3 Senior Insurance Claims Adjuster jobs in whatjobs
Senior Insurance Claims Adjuster
Posted 3 days ago
Job Viewed
Job Description
We are seeking an experienced and highly motivated Senior Insurance Claims Adjuster to join our dynamic, remote-first team. This critical role involves managing complex insurance claims from initial reporting through to final resolution. The ideal candidate will possess a deep understanding of insurance policies, regulatory requirements, and best practices in claims handling across various lines of business, including property, casualty, and liability. You will be responsible for conducting thorough investigations, assessing damages, negotiating settlements with policyholders and third parties, and authorizing payments in accordance with policy terms and company guidelines.
Key responsibilities include:
The successful candidate will have a proven track record of success in claims adjustment, excellent analytical and problem-solving skills, and exceptional communication and interpersonal abilities. Strong negotiation and conflict resolution skills are essential. This is a fully remote position, requiring self-discipline, excellent time management, and the ability to work independently. Proficiency in claims management software and standard office applications is required. A Bachelor's degree in a related field and relevant professional certifications are highly desirable. This role offers the opportunity to work from anywhere within Kenya, contributing to our mission of providing outstanding service to our clients in Nyeri, Nyeri, KE and beyond.
Key responsibilities include:
- Investigating insurance claims to determine coverage, liability, and damages.
- Interviewing claimants, witnesses, and other relevant parties.
- Reviewing police reports, medical records, and other documentation.
- Estimating repair costs and negotiating settlements within policy limits.
- Preparing detailed claim reports and maintaining accurate records.
- Advising policyholders on claim status and next steps.
- Collaborating with legal counsel on litigated claims.
- Ensuring compliance with all state and federal regulations.
- Mentoring and guiding junior adjusters.
- Contributing to the continuous improvement of claims handling processes.
The successful candidate will have a proven track record of success in claims adjustment, excellent analytical and problem-solving skills, and exceptional communication and interpersonal abilities. Strong negotiation and conflict resolution skills are essential. This is a fully remote position, requiring self-discipline, excellent time management, and the ability to work independently. Proficiency in claims management software and standard office applications is required. A Bachelor's degree in a related field and relevant professional certifications are highly desirable. This role offers the opportunity to work from anywhere within Kenya, contributing to our mission of providing outstanding service to our clients in Nyeri, Nyeri, KE and beyond.
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Senior Insurance Claims Adjuster
Posted 3 days ago
Job Viewed
Job Description
Our client is looking for an experienced and detail-oriented Senior Insurance Claims Adjuster to join their fully remote claims department. This role is essential in investigating, evaluating, and negotiating insurance claims for a diverse range of policyholders. You will be responsible for determining liability, assessing damages, and ensuring fair and timely settlements in accordance with policy terms and regulations. The ideal candidate will possess a strong understanding of insurance policies, claims handling procedures, and relevant legal frameworks. Excellent investigative, analytical, and communication skills are paramount, especially in a remote setting where clear and concise documentation and virtual client interaction are key. You will manage a caseload of complex claims, requiring keen judgment and a commitment to providing exceptional service to policyholders during their time of need.
Key Responsibilities:
Key Responsibilities:
- Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing police reports and other relevant documents.
- Analyze policy coverage and determine the extent of liability and the company's obligation.
- Assess the extent of damages or losses incurred by the policyholder.
- Negotiate settlements with claimants, policyholders, and legal representatives.
- Approve or deny claims based on policy provisions and investigative findings.
- Maintain accurate and thorough claim files, documenting all activities and decisions.
- Communicate effectively with claimants, internal departments, and external parties throughout the claims process via phone, email, and video conferencing.
- Stay updated on relevant laws, regulations, and industry best practices.
- Identify potential fraud and escalate suspicious claims for further investigation.
- Contribute to the development and improvement of claims handling processes.
- Mentor and provide guidance to junior adjusters.
- Bachelor's degree in Business Administration, Finance, or a related field, or equivalent experience.
- A minimum of 5 years of experience in insurance claims adjusting.
- Proficiency in claims management software and standard office applications.
- In-depth knowledge of various insurance lines (e.g., property, auto, liability).
- Strong understanding of insurance contracts, legal principles, and regulatory requirements.
- Exceptional negotiation, communication, and interpersonal skills.
- Excellent analytical and problem-solving abilities.
- Strong organizational skills and the ability to manage a caseload effectively.
- Self-motivated and able to work independently with minimal supervision in a fully remote environment.
- Relevant professional certifications (e.g., adjuster license) are highly desirable.
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Senior Insurance Claims Adjuster
Posted 3 days ago
Job Viewed
Job Description
Our client, a leading innovator in the insurance sector, is seeking a highly experienced and motivated Senior Insurance Claims Adjuster to join their dynamic, fully remote team. This pivotal role involves managing complex insurance claims from initial report to final settlement, ensuring accuracy, fairness, and adherence to policy guidelines and regulatory requirements. You will be responsible for investigating claims, determining coverage, negotiating settlements with policyholders and third-party representatives, and preparing detailed reports. The ideal candidate will possess a strong understanding of various insurance lines, including property, casualty, and liability, and will be adept at utilizing claims management software and digital tools to streamline processes.
Responsibilities:
Responsibilities:
- Conduct thorough investigations into insurance claims to determine cause, circumstances, and extent of liability and coverage.
- Analyze policy terms and conditions to verify coverage and identify any exclusions or limitations.
- Communicate effectively and empathetically with policyholders, providing clear explanations of the claims process, policy coverage, and settlement options.
- Negotiate settlements with claimants, legal representatives, and other involved parties to reach fair and equitable resolutions.
- Prepare comprehensive and accurate claim reports, documenting all findings, actions taken, and recommended resolutions.
- Collaborate with underwriters, legal counsel, and other internal departments to resolve complex claims.
- Stay abreast of industry trends, legislative changes, and best practices in claims management and insurance law.
- Maintain meticulous records of all claim activities and communications in the claims management system.
- Uphold the company's commitment to excellent customer service and ethical claims handling.
- Bachelor's degree in Business Administration, Law, Finance, or a related field is preferred.
- Minimum of 5 years of experience in insurance claims adjusting, with a proven track record of managing complex claims.
- In-depth knowledge of insurance principles, policies, and claims handling procedures across multiple lines of business.
- Exceptional analytical, problem-solving, and critical thinking skills.
- Excellent communication, negotiation, and interpersonal skills, with the ability to handle sensitive situations with tact and professionalism.
- Proficiency in claims management software and standard office applications.
- Ability to work independently and manage a caseload effectively in a remote environment.
- Relevant professional certifications (e.g., ACII, CIP) are a significant asset.
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