4 Senior Claims Adjuster Specialist jobs in whatjobs
Senior Claims Adjuster Specialist
Posted today
Job Viewed
Job Description
Our client is seeking a highly proficient Senior Claims Adjuster Specialist to join their fully remote team. This role is critical for managing complex insurance claims from initiation to settlement. You will be responsible for investigating, evaluating, and negotiating claims across various lines of insurance, ensuring fair and timely resolution while adhering to policy terms and regulatory requirements. As a remote-first position, you will have the flexibility to work from anywhere within Kenya, contributing your expertise to our client's nationwide operations.
Responsibilities:
Responsibilities:
- Investigate and evaluate insurance claims, determining coverage and liability.
- Conduct thorough research, gather documentation, and interview relevant parties to establish facts of loss.
- Negotiate settlements with claimants, policyholders, and legal representatives.
- Prepare detailed reports on claim investigations, findings, and recommendations.
- Ensure claims processing aligns with company policies, industry best practices, and legal/regulatory standards.
- Manage a caseload of complex claims, prioritizing and organizing work effectively.
- Identify potential fraud indicators and escalate suspicious claims for further investigation.
- Maintain accurate and up-to-date claim records in the internal system.
- Provide clear and consistent communication to all stakeholders regarding claim status and resolution.
- Contribute to the development and improvement of claims handling procedures.
- Bachelor's degree in Business Administration, Finance, Law, or a related field.
- Minimum of 4 years of experience in insurance claims adjusting or a similar role.
- Proven track record in handling complex claims (e.g., auto, property, liability).
- Strong understanding of insurance policies, legal principles, and regulatory frameworks.
- Excellent negotiation, communication, and interpersonal skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to analyze complex information and make sound judgments.
- Demonstrated ability to work independently and manage time effectively in a remote setting.
- High level of integrity and attention to detail.
- Professional certifications in insurance (e.g., ACII, IIA) are highly desirable.
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Senior Claims Adjuster Specialist
Posted today
Job Viewed
Job Description
Our client is seeking a highly experienced and detail-oriented Senior Claims Adjuster Specialist to join their dynamic, remote-first team. This pivotal role involves managing complex insurance claims from initial report to final settlement, ensuring compliance with all regulations and company policies. The ideal candidate will possess a deep understanding of various insurance lines, including property, casualty, and liability, and be adept at investigating claims, determining coverage, negotiating settlements, and authorizing payments. You will be responsible for conducting thorough investigations, which may involve reviewing police reports, medical records, repair estimates, and witness statements. A critical part of your role will be to interpret policy documents and apply them to specific claim circumstances. You will also be tasked with liaising with policyholders, legal counsel, and other third parties to gather information and facilitate the claims process. Excellent communication and negotiation skills are paramount, as you will be interacting with diverse stakeholders on a daily basis. The ability to work independently, manage a caseload efficiently, and meet strict deadlines is essential for success in this fully remote position. You will leverage advanced analytical skills to assess damages, evaluate liability, and determine appropriate reserve amounts. Documentation must be meticulously maintained in our claims management system. We are looking for a proactive problem-solver with a commitment to providing exceptional customer service throughout the claims lifecycle. This role offers the flexibility of a fully remote setup, allowing you to work from anywhere within **Thika, Kiambu, KE**. If you are a seasoned insurance professional looking for a challenging and rewarding remote opportunity, we encourage you to apply.
Responsibilities:
Responsibilities:
- Manage a portfolio of complex insurance claims across multiple lines of business.
- Conduct thorough investigations, gather evidence, and interview relevant parties.
- Interpret insurance policies and apply terms and conditions to claim scenarios.
- Negotiate settlements with claimants and their representatives in a fair and timely manner.
- Approve and authorize claim payments within established authority limits.
- Maintain accurate and detailed records of all claim activities and communications.
- Collaborate with internal and external stakeholders, including legal counsel and medical providers.
- Ensure compliance with all relevant laws, regulations, and company policies.
- Identify potential subrogation or salvage opportunities.
- Provide exceptional customer service and support to policyholders during the claims process.
- Bachelor's degree in Business Administration, Finance, or a related field (or equivalent experience).
- Minimum of 5-7 years of experience in claims adjusting, with a focus on complex claims.
- Strong knowledge of insurance principles, policies, and claims procedures.
- Excellent analytical, problem-solving, and decision-making skills.
- Exceptional written and verbal communication and interpersonal skills.
- Proven ability to negotiate effectively and manage conflict.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently and manage time effectively in a remote setting.
- Relevant professional certifications (e.g., AIC, CPCU) are a plus.
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1
Senior Claims Adjuster Specialist
Posted today
Job Viewed
Job Description
Our client is seeking a highly skilled and experienced Senior Claims Adjuster Specialist to join their dynamic, fully remote team. This pivotal role will involve managing complex insurance claims from initial reporting to final resolution, ensuring adherence to policy terms, legal regulations, and company standards. The ideal candidate will possess a deep understanding of various insurance lines, including property, casualty, and liability. Responsibilities include conducting thorough investigations, interviewing claimants and witnesses, analyzing policy coverage, assessing damages, negotiating settlements, and preparing detailed reports. You will be responsible for maintaining accurate claim files, utilizing company-provided software and tools, and collaborating with legal counsel and other stakeholders when necessary. This is a remote-first position, requiring a dedicated home office setup and strong self-management skills. You will be expected to maintain high levels of productivity and quality of work without direct supervision. A commitment to continuous learning and staying updated on industry trends and best practices is crucial. Excellent communication, analytical thinking, and problem-solving abilities are paramount. The successful candidate will demonstrate exceptional attention to detail, integrity, and a customer-centric approach. Join a forward-thinking organization that values innovation and offers significant opportunities for professional growth in the insurance sector. This position is based in the **Embu, Embu, KE** region and offers the flexibility of working from anywhere within Kenya.
Key Responsibilities:
Key Responsibilities:
- Investigate, evaluate, and settle insurance claims efficiently and effectively.
- Interpret and apply policy provisions to specific claims situations.
- Conduct interviews, gather evidence, and document all findings meticulously.
- Calculate and negotiate fair and equitable settlements.
- Prepare comprehensive claim reports and maintain organized records.
- Collaborate with internal departments and external parties as needed.
- Adhere to all regulatory requirements and company policies.
- Provide exceptional customer service throughout the claims process.
- Proven experience as a Claims Adjuster or similar role within the insurance industry.
- In-depth knowledge of insurance policies, procedures, and relevant legislation.
- Strong analytical, negotiation, and decision-making skills.
- Excellent written and verbal communication abilities.
- Proficiency in claims management software and Microsoft Office Suite.
- Bachelor's degree in a relevant field or equivalent practical experience.
- Ability to work independently and manage a caseload effectively in a remote setting.
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2
Senior Claims Adjuster Specialist
Posted 28 days ago
Job Viewed
Job Description
Our client is seeking an experienced and detail-oriented Senior Claims Adjuster Specialist to manage complex insurance claims efficiently and effectively. This is a fully remote position, offering the opportunity to manage claims from anywhere while ensuring fair and timely settlements. You will be responsible for investigating insurance claims, assessing liability, determining coverage, and negotiating settlements for policyholders. The ideal candidate possesses a deep understanding of insurance policies, strong investigative skills, excellent negotiation abilities, and a commitment to providing exceptional customer service. This role requires meticulous record-keeping, adherence to regulatory compliance, and the ability to make informed decisions under pressure.
Key Responsibilities:
Key Responsibilities:
- Investigate insurance claims, gathering all necessary documentation and evidence.
- Analyze insurance policies to determine coverage and applicability to the claim.
- Assess liability and determine the extent of the company's responsibility for the loss.
- Communicate effectively with claimants, policyholders, witnesses, and legal representatives.
- Negotiate settlements with claimants and their representatives in a fair and professional manner.
- Prepare detailed reports on claim investigations, findings, and settlement recommendations.
- Ensure all claims handling activities comply with company policies and regulatory requirements.
- Manage a caseload of complex claims, prioritizing tasks and meeting deadlines.
- Identify potential fraud and escalate suspicious claims to the appropriate department.
- Provide guidance and support to junior claims adjusters.
- Maintain accurate and organized claim files and documentation.
- Stay informed about changes in insurance laws and regulations.
- Bachelor's degree in Business Administration, Finance, Law, or a related field.
- Minimum of 5 years of experience in insurance claims adjustment, with a focus on complex claims.
- Proven experience in investigating, evaluating, and settling various types of insurance claims (e.g., property, casualty, auto).
- Strong knowledge of insurance principles, policy language, and claims handling procedures.
- Excellent negotiation, communication, and interpersonal skills.
- Proficiency in claims management software and standard office applications.
- Strong analytical and problem-solving abilities.
- Ability to work independently, manage time effectively, and meet deadlines in a remote environment.
- Relevant insurance certifications (e.g., ACII, CPCU) are highly desirable.
- Demonstrated ability to handle sensitive information with discretion and professionalism.
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This advertiser has chosen not to accept applicants from your region.
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