What Claims Adjusters Jobs are in Kenya?
Showing 19 Claims Adjusters jobs in Kenya
Job Description
- Investigate and assess insurance claims by gathering relevant information, including policy details, incident reports, and evidence.
- Conduct thorough damage assessments and determine the extent of liability and coverage.
- Negotiate settlements with policyholders and claimants in a fair and professional manner.
- Process claim payments and ensure timely resolution of all assigned cases.
- Maintain accurate and detailed records of all claim activities and communications using company software.
- Communicate effectively with policyholders, witnesses, and other stakeholders throughout the claims process.
- Identify potential fraud or irregularities and escalate as necessary.
- Stay updated on insurance policies, regulations, and industry best practices.
- Collaborate with internal teams, such as legal and actuarial, on complex claims.
- Provide exceptional customer service throughout the claims handling process.
- Bachelor's degree in Business, Finance, or a related field; or equivalent work experience.
- Minimum of 3 years of experience as an Insurance Claims Adjuster.
- Solid understanding of **insurance** claims investigation, negotiation, and settlement processes.
- Excellent communication, negotiation, and interpersonal skills, critical for remote interaction.
- Proficiency in claims management software and standard office applications.
- Strong analytical and problem-solving abilities.
- Ability to work autonomously and manage a caseload effectively in a remote environment.
- Detail-oriented with a commitment to accuracy.
- Knowledge of relevant Kenyan insurance laws and regulations is advantageous.
- A valid driver's license and willingness to conduct virtual or occasional in-person assessments if required.
- Competitive salary and performance-based bonuses.
- Comprehensive health insurance package.
- Opportunities for continuous professional development and certifications.
- Access to advanced remote work technology and support.
- Paid time off and company holidays.
- A collaborative and supportive remote work culture.
- Retirement savings plan.
- Flexible working hours within operational needs.
- Employee assistance program for personal and professional support.
- The freedom to work from any location within Kenya, serving clients in **Meru**.
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Job Description
Key Responsibilities
- Lead and manage a team of claims adjusters, providing guidance, training, and performance evaluations.
- Oversee the investigation, evaluation, and negotiation of complex insurance claims, ensuring compliance with company policies and industry best practices.
- Develop and implement effective claims handling strategies to ensure prompt and equitable resolution for policyholders.
- Review claims documentation, including reports, statements, and evidence, to determine coverage and liability.
- Collaborate with legal counsel, policyholders, and third-party vendors to facilitate the claims process.
- Analyze claims data to identify trends, patterns, and areas for process improvement.
- Ensure adherence to all relevant local and national regulations governing claims settlement.
- Act as a point of escalation for challenging claims and provide expert resolution.
- Maintain detailed and accurate records of all claims activities within the company's claims management system.
- A Bachelor's degree in a relevant field such as Law, Business Administration, or Criminal Justice.
- A minimum of 7 years of experience in claims adjusting, with at least 2 years in a supervisory or lead role.
- Comprehensive knowledge of insurance claims procedures, legal principles, and various types of insurance policies relevant to **Meru**.
- Demonstrated leadership skills with the ability to motivate and manage a remote team effectively.
- Excellent negotiation, communication, and interpersonal skills.
- Strong analytical and problem-solving abilities, with meticulous attention to detail.
- Proficiency in claims management software and digital collaboration tools.
- Relevant professional certifications or licenses (e.g., adjuster license) are required.
- Proven ability to manage a high volume of complex claims remotely.
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Job Description
- Investigate, evaluate, and negotiate insurance claims of varying complexity, ensuring adherence to policy terms and conditions.
- Conduct thorough reviews of claim documentation, evidence, and policyholder information to determine coverage and liability.
- Communicate effectively with policyholders, claimants, witnesses, and other relevant parties to gather information and explain claim status.
- Prepare detailed reports and case summaries for management, documenting findings, recommendations, and settlement proposals.
- Provide mentorship and guidance to junior claims adjusters, fostering their professional development and ensuring quality of work.
- Collaborate with legal counsel and external adjusters on complex or litigated claims.
- Stay abreast of industry trends, regulatory changes, and best practices in claims management.
- Utilize claims management software and other tools to accurately record and track claim progress.
- Ensure compliance with all relevant laws and regulations pertaining to insurance claims handling.
- Maintain a high level of customer service, ensuring timely and empathetic communication throughout the claims process.
- Bachelor's degree in Business Administration, Law, Finance, or a related field.
- Minimum of 5 years of experience in claims adjusting, preferably within the **insurance** sector.
- Proven track record of successfully managing a caseload of diverse and complex insurance claims.
- In-depth knowledge of insurance policies, claims procedures, and relevant legal frameworks.
- Exceptional analytical, problem-solving, and decision-making skills.
- Excellent written and verbal communication and interpersonal skills.
- Proficiency in using claims management software and standard office applications.
- Ability to work independently and manage time effectively in a **remote** setting.
- Strong negotiation and conflict resolution abilities.
- Professional certifications such as ACII or equivalent are highly desirable.
- Demonstrated commitment to ethical conduct and integrity.
- Must be a Kenyan resident and eligible to work remotely.
- Competitive annual salary package.
- Comprehensive health and wellness benefits.
- Opportunities for professional development and continuous learning.
- Generous paid time off and holidays.
- Contribution to a retirement savings plan.
- Access to cutting-edge remote work technology and support.
- A supportive and collaborative **remote-first** work culture.
- Performance-based bonuses and incentives.
- Flexible working hours to promote work-life balance.
- The ability to contribute to a dynamic and growing organization from the comfort of your home office.
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Job Description
- Oversee the end-to-end claims process, ensuring adherence to company policies and regulatory standards.
- Manage and mentor a team of claims adjusters, providing guidance and support.
- Investigate, evaluate, and negotiate complex insurance claims, including liability and damage assessments.
- Approve or deny claims based on policy coverage, investigation findings, and legal requirements.
- Develop and maintain strong relationships with policyholders, legal counsel, and other stakeholders.
- Identify potential fraud indicators and escalate suspicious claims for further investigation.
- Contribute to the development and refinement of claims handling procedures and best practices.
- Ensure accurate and timely documentation of all claim activities in the claims management system.
- Bachelor's degree in a relevant field or equivalent industry experience. Professional certifications (e.g., AIC, CPCU) are a strong asset.
- A minimum of 6 years of progressive experience in claims adjusting within the insurance industry.
- Demonstrated experience in leading or supervising a claims team.
- Excellent negotiation, communication, and conflict-resolution skills, crucial for remote interactions.
- Strong analytical and investigative abilities to thoroughly assess claim validity and damages.
- Proficiency with claims management software and digital collaboration tools for a **remote** work environment.
- Understanding of insurance laws and regulations relevant to the **Mombasa**, Kenya market.
- Ability to work autonomously and effectively manage responsibilities in a fully **remote** capacity.
- Annual salary of KSh, commensurate with experience.
- Comprehensive medical coverage.
- Generous annual leave.
- Opportunities for career advancement and specialized training.
- Company-provided equipment for **remote** work setup.
- A collaborative and supportive **remote** team culture.
- Pension scheme contributions.
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Job Description
- Investigate insurance claims thoroughly, gathering all necessary information, documentation, and evidence.
- Interview claimants, witnesses, and other involved parties to determine liability and coverage.
- Evaluate the extent of damage or loss and determine the appropriate settlement amount based on policy terms and conditions.
- Negotiate claim settlements with claimants and legal representatives in a fair and timely manner.
- Prepare detailed reports documenting investigation findings, settlement recommendations, and claim closure.
- Maintain accurate and up-to-date claim files using the company's claims management system.
- Ensure compliance with all relevant laws, regulations, and company policies.
- Provide excellent customer service, responding to inquiries and addressing concerns promptly.
- Identify potential fraudulent claims and escalate them for further investigation.
- High school diploma or equivalent required; Associate's or Bachelor's degree in a related field is preferred.
- Proven experience as a Claims Adjuster or in a similar claims handling role within the insurance industry.
- Solid understanding of insurance policies, claims procedures, and relevant legal/regulatory frameworks.
- Strong investigative, analytical, and negotiation skills.
- Excellent communication and interpersonal abilities, with the capacity to handle sensitive situations professionally.
- Proficiency in using claims management software and standard office applications.
- Ability to work independently, manage time effectively, and meet deadlines.
- Willingness to travel for inspections and client meetings as required for the Kisumu area and surrounding regions.
- Valid driver's license and a clean driving record.
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Lead Claims Adjuster - Remote Operations
Posted 19 days ago
Job Viewed
Job Description
Our client is a premier insurance solutions provider and is actively seeking a seasoned Lead Claims Adjuster to spearhead their remote claims operations. This pivotal role involves overseeing a team of adjusters, ensuring the efficient and fair settlement of insurance claims, and upholding the highest standards of customer service. As a remote-first position, you will be empowered to manage your workload and team from a dedicated home office, collaborating digitally with colleagues and policyholders. This is a unique opportunity to influence claims handling best practices, contribute to process improvements, and mentor developing talent within a supportive virtual environment. Your expertise in navigating complex claims scenarios and your commitment to excellence will be crucial in driving the success of our client's claims department. We are looking for a results-oriented leader who thrives in a remote setting and is passionate about delivering exceptional claims resolution.
Key Responsibilities- Lead, train, and mentor a team of insurance claims adjusters in a remote capacity.
- Manage the end-to-end claims process, ensuring timely and accurate investigations, evaluations, and settlements.
- Review and approve complex claims, ensuring compliance with policy terms and legal regulations.
- Develop and implement claims handling best practices and protocols to enhance efficiency and customer satisfaction.
- Analyze claims data to identify trends, patterns, and areas for improvement in processes and policies.
- Handle escalated or complex claims cases, providing expert resolution and guidance.
- Conduct quality assurance reviews of claims files and adjuster performance.
- Collaborate with underwriting, legal, and other departments to resolve claims-related issues.
- Foster a positive and productive team environment within the remote setting, promoting collaboration and continuous learning.
- Maintain detailed and accurate claims records using digital systems.
- Bachelor's degree in a relevant field such as Business, Finance, or Criminal Justice; relevant certifications are a plus.
- Minimum of 7 years of experience in claims adjusting, with at least 2 years in a supervisory or leadership role.
- Demonstrated expertise in various types of insurance claims (e.g., property, auto, liability).
- In-depth knowledge of insurance laws, regulations, and claims settlement procedures.
- Strong leadership, communication, and interpersonal skills.
- Proficiency in claims management software and digital collaboration tools.
- Excellent analytical, negotiation, and problem-solving abilities.
- Ability to work independently, manage multiple priorities, and meet deadlines in a remote work environment.
- High ethical standards and a commitment to fair claims practices.
- Experience in developing and delivering training programs.
- Competitive annual salary and bonus structure.
- Comprehensive benefits package including medical, dental, and vision insurance.
- Generous paid time off and company holidays.
- Retirement savings plan options.
- Opportunities for professional growth and advancement.
- Fully remote work arrangement with support for home office setup.
- Access to state-of-the-art claims management technology.
- Employee wellness programs.
- A collaborative and supportive virtual team culture.
Is this job a match or a miss?
Senior Claims Adjuster - Remote Operations
Posted 19 days ago
Job Viewed
Job Description
- Investigate, evaluate, and negotiate complex insurance claims, including property, casualty, and liability.
- Determine coverage based on policy terms and conditions, applicable laws, and regulations.
- Manage a caseload of diverse claims, ensuring adherence to timelines and company standards.
- Communicate effectively with policyholders, claimants, legal representatives, and other stakeholders.
- Prepare detailed reports, settlement offers, and claim documentation.
- Identify potential fraud indicators and escalate for further investigation as needed.
- Stay updated on industry trends, legal changes, and best practices in claims adjustment.
- Collaborate with underwriting and legal departments on complex claim resolutions.
- Maintain accurate and comprehensive claim files in the company's claims management system.
- Provide guidance and mentorship to junior claims adjusters where applicable.
- Bachelor's degree in Business Administration, Law, Finance, or a related field.
- Minimum of 5 years of experience in claims adjusting, with a proven track record of handling complex claims.
- Strong understanding of insurance principles, policy interpretation, and claims investigation techniques.
- Excellent 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, ethical conduct, and attention to detail.
- Relevant professional certifications (e.g., ACII, CPCU) are a plus.
- Must be legally eligible to work remotely within Kenya .
- Competitive annual salary commensurate with experience.
- Comprehensive health, dental, and vision insurance coverage.
- Generous paid time off and holiday schedule.
- Opportunities for professional development and continuous learning.
- Remote work flexibility, allowing you to work from anywhere.
- Access to cutting-edge claims management technology.
- Retirement savings plan options.
- Employee assistance program for personal and professional support.
Is this job a match or a miss?
Senior Claims Adjuster - Remote First
Posted 19 days ago
Job Viewed
Job Description
- Investigate, evaluate, and negotiate the settlement of complex insurance claims, including property, casualty, and liability claims.
- Gather and analyze evidence, such as police reports, witness statements, and medical records, to determine coverage and liability.
- Communicate effectively with policyholders, claimants, legal counsel, and other stakeholders throughout the claims process.
- Interpret and apply insurance policy provisions, endorsements, and exclusions accurately.
- Prepare detailed reports, settlement recommendations, and documentation for claims files.
- Manage a caseload of claims, ensuring timely resolution and adherence to company guidelines and regulatory requirements.
- Identify potential subrogation or salvage opportunities.
- Collaborate with internal teams, including underwriting and legal, to resolve complex claims issues.
- Stay updated on industry trends, legislation, and best practices in claims management.
- Utilize claims management software and other tools to track and manage claims efficiently.
- Mentor and provide guidance to junior claims adjusters as needed.
- Bachelor's degree in Insurance, Business Administration, Law, or a related field; professional certifications such as ACII or equivalent are highly desirable.
- Minimum of 5 years of experience in claims adjusting, with a proven track record of handling complex claims.
- Extensive knowledge of insurance policies, procedures, and legal aspects of claims settlement.
- Strong analytical, negotiation, and problem-solving skills.
- Excellent written and verbal communication skills, with the ability to articulate complex information clearly and concisely.
- Proficiency in using claims management software and standard office applications.
- Demonstrated ability to work independently, manage time effectively, and meet deadlines in a remote environment.
- High level of integrity, attention to detail, and a customer-centric approach.
- Ability to work collaboratively within a virtual team setting.
- Resilience and adaptability in a fast-paced environment.
- Competitive salary and performance-based bonuses.
- Comprehensive health, dental, and vision insurance coverage.
- Generous paid time off (PTO) and company holidays.
- Retirement savings plan with company match.
- Opportunities for professional development and continuing education.
- A fully remote work environment promoting work-life balance.
- Access to cutting-edge technology and virtual collaboration tools.
- Supportive and inclusive team culture focused on mutual respect and growth.
- Employee assistance program for personal and professional support.
- Company-provided equipment for remote work setup.
Is this job a match or a miss?
Senior Insurance Claims Adjuster (Remote)
Posted 19 days ago
Job Viewed
Job Description
- Conduct thorough investigations into insurance claims to determine liability and coverage in accordance with policy terms and conditions.
- Evaluate damages and negotiate settlements with claimants, legal representatives, and third parties, ensuring fairness and accuracy.
- Manage a caseload of complex and potentially high-value claims from initial reporting to final resolution.
- Interpret policy documents, endorsements, and applicable state and federal laws.
- Prepare detailed reports, documentation, and correspondence for all claims handled.
- Collaborate effectively with underwriting, legal, and claims support staff to resolve issues and ensure efficient claims processing.
- Provide expert guidance and mentorship to less experienced claims adjusters within the team.
- Identify potential fraud indicators and escalate investigations as necessary.
- Maintain accurate and up-to-date claim files in the company's claims management system.
- Uphold the highest standards of professional conduct and customer service throughout the claims handling process.
- Bachelor's degree in Business Administration, Finance, Law, or a related field.
- Minimum of 5 years of progressive experience in insurance claims adjusting, with a strong focus on property and casualty insurance.
- Proven ability to manage complex claims investigations, evaluations, and negotiations.
- In-depth knowledge of insurance policies, legal principles, and claims settlement procedures.
- Excellent analytical, problem-solving, and decision-making skills.
- Exceptional communication (written and verbal) and interpersonal skills, with the ability to interact effectively with diverse stakeholders.
- Proficiency in claims management software and standard office applications.
- Ability to work independently and manage time effectively in a remote work environment.
- Relevant professional certifications (e.g., AIC, CPCU) are a significant advantage.
- Demonstrated commitment to ethical practices and professional development.
Is this job a match or a miss?