Explore claims adjuster positions, where professionals investigate insurance claims to determine the extent of the insurer's liability. Claims adjusters examine What Jobs are available for Claims Adjuster in Kenya?
Showing 157 Claims Adjuster jobs in Kenya
Claims Adjuster
Posted 19 days ago
Job Viewed
Job Description
Our client, a reputable insurance provider, is seeking a dedicated and meticulous Claims Adjuster to manage and process insurance claims efficiently. This role is entirely remote, offering the flexibility to work from your home office. The successful candidate will be responsible for investigating claims, determining liability, and negotiating settlements in accordance with policy terms and conditions.
Responsibilities:
Responsibilities:
- Investigate insurance claims promptly and thoroughly to determine coverage and liability.
- Interview claimants, witnesses, and other parties involved in an incident.
- Gather and analyze evidence, including police reports, medical records, and property damage assessments.
- Evaluate policy coverage and interpret policy language to ensure accurate claim adjudication.
- Negotiate settlements with claimants and their representatives in a fair and timely manner.
- Prepare detailed claim reports, documenting findings, decisions, and settlement recommendations.
- Maintain accurate and organized claim files, ensuring all documentation is up-to-date.
- Adhere to company policies, industry best practices, and regulatory requirements.
- Provide excellent customer service to policyholders throughout the claims process.
- Identify potential cases of fraud and report them to the appropriate department.
- High school diploma or equivalent; a Bachelor's degree in Business, Finance, or a related field is advantageous.
- Relevant insurance certifications (e.g., ACII, CIP) are highly desirable.
- Proven experience as a Claims Adjuster or in a similar role within the insurance industry.
- Strong understanding of insurance policies, claims handling procedures, and legal/regulatory frameworks.
- Excellent investigative, analytical, and problem-solving skills.
- Exceptional negotiation and communication skills, both written and verbal.
- High level of integrity and attention to detail.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to manage a caseload effectively and prioritize tasks in a remote setting.
- Customer-focused approach with a commitment to providing professional service.
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Insurance Claims Adjuster
Posted 21 days ago
Job Viewed
Job Description
Our client, a reputable insurance company, is seeking a dedicated Insurance Claims Adjuster to manage and process claims efficiently. This is a field-based contractor role requiring active engagement with policyholders and relevant parties. You will be responsible for investigating insurance claims, determining coverage, negotiating settlements, and ensuring fair and timely resolution for various types of claims, including property, auto, and liability. The ideal candidate possesses strong investigative skills, excellent negotiation abilities, and a commitment to providing exceptional customer service.
Responsibilities:
Responsibilities:
- Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing relevant documents.
- Determine the extent of liability and coverage based on policy terms and conditions.
- Assess damages and negotiate fair settlements with policyholders and third parties.
- Coordinate with repair shops, medical providers, legal counsel, and other relevant parties as needed.
- Prepare detailed damage estimates and claim reports.
- Ensure claims are processed accurately and in compliance with company policies and regulatory requirements.
- Maintain organized and up-to-date claim files.
- Provide clear explanations of policy coverage and claim procedures to policyholders.
- Identify potential fraud indicators and escalate suspicious claims for further investigation.
- Manage a caseload of claims, ensuring timely progress and resolution.
- Attend required meetings and training sessions to stay updated on insurance practices and regulations.
- Represent the company professionally in all interactions with clients and external parties.
- High school diploma or equivalent; a Bachelor's degree is preferred.
- Proven experience as an Insurance Claims Adjuster or in a similar role.
- Valid Kenyan Driver's License and a reliable vehicle for field visits.
- Strong understanding of insurance policies, claims processes, and relevant legal frameworks.
- Excellent investigative, analytical, and problem-solving skills.
- Exceptional negotiation and communication abilities.
- Proficiency in claims management software and MS Office Suite.
- High level of integrity and ethical conduct.
- Ability to manage time effectively, prioritize tasks, and meet deadlines.
- Strong customer service orientation.
- Willingness to travel within the assigned territory and conduct field investigations.
- Relevant insurance certifications or licenses are a strong asset.
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Insurance Claims Adjuster
Posted 3 days ago
Job Viewed
Job Description
Our client is seeking a dedicated and detail-oriented Insurance Claims Adjuster to join their expanding team. This is a fully remote position, offering the flexibility to work from anywhere while managing a portfolio of insurance claims. The successful candidate will be responsible for investigating, evaluating, and negotiating insurance claims in accordance with company policies and regulations. You will engage with policyholders, witnesses, and relevant parties to gather information, assess damages or losses, and determine coverage. Accurate documentation, clear communication, and timely claim resolution are paramount. This role requires a strong understanding of insurance principles, excellent analytical skills, and the ability to make sound judgments. You will need to conduct thorough investigations, which may involve reviewing policy documents, obtaining statements, inspecting property, and coordinating with experts when necessary. Building rapport with claimants while maintaining impartiality and adhering to ethical standards is key. The ability to manage a caseload effectively, prioritize tasks, and meet deadlines in a remote work environment is crucial. We are looking for an individual with a high degree of integrity and a commitment to providing exceptional service to our clients during a potentially stressful time. This is an excellent opportunity for a motivated professional to grow within the insurance industry.
Key Responsibilities:
Key Responsibilities:
- Receive, review, and process insurance claims from policyholders.
- Investigate assigned claims to determine the extent of liability and coverage.
- Gather relevant documentation, including police reports, medical records, and repair estimates.
- Interview claimants, witnesses, and relevant parties to obtain detailed information.
- Conduct site inspections or arrange for independent adjusters as needed.
- Evaluate damages and negotiate fair and equitable settlements.
- Interpret policy provisions and apply them to specific claim situations.
- Maintain accurate and thorough claim files, documenting all actions and communications.
- Ensure timely and efficient claim resolution in compliance with company guidelines and regulatory requirements.
- Communicate effectively with claimants, legal representatives, and internal stakeholders.
- Identify potential fraud and escalate suspicious claims for further investigation.
- Stay updated on industry trends, legal changes, and best practices in claims adjusting.
- Proven experience as an Insurance Claims Adjuster or similar role.
- In-depth knowledge of insurance policies, claims procedures, and relevant legislation.
- Excellent investigation, analytical, and negotiation skills.
- Strong communication, interpersonal, and customer service abilities.
- Proficiency in claims management software and MS Office Suite.
- Ability to work independently, manage time effectively, and meet deadlines.
- High degree of integrity, professionalism, and attention to detail.
- Bachelor's degree in Business, Law, or a related field is preferred.
- Relevant insurance certifications are a plus.
- Adaptability to working in a fully remote environment.
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2
Claims Adjuster, Complex Claims
Posted 18 days ago
Job Viewed
Job Description
Our client is seeking a seasoned Claims Adjuster with expertise in handling complex insurance claims. This is a fully remote position, offering the flexibility to work from home. The successful candidate will be responsible for investigating, evaluating, and settling a wide range of complex claims, ensuring fair and timely resolution for policyholders. You will conduct thorough investigations, determine coverage under policy terms, negotiate settlements, and manage claims files with meticulous attention to detail. This role requires strong analytical skills, excellent negotiation abilities, and a deep understanding of insurance principles.
Responsibilities:
Qualifications:
Responsibilities:
- Investigate assigned complex insurance claims thoroughly and impartially, gathering all necessary documentation and evidence.
- Evaluate coverage based on policy terms, conditions, and applicable laws.
- Determine liability and assess damages for each claim.
- Conduct interviews with claimants, witnesses, and other relevant parties.
- Negotiate settlements with claimants, attorneys, and other stakeholders in a fair and efficient manner.
- Manage a caseload of complex claims, ensuring timely progress and resolution.
- Prepare detailed reports documenting claim investigations, findings, and settlement recommendations.
- Maintain accurate and organized claim files, adhering to regulatory requirements and company standards.
- Identify potential subrogation or salvage opportunities.
- Collaborate with legal counsel when necessary for litigation support.
- Provide exceptional customer service to policyholders throughout the claims process.
- Stay updated on relevant insurance laws, regulations, and industry best practices.
Qualifications:
- Bachelor's degree in Business, Law, or a related field. Relevant insurance designations (e.g., AIC, CPCU) are highly desirable.
- Minimum of 5 years of experience as a Claims Adjuster, with a strong focus on complex claims (e.g., bodily injury, property damage, liability).
- Proven ability to conduct thorough investigations and make sound judgments.
- Excellent negotiation and communication skills, both written and verbal.
- Strong analytical and problem-solving abilities.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently, manage time effectively, and prioritize tasks in a remote work environment.
- Knowledge of insurance regulations within Kenya.
- Customer-focused attitude with a commitment to empathy and professionalism.
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3
Remote Insurance Claims Adjuster
Posted 26 days ago
Job Viewed
Job Description
Our client is seeking a diligent and detail-oriented Remote Insurance Claims Adjuster to manage and process insurance claims efficiently. This is a fully remote position, offering the flexibility to work from your home office while serving clients across various regions. You will be responsible for investigating insurance claims, determining coverage, negotiating settlements, and ensuring compliance with policy terms and regulations. The role requires strong analytical skills, excellent communication, and a thorough understanding of insurance policies and claims procedures. You will play a crucial role in delivering fair and timely resolutions to policyholders. Key responsibilities include:
The ideal candidate will possess a Bachelor's degree in Business, Finance, or a related field, or equivalent work experience. Previous experience as an insurance claims adjuster, preferably in a specific line of insurance (e.g., auto, property, casualty), is highly desirable. Knowledge of insurance principles, policy language, and claims handling procedures is essential. Strong analytical, investigative, and problem-solving skills are a must. Excellent written and verbal communication skills, along with negotiation abilities, are critical. Proficiency in claims management software and standard office applications is required. Relevant insurance licenses (or the ability to obtain them quickly) are often a requirement for this role. The ability to work independently, manage a caseload effectively, and maintain a high level of accuracy in a remote setting is crucial. We are looking for reliable and customer-focused individuals committed to providing excellent claims service. The **Kitale, Trans-Nzoia, KE** location is a strategic hub for our client's operations, and we seek dedicated adjusters who can excel in a remote capacity.
- Receiving, reviewing, and investigating insurance claims submitted by policyholders.
- Analyzing policy coverage, exclusions, and endorsements to determine claim validity.
- Gathering relevant information and documentation, including police reports, medical records, and repair estimates.
- Conducting interviews with claimants, witnesses, and other involved parties.
- Assessing damages and determining the appropriate settlement amount based on policy terms and evidence.
- Negotiating settlements with claimants and/or their representatives.
- Documenting all claim activities and communications accurately in the claims management system.
- Ensuring claims are processed in compliance with company procedures and regulatory requirements.
- Identifying potential fraudulent claims and escalating them for further investigation.
- Providing clear and timely communication to policyholders regarding claim status and decisions.
The ideal candidate will possess a Bachelor's degree in Business, Finance, or a related field, or equivalent work experience. Previous experience as an insurance claims adjuster, preferably in a specific line of insurance (e.g., auto, property, casualty), is highly desirable. Knowledge of insurance principles, policy language, and claims handling procedures is essential. Strong analytical, investigative, and problem-solving skills are a must. Excellent written and verbal communication skills, along with negotiation abilities, are critical. Proficiency in claims management software and standard office applications is required. Relevant insurance licenses (or the ability to obtain them quickly) are often a requirement for this role. The ability to work independently, manage a caseload effectively, and maintain a high level of accuracy in a remote setting is crucial. We are looking for reliable and customer-focused individuals committed to providing excellent claims service. The **Kitale, Trans-Nzoia, KE** location is a strategic hub for our client's operations, and we seek dedicated adjusters who can excel in a remote capacity.
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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.
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5
Senior Insurance Claims Adjuster
Posted 26 days ago
Job Viewed
Job Description
Our client, a reputable and growing insurance provider, is seeking a seasoned Senior Insurance Claims Adjuster to join their fully remote team. This position is ideal for an experienced professional looking for flexibility and the opportunity to manage complex claims from the comfort of their home office.
You will be responsible for investigating, evaluating, and settling insurance claims in a timely and efficient manner, ensuring fairness and adherence to policy terms and conditions. This role requires a meticulous approach, strong negotiation skills, and a comprehensive understanding of insurance law and best practices. You will be a key point of contact for policyholders, attorneys, and other stakeholders, providing clear communication and expert guidance throughout the claims process.
Key Responsibilities:
You will be responsible for investigating, evaluating, and settling insurance claims in a timely and efficient manner, ensuring fairness and adherence to policy terms and conditions. This role requires a meticulous approach, strong negotiation skills, and a comprehensive understanding of insurance law and best practices. You will be a key point of contact for policyholders, attorneys, and other stakeholders, providing clear communication and expert guidance throughout the claims process.
Key Responsibilities:
- Investigating assigned insurance claims thoroughly to determine coverage and liability.
- Gathering and analyzing all relevant documentation, including police reports, medical records, and repair estimates.
- Conducting interviews with claimants, witnesses, and other parties involved.
- Evaluating the extent of damages and determining the appropriate settlement amount based on policy provisions and damage assessment.
- Negotiating settlements with claimants and their representatives.
- Preparing detailed claim reports and recommendations for claim disposition.
- Managing a caseload of complex claims, ensuring timely resolution and adherence to service standards.
- Maintaining accurate and organized claim files in the company's claims management system.
- Staying current with insurance regulations, industry trends, and legal requirements.
- Providing exceptional customer service and maintaining professional relationships with all parties.
- Participating in ongoing training and professional development to enhance skills and knowledge.
- Advising policyholders on coverage and claims procedures.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Minimum of 7 years of experience as an insurance claims adjuster, with a focus on specific lines of insurance (e.g., auto, property, casualty).
- Relevant professional certifications (e.g., CPCU, adjuster licenses) are highly desirable.
- In-depth knowledge of insurance policies, legal principles, and claims investigation techniques.
- Excellent analytical, critical thinking, and problem-solving skills.
- Strong negotiation, communication, and interpersonal skills.
- Proficiency in claims management software and standard office applications.
- Ability to work independently and manage time effectively in a remote setting.
- High level of integrity and ethical conduct.
- A commitment to providing excellent customer service.
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6
Insurance Claims Adjuster - Remote
Posted 10 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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7
Lead Claims Adjuster
Posted 7 days ago
Job Viewed
Job Description
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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8
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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