150 Claims Adjuster jobs in Kenya

Insurance Claims Adjuster

50100 Kakamega, Western KES2500000 Annually WhatJobs

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full-time
Our client, a reputable insurance company, is seeking a diligent and experienced Insurance Claims Adjuster to manage claims efficiently and effectively. This role involves investigating insurance claims, determining liability, assessing damages, and negotiating settlements with policyholders and claimants. The ideal candidate will possess strong analytical skills, excellent communication abilities, and a thorough understanding of insurance policies and claims processes. You will be responsible for reviewing policy coverage, gathering evidence through interviews and inspections (which may involve some local travel), documenting findings accurately, and recommending appropriate claim dispositions. This position requires meticulous record-keeping and adherence to company procedures and regulatory requirements. You will work collaboratively with legal counsel, repair services, and other relevant parties to ensure fair and timely resolution of claims. A bachelor's degree in a relevant field or equivalent work experience is typically required. Several years of experience in claims adjusting, preferably within the specific lines of insurance offered by our client, is essential. Strong negotiation skills and a customer-centric approach are vital. This hybrid role offers a balance of remote work flexibility for administrative tasks and on-site requirements for investigations and client interactions, supporting our operations in Kakamega, Kakamega, KE .
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Insurance Claims Adjuster

01000 Makongeni KES65000 Monthly WhatJobs

Posted 1 day ago

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full-time
Our client, a reputable insurance provider, is seeking a detail-oriented and empathetic Insurance Claims Adjuster to join their fully remote team. This critical role involves investigating insurance claims, determining coverage, and negotiating fair settlements with policyholders. You will be responsible for managing a caseload of claims from initial report to final resolution, ensuring accuracy, efficiency, and adherence to company policies and regulatory requirements. The ideal candidate possesses strong analytical skills, excellent investigative abilities, and exceptional communication and negotiation expertise. A thorough understanding of insurance policies, claims processes, and relevant legal frameworks is essential. As a remote-first organization, this position requires a high degree of self-discipline, effective time management, and proficiency in using digital tools for claim management, documentation, and communication. You will be responsible for gathering evidence, interviewing claimants and witnesses, assessing damages, and making informed decisions regarding claim validity and payout. Our client values integrity, professionalism, and a commitment to providing excellent customer service. This role offers the flexibility of remote work combined with the satisfaction of helping policyholders navigate challenging situations. You will work closely with internal departments, legal counsel, and external vendors as needed. We are looking for individuals who can handle complex cases with diligence and fairness, ensuring our clients receive the support they need during difficult times. This is an excellent opportunity to advance your career in the insurance sector within a supportive and modern remote work environment.

Key Responsibilities:
  • Investigate insurance claims thoroughly and promptly.
  • Determine coverage based on policy terms and conditions.
  • Interview claimants, witnesses, and other parties involved in a claim.
  • Gather and review relevant documentation, including police reports and medical records.
  • Assess damages and estimate repair or replacement costs.
  • Negotiate settlements with policyholders in a fair and timely manner.
  • Manage a caseload of claims efficiently, ensuring all deadlines are met.
  • Maintain accurate and detailed claim records in the claims management system.
  • Ensure compliance with all applicable insurance laws and regulations.
  • Provide clear communication and excellent customer service to policyholders.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, Law, or a related field.
  • Proven experience as an Insurance Claims Adjuster or in a similar claims handling role.
  • In-depth knowledge of insurance policies, claims procedures, and regulatory requirements.
  • Excellent analytical, investigative, and critical thinking skills.
  • Strong negotiation and conflict resolution abilities.
  • Exceptional communication, interpersonal, and customer service skills.
  • Proficiency in claims management software and standard office applications.
  • Ability to work independently, manage time effectively, and maintain accuracy in a remote setting.
  • Relevant insurance certifications (e.g., ACII, CPCU) are highly advantageous.
  • Must possess a valid Kenyan driver's license and be willing to conduct on-site assessments if required (though the role is primarily remote).
This position serves the Thika, Kiambu, KE area but is offered as a fully remote opportunity.
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Insurance Claims Adjuster

00100 Abothuguchi West KES85000 Annually WhatJobs

Posted 2 days ago

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Job Description

full-time
Our client is seeking a thorough and empathetic Insurance Claims Adjuster to join their established team in **Nairobi, Nairobi, KE**. In this vital role, you will be responsible for investigating insurance claims, assessing damages or losses, and determining the extent of the company's liability. You will conduct interviews with claimants, witnesses, and other relevant parties to gather information, inspect damaged property, and review policy coverage to ensure claims are processed accurately and efficiently. The ideal candidate will possess excellent investigative, analytical, and negotiation skills. You must be adept at communicating complex policy details and claim resolutions clearly to policyholders. This position requires meticulous record-keeping and adherence to company procedures and regulatory requirements. You will work closely with legal counsel, repair services, and other professionals to facilitate timely claim settlements. A strong sense of integrity and a commitment to fair and prompt claim handling are paramount. This role involves direct interaction with the public and requires a professional demeanor at all times. A valid driver's license and the ability to travel within the designated service area are essential.

Key Responsibilities:
  • Investigate insurance claims thoroughly to determine validity and extent of coverage.
  • Conduct interviews with claimants, witnesses, and other parties involved.
  • Inspect damaged property (vehicles, homes, businesses) to assess losses.
  • Analyze policy documents to confirm coverage details.
  • Negotiate settlements with claimants in accordance with policy terms and company guidelines.
  • Prepare detailed reports on claim investigations, findings, and recommendations.
  • Manage a caseload of claims, ensuring timely resolution.
  • Maintain accurate and organized claim files.
  • Liaise with legal counsel, medical providers, and other third parties as necessary.
Qualifications:
  • Bachelor's degree in Business Administration, Law, or a related field.
  • Minimum of 3 years of experience as a claims adjuster or in a similar insurance role.
  • Strong understanding of insurance policies and claims procedures.
  • Excellent investigative, analytical, and problem-solving skills.
  • Exceptional negotiation and communication skills.
  • Proficiency in claims management software.
  • Ability to work independently and manage time effectively.
  • High ethical standards and commitment to customer service.
  • Valid driver's license and a clean driving record.
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Insurance Claims Adjuster

00200 Ongata Rongai, Rift Valley KES90000 Annually WhatJobs

Posted 2 days ago

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Job Description

full-time
Our client, a leading insurance provider, is seeking a diligent and thorough Insurance Claims Adjuster to join their team. This role will involve a hybrid work arrangement, combining remote flexibility with occasional in-office responsibilities. You will be responsible for investigating insurance claims, determining coverage, and negotiating settlements with policyholders and third parties. This requires a meticulous approach to reviewing policy documents, gathering evidence, interviewing claimants, and assessing damages. You will play a crucial role in ensuring fair and timely resolution of claims, upholding the company's commitment to customer service and integrity. The ideal candidate will possess strong analytical skills, excellent communication abilities, and a keen eye for detail. Experience in the insurance industry, particularly with claims processing, is highly advantageous. You should be adept at managing a caseload, making informed decisions, and maintaining accurate records. The ability to empathize with claimants while remaining objective is essential. This role requires occasional travel to assess property damage or meet with clients, balanced with remote work for administrative tasks and reporting. Key responsibilities include:
  • Investigating insurance claims thoroughly and impartially.
  • Reviewing policy coverage and determining the extent of liability.
  • Gathering and analyzing evidence, including police reports, witness statements, and expert reports.
  • Interviewing policyholders, claimants, and witnesses.
  • Assessing property damage or bodily injury resulting from covered events.
  • Negotiating fair and equitable settlements with claimants and their representatives.
  • Preparing detailed claim reports and recommendations.
  • Maintaining accurate and up-to-date claim files.
  • Ensuring compliance with all relevant insurance regulations and company policies.
  • Providing excellent customer service throughout the claims process.
This position is suited for an organized, ethical, and driven individual who can effectively manage a diverse range of claims. If you are seeking a challenging yet rewarding career in the insurance sector with a hybrid work model, we encourage you to apply. Be part of a dynamic team serving the **Ongata Rongai, Kajiado, KE** community and beyond.
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Insurance Claims Adjuster

00100 Abothuguchi West KES120000 Annually WhatJobs

Posted 2 days ago

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Job Description

full-time
Our client, a leading provider in the insurance sector, is seeking an experienced Insurance Claims Adjuster to manage and resolve claims efficiently and effectively. This role requires a strong understanding of insurance policies, claims investigation procedures, and negotiation skills. You will be responsible for assessing the extent of damages or losses, determining coverage based on policy terms, and negotiating settlements with policyholders and third parties. The ideal candidate will possess excellent analytical and problem-solving abilities, exceptional communication and interpersonal skills, and a commitment to providing fair and timely claim resolutions. Responsibilities include conducting thorough investigations, gathering evidence, interviewing relevant parties, and preparing detailed reports. You will also maintain accurate claim files, manage claim reserves, and ensure compliance with industry regulations and company guidelines. Experience in a specific line of insurance (e.g., auto, property, liability) is advantageous. This role involves a hybrid work model, offering a balance between remote work flexibility and in-office collaboration. Strong organizational skills and the ability to manage a caseload effectively are essential. We are looking for a professional who can navigate complex claims scenarios with integrity and professionalism, upholding our client's commitment to customer service and fair practices.
Nairobi, Nairobi, KE is the primary location for this role, with a hybrid work arrangement that combines remote flexibility with essential in-office responsibilities. Your ability to accurately assess claims, negotiate settlements, and provide outstanding service to our clients will be paramount to your success and the reputation of our client's insurance services. You will play a key role in ensuring customer satisfaction and operational efficiency within the claims department.
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Insurance Claims Adjuster

20200 Kapsuser KES75000 Annually WhatJobs

Posted 2 days ago

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Job Description

full-time
Our client is seeking a detail-oriented and experienced Insurance Claims Adjuster to manage and process insurance claims efficiently. This role involves investigating insurance claims, determining liability, negotiating settlements, and ensuring compliance with company policies and regulatory requirements. The successful candidate will have a strong understanding of insurance policies and procedures, excellent investigative skills, and the ability to communicate effectively with claimants, policyholders, and other relevant parties.

Responsibilities include:
  • Investigating the details of insurance claims, including reviewing policy coverage and conducting interviews.
  • Determining the extent of the insurance company's liability.
  • Negotiating settlements with claimants and their representatives.
  • Documenting all claim activities and decisions accurately in the claims management system.
  • Communicating claim status updates to all involved parties.
  • Assessing damage or loss to property and recommending appropriate actions.
  • Ensuring that claims are processed in a timely and efficient manner.
  • Staying updated on relevant insurance laws and regulations.
  • Identifying potential fraudulent claims and escalating them for further investigation.
  • Working collaboratively with legal counsel when necessary.
This hybrid role requires a combination of on-site work in Kericho, Kericho, KE and remote flexibility, allowing for a balance between collaborative office days and independent work. A proven track record in claims handling, strong analytical abilities, and exceptional customer service skills are essential. The ability to manage a caseload effectively and meet deadlines is crucial. We are looking for individuals who are ethical, professional, and committed to providing fair and accurate claim resolutions.

Qualifications:
  • Proven experience as an Insurance Claims Adjuster.
  • In-depth knowledge of insurance policies, procedures, and relevant legislation.
  • Excellent negotiation and conflict-resolution skills.
  • Strong analytical and problem-solving abilities.
  • Proficiency in claims management software.
  • Excellent written and verbal communication skills.
  • Ability to work independently and as part of a team.
  • Relevant professional certifications are a plus.
If you are a dedicated professional seeking to advance your career in the insurance sector with a reputable organization, we encourage you to apply.
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Senior Claims Adjuster - Remote Claims Processing

40100 Kisumu KES120000 Annually WhatJobs

Posted today

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Job Description

full-time
Our client, a leading insurance provider, is seeking a highly experienced and detail-oriented Senior Claims Adjuster to join their fully remote claims department. This role offers the flexibility to manage claims investigations and resolutions from the comfort of your home office. The successful candidate will be responsible for investigating, evaluating, and negotiating complex insurance claims to ensure fair and timely settlements. This involves reviewing policy coverage, gathering evidence, interviewing claimants and witnesses, and determining liability. You will be expected to assess damages, prepare detailed reports, and recommend appropriate claim dispositions. The Senior Claims Adjuster will also play a key role in identifying potential fraud and ensuring compliance with all regulatory requirements. This position requires a thorough understanding of insurance policies, claims procedures, and legal frameworks. Strong analytical, negotiation, and communication skills are essential. The ability to work independently, manage a caseload effectively, and make sound decisions under pressure is paramount. As a fully remote role, you must possess excellent self-management skills, a reliable internet connection, and proficiency in using claims management software and virtual communication tools. You will be interacting with policyholders, legal counsel, and other stakeholders, requiring a high level of professionalism and empathy. We are looking for an individual with a proven track record in claims adjusting, preferably in a specific line of insurance (e.g., auto, property, liability). This is an excellent opportunity to advance your career in the insurance industry with a company that values its employees and embraces remote work flexibility. Your expertise will contribute significantly to customer satisfaction and the overall efficiency of the claims process. You will be a crucial part of ensuring our client upholds its commitment to service excellence.
Responsibilities:
  • Investigate, evaluate, and settle assigned insurance claims in accordance with policy terms and regulations.
  • Conduct thorough reviews of policy coverage, liability, and damages.
  • Interview claimants, witnesses, and other relevant parties to gather information.
  • Document all claim activities, findings, and decisions accurately and promptly.
  • Negotiate settlements with claimants and legal representatives.
  • Identify and investigate potentially fraudulent claims.
  • Ensure compliance with all state and federal insurance regulations.
  • Prepare detailed claims reports for management review.
  • Provide excellent customer service to policyholders throughout the claims process.
  • Stay current with industry trends, legal developments, and best practices in claims adjusting.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field (or equivalent experience).
  • Minimum of 5 years of experience as a Claims Adjuster.
  • Possession of relevant insurance licenses (e.g., Adjuster's license).
  • In-depth knowledge of insurance policies, claims procedures, and legal aspects.
  • Strong analytical, negotiation, and decision-making skills.
  • Excellent written and verbal communication skills.
  • Proficiency in claims management software and virtual collaboration tools.
  • Ability to work independently and manage a high volume of claims in a remote setting.
  • High level of integrity and attention to detail.
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Senior Claims Adjuster

20100 Mwembe KES380000 Annually WhatJobs

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Job Description

full-time
Our client is actively seeking an experienced Senior Claims Adjuster to join their esteemed insurance team. This is a remote position, allowing you to manage your workload effectively from home. The successful candidate will be responsible for investigating, evaluating, and settling insurance claims accurately and efficiently, ensuring adherence to company policies and regulatory requirements. You will handle complex claims across various lines of business, including property, casualty, and auto insurance. Key responsibilities involve interviewing claimants and witnesses, gathering evidence, assessing damages, and negotiating settlements. A thorough understanding of insurance law, policy provisions, and claims procedures is essential. The ideal candidate will possess excellent analytical and investigative skills, with a keen eye for detail. Strong negotiation and communication skills are crucial for effectively interacting with policyholders, legal representatives, and other stakeholders. You will be required to maintain detailed and accurate claim files, document all activities, and prepare comprehensive reports. Experience with claims management software and digital tools is a significant advantage. A Bachelor's degree in Business, Finance, or a related field is preferred. Professional certifications in claims adjusting are highly valued. A minimum of 7 years of experience in claims adjusting, with a focus on complex claims, is mandatory. This role demands a high level of integrity, professionalism, and ethical conduct. The ability to work independently, manage a caseload effectively, and meet deadlines in a remote environment is critical. You should be adept at problem-solving and making sound judgments based on thorough investigation and analysis. This is an excellent opportunity to advance your career in the insurance sector within a flexible, remote work setting.
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Senior Claims Adjuster

20200 Kapsuser KES110000 Annually WhatJobs

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Job Description

full-time
Our client, a distinguished leader in the insurance sector, is actively seeking a highly experienced Senior Claims Adjuster to join their fully remote team. This role is integral to the efficient and accurate processing of complex insurance claims, ensuring client satisfaction and upholding the company's reputation for integrity. You will be responsible for investigating, evaluating, and negotiating settlements for a diverse range of insurance policies. This remote position demands exceptional analytical skills, a thorough understanding of insurance policies and regulations, and outstanding communication abilities. You will work independently, managing your caseload effectively and making critical decisions based on evidence and policy terms. The ideal candidate is a self-motivated professional with a proven track record in claims handling, possessing strong negotiation skills and a meticulous attention to detail. You will collaborate with policyholders, legal counsel, and other stakeholders to facilitate timely and fair resolutions. This is a unique opportunity to advance your career in the insurance industry while enjoying the flexibility and autonomy of a remote work environment. We are looking for individuals who are adept at problem-solving, possess a strong ethical compass, and thrive in an environment that values precision and efficiency. Your expertise will be crucial in maintaining the high standards of service our client is known for. Responsibilities include reviewing claim documentation, conducting interviews, assessing damages, and determining coverage. You will also be involved in identifying fraudulent claims and recommending appropriate actions. Staying current with industry best practices and regulatory changes is essential. Our client offers a supportive virtual environment and opportunities for professional development. This role provides a significant impact on the client's operations and a chance to develop specialized expertise.
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Senior Claims Adjuster

30200 Tuwan KES150000 Annually WhatJobs

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Job Description

full-time
Our client is seeking an experienced Senior Claims Adjuster to join their dynamic, fully remote insurance team. This role is essential for managing complex claims, ensuring fair and timely resolution for policyholders while safeguarding the company's interests. The successful candidate will possess a deep understanding of insurance policies, claims handling procedures, and relevant legal and regulatory frameworks. You will be responsible for investigating claims thoroughly, gathering all necessary documentation, conducting interviews with claimants and witnesses, and assessing damages or losses. This requires strong analytical skills to interpret policy coverage, determine liability, and negotiate settlements within established guidelines. You will manage a caseload of complex claims, including high-value or contentious cases, requiring meticulous attention to detail and a methodical approach. The ability to work independently and manage your workload efficiently in a remote environment is paramount. Excellent communication and interpersonal skills are vital for interacting with policyholders, legal counsel, and other stakeholders in a professional and empathetic manner. You will be expected to maintain accurate and detailed claim records, prepare comprehensive reports, and recommend appropriate actions for claim resolution. This role offers the opportunity to leverage your expertise to provide exceptional service and contribute to the overall success of our client's claims department. Continuous learning and staying updated on industry trends and best practices are crucial for this position. You will also play a role in identifying potential fraud indicators and escalating them for further investigation. The ideal candidate is a results-oriented professional with a strong ethical compass and a commitment to delivering high-quality claims management.

Responsibilities:
  • Investigate, evaluate, and resolve complex insurance claims.
  • Interpret policy terms and conditions to determine coverage and liability.
  • Conduct interviews, gather evidence, and assess damages or losses.
  • Negotiate settlements with policyholders and third parties.
  • Maintain accurate claim files and prepare detailed reports.
  • Ensure compliance with all relevant regulations and company policies.
  • Manage a caseload of high-value or disputed claims.
  • Identify and escalate potential fraud indicators.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field.
  • Minimum of 5 years of experience in insurance claims adjusting.
  • Relevant professional certifications (e.g., ACII, IIAI) are a plus.
  • Thorough knowledge of insurance policies and claims handling procedures.
  • Strong analytical, negotiation, and decision-making skills.
  • Excellent written and verbal communication skills.
  • Ability to work independently and manage time effectively in a remote setting.
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