6 Lead Insurance Claims Adjuster jobs in whatjobs
Lead Insurance Claims Adjuster
Posted 4 days ago
Job Viewed
Job Description
Our client, a leading provider of insurance services, is looking for a seasoned Lead Insurance Claims Adjuster to manage their remote claims processing team. This is an excellent opportunity to oversee and refine the claims handling process, ensuring fairness and efficiency for policyholders, all from a remote location. As a remote-first organization, we empower our employees with flexibility while maintaining robust communication and support channels. You will be responsible for managing a caseload of complex insurance claims, investigating losses, determining liability, and negotiating settlements. Key duties include evaluating policy coverage, coordinating with external experts (e.g., appraisers, legal counsel), and ensuring timely and accurate claim resolution. You will also mentor and guide junior adjusters, review their work, and provide training on best practices. The ideal candidate will possess a Bachelor's degree in a relevant field (e.g., Business, Finance) and hold professional certifications relevant to claims adjusting. Significant experience in handling various types of insurance claims (e.g., property, auto, liability) is required. Strong analytical, negotiation, and decision-making skills are essential. Excellent written and verbal communication skills are vital for communicating with claimants, witnesses, and legal professionals in a virtual environment. This role demands integrity, empathy, and the ability to manage a high volume of claims independently and efficiently while working remotely. While the role is linked to Meru, Meru, KE , it is a fully remote position, offering unparalleled flexibility in your work setup.
Is this job a match or a miss?
This advertiser has chosen not to accept applicants from your region.
0
Lead Insurance Claims Adjuster
Posted 12 days ago
Job Viewed
Job Description
Our client, a reputable insurance provider, is seeking an experienced and highly skilled Lead Insurance Claims Adjuster to join their fully remote team. This critical role involves overseeing the entire claims process, ensuring fair and timely settlements, and managing a team of claims adjusters. You will be responsible for investigating complex claims, evaluating coverage, negotiating settlements, and ensuring compliance with regulatory standards and company policies. The ideal candidate will possess a comprehensive understanding of insurance claims, exceptional analytical and negotiation skills, and strong leadership capabilities. This fully remote position allows for significant flexibility while demanding a high level of professionalism and accuracy in claim handling.
Responsibilities:
Qualifications:
Responsibilities:
- Lead and manage a team of remote claims adjusters, providing guidance and support.
- Investigate, evaluate, and settle complex insurance claims in accordance with policy provisions and regulations.
- Determine coverage eligibility and liability for claims.
- Negotiate settlements with policyholders, claimants, and legal representatives.
- Ensure timely and accurate processing of claims documentation.
- Conduct field investigations and site inspections (as necessary, remotely coordinated).
- Review and approve claim payments within designated authority levels.
- Maintain open and effective communication with policyholders, claimants, and internal stakeholders.
- Monitor claims trends and identify potential areas for fraud or abuse.
- Train and mentor junior adjusters on best practices and technical aspects of claims handling.
- Ensure compliance with all state and federal insurance regulations.
- Contribute to the development and improvement of claims handling procedures.
- Manage relationships with external vendors, such as repair shops and legal counsel.
Qualifications:
- Bachelor's degree in Business Administration, Finance, or a related field.
- Minimum of 5-7 years of experience in insurance claims adjusting, with a proven track record of handling complex claims.
- Demonstrated leadership or supervisory experience in a claims environment.
- In-depth knowledge of insurance policies, legal principles, and claims investigation techniques.
- Excellent analytical, problem-solving, and decision-making skills.
- Strong negotiation and communication skills, both written and verbal.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently, manage time effectively, and meet deadlines in a remote setting.
- Relevant insurance licenses and certifications are highly desirable.
- Adaptability and a willingness to learn new systems and processes.
Is this job a match or a miss?
This advertiser has chosen not to accept applicants from your region.
1
Lead Insurance Claims Adjuster
Posted 13 days ago
Job Viewed
Job Description
Our client is seeking an experienced and detail-oriented Lead Insurance Claims Adjuster to join their fully remote team. This is a remote-first position, offering flexibility and the opportunity to manage claims from anywhere. You will be responsible for overseeing the claims process, ensuring fair and accurate settlements, and providing exceptional service to policyholders. The ideal candidate will possess a deep understanding of insurance policies, strong investigative skills, and the ability to mentor junior adjusters.
Responsibilities:
Responsibilities:
- Investigate, evaluate, and negotiate complex insurance claims, ensuring compliance with policy terms and regulations.
- Determine coverage and liability for claims across various lines of insurance.
- Communicate effectively with policyholders, claimants, legal counsel, and other stakeholders.
- Manage a caseload of claims, prioritizing tasks and adhering to deadlines.
- Conduct thorough investigations, including gathering evidence, interviewing witnesses, and reviewing documentation.
- Prepare detailed reports on claim findings, settlement recommendations, and case status.
- Provide guidance and mentorship to junior claims adjusters.
- Stay current with industry trends, legal developments, and best practices in claims management.
- Ensure timely and accurate claim payments.
- Collaborate with underwriting and other departments to identify potential risks and fraud.
- Bachelor's degree in Business, Finance, or a related field, or equivalent experience.
- Minimum of 7 years of experience as an insurance claims adjuster.
- Proven experience in a leadership or mentoring role.
- Strong understanding of insurance contracts, policy language, and claims procedures.
- Excellent investigative, analytical, and negotiation skills.
- Exceptional 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.
- Relevant professional certifications (e.g., AIC, CPCU) are a plus.
- High level of integrity and ethical conduct.
Is this job a match or a miss?
This advertiser has chosen not to accept applicants from your region.
2
Lead Insurance Claims Adjuster
Posted 14 days ago
Job Viewed
Job Description
Our client is looking for an experienced and dedicated Lead Insurance Claims Adjuster to spearhead their remote claims processing operations. This fully remote position requires a seasoned professional who can manage a diverse portfolio of claims, ensure efficient processing, and provide expert guidance to a remote team. You will be instrumental in upholding the company's commitment to exceptional customer service and fair claims resolution.
Your responsibilities will include:
The ideal candidate will have a deep understanding of insurance principles, relevant legislation, and claims adjusting best practices. Strong analytical, negotiation, and communication skills are essential. Experience with claims management software and a proven ability to work autonomously in a remote setting are critical. This role demands a high level of integrity, empathy, and attention to detail. You will be empowered to make critical decisions, ensuring that our policyholders receive timely and equitable outcomes. This is a significant opportunity to shape claims handling within a forward-thinking, fully remote insurance organization. Our client values professionalism, a proactive approach, and a commitment to excellence. If you are passionate about delivering fair and efficient claims resolution and are adept at leading a remote team, this position offers a rewarding career path. This role is based in **Garissa, Garissa, KE** but is fully remote.
Your responsibilities will include:
- Overseeing the end-to-end claims handling process for various insurance policies, including property, casualty, and liability.
- Investigating complex claims, determining coverage, and negotiating settlements in accordance with policy terms and legal requirements.
- Providing clear and concise explanations of claim decisions to policyholders and beneficiaries.
- Mentoring and training junior claims adjusters, offering support and best practice guidance.
- Developing and implementing efficient workflows for remote claims processing to enhance productivity and accuracy.
- Collaborating with underwriting, legal, and other departments to ensure comprehensive claims management.
- Maintaining accurate and detailed claim files and documentation, adhering to regulatory standards.
- Analyzing claims data to identify trends, potential fraud, and areas for process improvement.
- Representing the company professionally in all interactions with clients, vendors, and stakeholders.
The ideal candidate will have a deep understanding of insurance principles, relevant legislation, and claims adjusting best practices. Strong analytical, negotiation, and communication skills are essential. Experience with claims management software and a proven ability to work autonomously in a remote setting are critical. This role demands a high level of integrity, empathy, and attention to detail. You will be empowered to make critical decisions, ensuring that our policyholders receive timely and equitable outcomes. This is a significant opportunity to shape claims handling within a forward-thinking, fully remote insurance organization. Our client values professionalism, a proactive approach, and a commitment to excellence. If you are passionate about delivering fair and efficient claims resolution and are adept at leading a remote team, this position offers a rewarding career path. This role is based in **Garissa, Garissa, KE** but is fully remote.
Is this job a match or a miss?
This advertiser has chosen not to accept applicants from your region.
3
Lead Insurance Claims Adjuster
Posted 22 days ago
Job Viewed
Job Description
Our client is seeking an experienced and detail-oriented Lead Insurance Claims Adjuster to manage a fully remote team of adjusters. This vital role involves overseeing the efficient and equitable settlement of insurance claims across various policy types. You will be responsible for training and mentoring claims adjusters, ensuring adherence to company policies and regulatory compliance, and handling complex or escalated claims. The ideal candidate will possess a comprehensive understanding of insurance products, claims investigation procedures, and legal frameworks governing claims settlements. Strong analytical, negotiation, and decision-making skills are essential. You will review claim reports, authorize payments, and ensure accurate documentation and record-keeping. This position requires excellent communication and interpersonal skills, enabling effective interaction with policyholders, legal representatives, and internal stakeholders. We are looking for a proactive leader with a proven ability to manage a remote team, drive performance, and maintain high standards of customer service and fairness. The ability to identify and mitigate fraudulent claims is also a key requirement. This is an excellent opportunity to take on a leadership role in the insurance sector, contributing to prompt and fair claim resolutions while enjoying the flexibility of a fully remote work environment. Your expertise in claims management and team leadership will be instrumental in upholding the reputation and operational efficiency of our insurance services. You will be responsible for ensuring that our claims process is both customer-centric and compliant with all industry standards and regulations.
Is this job a match or a miss?
This advertiser has chosen not to accept applicants from your region.
4
Lead Insurance Claims Adjuster
Posted 24 days ago
Job Viewed
Job Description
Our client, a prominent player in the insurance industry, is seeking a highly experienced Lead Insurance Claims Adjuster to join their fully remote team. This leadership role is responsible for overseeing a team of claims adjusters, ensuring the efficient and accurate processing of insurance claims, and maintaining exceptional customer service standards. You will play a crucial role in developing claims handling best practices, providing expert guidance, and contributing to the overall success of the claims department.
Responsibilities:
The successful candidate will possess a deep understanding of various insurance lines, claims investigation techniques, and settlement negotiation. Excellent communication, interpersonal, and organizational skills are essential for managing a remote team and diverse caseload. A proven ability to handle complex claims and guide others through the process is required.
Responsibilities:
- Lead and mentor a team of insurance claims adjusters, providing guidance on complex claims and case management.
- Develop and implement efficient claims processing procedures and protocols to ensure timely and accurate resolution.
- Review and approve complex or high-value claims, ensuring compliance with policy terms and conditions.
- Conduct thorough investigations of insurance claims, including gathering evidence, interviewing witnesses, and assessing damages.
- Negotiate settlements with policyholders and third parties in a fair and equitable manner.
- Ensure adherence to all relevant insurance regulations and company policies.
- Train and develop claims adjusters, enhancing their technical skills and customer service capabilities.
- Analyze claims data to identify trends, potential fraud, and areas for process improvement.
- Manage the claims backlog and prioritize workload effectively to meet service level agreements.
- Liaise with legal counsel, external adjusters, and other stakeholders as needed.
- Contribute to the development of training materials and ongoing professional development for the claims team.
- Foster a collaborative and high-performing team environment, promoting best practices in claims handling.
- This position is ideal for a seasoned professional seeking to leverage their expertise in a remote capacity, supporting clients and operations related to Mlolongo, Machakos, KE . The successful candidate must demonstrate strong leadership, analytical, and decision-making skills, with a commitment to delivering outstanding service in a remote-first environment.
The successful candidate will possess a deep understanding of various insurance lines, claims investigation techniques, and settlement negotiation. Excellent communication, interpersonal, and organizational skills are essential for managing a remote team and diverse caseload. A proven ability to handle complex claims and guide others through the process is required.
Is this job a match or a miss?
This advertiser has chosen not to accept applicants from your region.
Be The First To Know
About the latest Lead insurance claims adjuster Jobs in Kenya !
5