Our client, a rapidly expanding insurance provider, is actively searching for a seasoned Lead Claims Adjuster to spearhead their remote claims processing division. This is a fully remote position, offering flexibility and the opportunity to manage a high-performing team from any location. The successful candidate will oversee the investigation, evaluation, and negotiation of complex insurance claims across various lines of business, including property, casualty, and liability. You will be responsible for ensuring that claims are handled efficiently, accurately, and in compliance with all relevant regulations and company policies. Key duties include mentoring and training junior adjusters, developing and implementing claims handling best practices, and analyzing claim data to identify trends and areas for improvement. You will also serve as a point of escalation for challenging claims and liaise with legal counsel when necessary. Exceptional analytical skills, strong negotiation abilities, and a deep understanding of insurance law and claims management are paramount. Proficiency in claims management software and digital collaboration tools is essential for this remote role. A Bachelor's degree in Business Administration, Finance, or a related field is preferred. Relevant professional certifications (e.g., AIC, CPCU) will be highly regarded. The ideal candidate will possess outstanding leadership qualities, excellent communication and interpersonal skills, and a commitment to delivering exceptional customer service. This is a fantastic opportunity to shape the future of claims handling within a dynamic and forward-thinking organization, working entirely remotely.
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Lead Claims Adjuster

90100 Kisumu KES68000 Annually WhatJobs

Posted 6 days ago

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full-time
Our client is seeking a highly experienced and empathetic Lead Claims Adjuster to manage a remote team and oversee the claims process for a leading insurance provider. This vital role requires a comprehensive understanding of insurance policies, claims investigation, and settlement procedures, with a strong emphasis on delivering exceptional customer service in a virtual environment. The successful candidate will be responsible for handling complex claims, guiding adjusters through challenging cases, and ensuring compliance with all legal and regulatory requirements. You will play a key role in analyzing claims data, identifying trends, and implementing strategies to improve efficiency and reduce fraud. This position demands excellent communication, negotiation, and leadership skills, coupled with a meticulous attention to detail. As a remote leader, you will be proficient in utilizing digital tools for case management, virtual inspections, and team collaboration. Key responsibilities include: Investigating, evaluating, and settling insurance claims in accordance with policy provisions and company guidelines. Managing a portfolio of complex claims, ensuring timely and fair resolution. Leading, training, and mentoring a team of remote claims adjusters. Conducting quality assurance reviews of adjuster work and providing constructive feedback. Developing and implementing claims handling best practices. Collaborating with legal counsel, investigators, and other stakeholders as needed. Analyzing claims data to identify patterns, fraud indicators, and opportunities for process improvement. Ensuring compliance with all state and federal regulations. Communicating effectively with policyholders, claimants, and third parties throughout the claims process. Utilizing claims management software and digital tools for efficient workflow management. Representing the company in mediations or arbitrations when necessary. Contributing to the development of training materials and programs for the claims department. The qualifications include a Bachelor's degree in Business Administration, Law, or a related field. Extensive experience in claims adjusting, with a proven track record of handling complex claims. Minimum of 5 years of leadership experience in a claims environment. Strong knowledge of insurance policies, legal principles, and claims investigation techniques. Excellent negotiation, conflict resolution, and decision-making skills. Superior written and verbal communication abilities. Proficiency in claims management software and standard office productivity tools. Demonstrated success in managing and motivating a remote team. Ability to work independently and manage multiple priorities effectively. This is a remote position, offering the opportunity to work from home and contribute significantly to our claims operations. While our primary operational hub is in **Machakos, Machakos, KE**, your work environment will be entirely digital.
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Lead Claims Adjuster

00200 Ongata Rongai, Rift Valley KES180000 Annually WhatJobs

Posted 7 days ago

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full-time
Our client, a rapidly expanding insurance provider, is actively recruiting for a Lead Claims Adjuster to spearhead their remote claims processing operations. This pivotal role demands a seasoned professional with extensive experience in evaluating and settling insurance claims across various lines of business. As a remote-first employee, you will be responsible for overseeing a team of claims adjusters, ensuring timely and fair resolution of claims, and upholding the company's commitment to exceptional customer service. Your duties will encompass complex claim investigations, detailed report generation, and the development of best practices for claims handling. You will also play a key role in training and mentoring junior adjusters, fostering a high-performance culture within the remote team. Strong knowledge of insurance policies, legal regulations, and industry standards is essential. The successful candidate will possess excellent negotiation, communication, and decision-making skills, with a proven track record of managing challenging cases. A Bachelor's degree in Business Administration, Law, or a related field is preferred, along with a minimum of 7 years of experience in the insurance claims sector, with at least 2 years in a supervisory or leadership capacity. Proficiency in claims management software and Microsoft Office Suite is required. This role requires a self-disciplined individual who thrives in an independent work environment and is adept at managing a remote workforce. You will contribute significantly to the company's reputation for reliability and integrity, operating entirely from your designated remote workspace. We seek an individual with a keen eye for detail, a strong ethical compass, and a dedication to achieving optimal outcomes for both the company and its policyholders. Join us in shaping the future of remote insurance claims management.
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Lead Claims Adjuster

40100 Kisumu KES250000 Annually WhatJobs

Posted 10 days ago

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Job Description

full-time
Our client, a prominent global insurance provider, is seeking an experienced and detail-oriented Lead Claims Adjuster to join their expanding remote workforce. In this critical role, you will be responsible for overseeing the entire claims process, ensuring efficiency, accuracy, and fairness in handling complex insurance claims. You will lead a team of adjusters, providing guidance, training, and support to ensure adherence to company policies and regulatory standards. Key responsibilities include investigating claims, determining coverage, negotiating settlements, and making payment recommendations. You will also be tasked with identifying potential fraud, managing claim litigation, and maintaining clear, concise documentation. The ideal candidate will possess a strong understanding of insurance principles, claim handling best practices, and relevant legal and regulatory frameworks. Exceptional analytical, negotiation, and communication skills are essential for success in this role. Proficiency in claims management software and a commitment to delivering excellent customer service are also required. This position requires a proactive approach, the ability to work independently in a remote setting, and strong leadership capabilities. You will collaborate with internal departments, external vendors, and policyholders to resolve claims effectively. A Bachelor's degree in Business, Finance, or a related field is preferred, along with a minimum of 5 years of experience in claims adjusting, with at least 2 years in a supervisory or leadership capacity. Relevant professional certifications (e.g., CIP, AIC) are a strong asset. If you are a motivated professional looking to make a significant impact in the insurance industry while enjoying the benefits of a remote career, we encourage you to apply. This role is crucial to maintaining our client's reputation for integrity and reliability. You will be a key player in ensuring our policyholders receive the support they need during challenging times. The opportunity is based in Kisumu, Kisumu, KE , but is entirely remote.
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Lead Claims Adjuster

90100 Abothuguchi West KES95000 Annually WhatJobs

Posted 11 days ago

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full-time
Our client is seeking an experienced and detail-oriented Lead Claims Adjuster to oversee a team and manage complex insurance claims. This hybrid role requires a blend of in-office collaboration and remote work flexibility, based in **Machakos, Machakos, KE**. You will be responsible for investigating insurance claims, determining coverage, assessing damages, and negotiating settlements. This position involves supervising junior adjusters, providing guidance, and ensuring adherence to company policies and regulatory standards. The Lead Claims Adjuster will handle high-value and challenging claims, requiring strong analytical skills and a thorough understanding of various insurance policies, including property, casualty, and liability. You will maintain accurate claim files, document all activities, and communicate effectively with policyholders, legal counsel, and other parties involved. This role demands excellent negotiation and conflict-resolution skills, as well as the ability to make sound judgments under pressure. You will also play a key role in training and mentoring team members, contributing to their professional development. The ideal candidate will have a proven track record in claims handling and a commitment to providing exceptional customer service. A deep understanding of the claims process, from initial reporting to final settlement, is essential. This position offers a significant opportunity to advance your career in the insurance industry.

Responsibilities:
  • Lead and mentor a team of claims adjusters, providing guidance and support.
  • Investigate, evaluate, and settle insurance claims in a timely and efficient manner.
  • Determine coverage under various insurance policies and interpret policy language.
  • Conduct thorough damage assessments and obtain necessary estimates and documentation.
  • Negotiate fair settlements with policyholders and third-party representatives.
  • Maintain accurate and detailed claim files, documenting all actions and communications.
  • Ensure compliance with all applicable laws, regulations, and company policies.
  • Handle complex and high-value claims, including litigation and subrogation cases.
  • Develop and deliver training programs for claims adjusters.
  • Contribute to the continuous improvement of claims handling processes and procedures.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field.
  • Minimum of 7 years of experience in insurance claims adjusting.
  • Proven leadership or supervisory experience is a strong advantage.
  • In-depth knowledge of insurance policies, claims investigation techniques, and settlement practices.
  • Excellent negotiation, communication, and interpersonal skills.
  • Strong analytical and problem-solving abilities.
  • Proficiency in claims management software.
  • Relevant professional certifications (e.g., CPCU) are preferred.
  • Ability to manage a caseload effectively and meet deadlines.
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Lead Claims Adjuster

60100 Mwembe KES190000 Annually WhatJobs

Posted 12 days ago

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Job Description

full-time
Our client is seeking an experienced and detail-oriented Lead Claims Adjuster to manage and guide their claims processing team. This is a fully remote position, empowering you to oversee claims operations and provide expert guidance from your home office. You will be responsible for ensuring fair and efficient settlement of insurance claims, adhering to company policies and regulatory requirements. Your role involves leading a team of adjusters, providing training and mentorship, and handling complex or high-value claims. Key responsibilities include investigating claims thoroughly, assessing damages, negotiating settlements, and authorizing payments. You will also be tasked with identifying potential fraud and ensuring compliance with all applicable laws and regulations. The ideal candidate will possess a strong background in insurance claims adjusting, with significant experience in a leadership or supervisory role. A comprehensive understanding of various insurance policies (e.g., property, casualty, auto) and claims handling procedures is essential. Excellent analytical, negotiation, and decision-making skills are paramount. Strong interpersonal and communication abilities are required to effectively manage a remote team and interact with policyholders, legal professionals, and other stakeholders. Proficiency with claims management software and a commitment to customer service excellence are highly desirable. This position offers a significant opportunity to contribute to the integrity and efficiency of our client's claims department. We are looking for a highly organized and ethical professional who can lead by example, maintain high standards of accuracy, and drive positive outcomes for both the company and its policyholders. Your ability to manage challenging cases and resolve disputes effectively will be crucial in this fully remote role. We seek a leader dedicated to ensuring fair and timely claims resolution.
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Lead Claims Adjuster

60200 Meru , Eastern KES1500000 Annually WhatJobs

Posted 14 days ago

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Job Description

full-time
Our client is seeking a seasoned and analytical Lead Claims Adjuster to spearhead their claims department. This is a fully remote position, allowing you to manage claims effectively from the comfort of your home office. Based in the region of **Meru, Meru, KE**, you will be responsible for overseeing the claims process, ensuring fair and efficient settlement of insurance claims. The ideal candidate will possess a comprehensive understanding of insurance policies, claims investigation techniques, and relevant legal and regulatory frameworks. Key responsibilities include managing a caseload of complex claims, guiding and mentoring junior adjusters, and ensuring adherence to company policies and industry best practices. You will conduct thorough investigations, gather evidence, assess damages, and negotiate settlements with policyholders and third parties. A critical part of this role involves reviewing policy coverage, determining liability, and making sound judgments on claim validity. You will also be responsible for maintaining accurate claim files, preparing detailed reports, and providing insights to management on claims trends and potential improvements. Excellent communication, negotiation, and problem-solving skills are essential for success in this role. The ability to interpret complex policy language and apply it to specific claim scenarios is vital. This position demands a high level of integrity, professionalism, and customer service. If you are an experienced claims professional looking to take on a leadership role in a remote-first environment, we encourage you to apply. Contribute your expertise to ensuring fair outcomes for our clients and upholding the reputation of our esteemed insurance provider.
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Lead Claims Adjuster

80200 Nairobi, Nairobi KES140000 Annually WhatJobs

Posted 19 days ago

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Job Description

full-time
Our client, a leading insurance provider, is seeking an experienced and highly capable Lead Claims Adjuster to join their remote claims handling team. This is a fully remote position, allowing you the freedom to manage claims efficiently from any location. The ideal candidate will possess extensive knowledge of insurance policies, claims investigation, and settlement procedures. You will be responsible for overseeing a team of adjusters, ensuring timely and accurate claims resolution, and maintaining high standards of customer service. This role requires strong leadership skills, exceptional analytical abilities, and a thorough understanding of the claims process.

Key Responsibilities:
  • Lead and mentor a team of claims adjusters, providing guidance and support on complex cases.
  • Oversee the entire claims handling process, from initial reporting to final settlement.
  • Review and analyze insurance policies to determine coverage and liability.
  • Conduct thorough investigations, gather evidence, and interview claimants and witnesses.
  • Assess damages and determine the appropriate settlement amount for claims.
  • Ensure compliance with all relevant insurance regulations and company policies.
  • Maintain accurate and detailed claims records and documentation.
  • Negotiate settlements with claimants and their representatives.
  • Identify and address potential fraud indicators.
  • Provide excellent customer service and maintain positive relationships with policyholders.
  • Assist in developing and implementing claims handling procedures and training programs.
  • Monitor team performance and provide regular feedback and coaching.
  • Stay up-to-date with changes in insurance law and industry best practices.

Qualifications:
  • Bachelor's degree in Business Administration, Finance, Law, or a related field.
  • Minimum of 6 years of experience in insurance claims adjusting, with at least 2 years in a supervisory or leadership role.
  • Proven expertise in investigating, evaluating, and settling various types of insurance claims (e.g., auto, property, liability).
  • Thorough understanding of insurance policies, legal principles, and claims procedures.
  • Strong negotiation, conflict resolution, and decision-making skills.
  • Excellent analytical and problem-solving abilities.
  • Exceptional communication and interpersonal skills.
  • Proficiency in claims management software and MS Office Suite.
  • Ability to work independently, manage workload effectively, and meet deadlines in a remote setting.
  • Relevant professional certifications are a plus.
This is a critical role for an experienced claims professional to lead a team and drive efficient claims management, benefiting from the flexibility of a remote work environment. The position is associated with our claims operations in Malindi, Kilifi, KE .
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Lead Claims Adjuster

01000 Makongeni KES120000 Annually WhatJobs

Posted 23 days ago

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Job Description

full-time
Our client, a leading insurance provider, is looking for a seasoned Lead Claims Adjuster to spearhead their claims processing department. This is a fully remote opportunity, allowing you to contribute your expertise from the comfort of your home office. You will be responsible for overseeing the entire claims lifecycle, ensuring fair and efficient resolution for our clients. This includes investigating insurance claims, determining coverage, negotiating settlements, and managing a caseload of complex claims. The Lead Claims Adjuster will also be tasked with mentoring and guiding a team of adjusters, providing training, and ensuring adherence to company policies and regulatory standards. Excellent analytical skills are required to assess damages and liabilities accurately. You will need to build and maintain strong relationships with policyholders, legal representatives, and repair services. Proficiency in claims management software and a thorough understanding of insurance law and best practices are essential. This role demands strong decision-making capabilities, exceptional negotiation skills, and the ability to handle sensitive information with discretion. The successful candidate will be proactive in identifying potential fraud and implementing measures to mitigate risks. You will collaborate with underwriting and actuarial teams to provide insights into claim trends and impacts. A commitment to providing outstanding customer service during challenging times for our clients is paramount. This position offers the chance to make a significant impact on the company's operational efficiency and client satisfaction. The role is based in **Thika, Kiambu, KE**, but is conducted remotely.
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