708 Claims Handling jobs in Kenya
Remote Insurance Claims Adjuster - Specialized Claims Handling
90100 Mangu
KES110000 Annually
WhatJobs
Posted 2 days ago
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Job Description
Our client is looking for a dedicated and meticulous Remote Insurance Claims Adjuster to manage and process insurance claims efficiently and fairly. This is a fully remote position, allowing you to work from anywhere in Kenya, with operational oversight linked to our activities in Machakos, Machakos . You will be responsible for investigating insurance claims, determining the extent of liability, negotiating settlements, and ensuring compliance with policy terms and regulatory requirements. This role requires excellent investigative, analytical, and communication skills to effectively interact with policyholders, witnesses, and other relevant parties. You will conduct virtual assessments, gather evidence, review documentation, and make informed decisions on claim validity and payout amounts. The ideal candidate will possess a strong understanding of insurance policies, claims procedures, and relevant legal frameworks. This remote role demands a high degree of self-discipline, organization, and the ability to manage a caseload independently while collaborating with a distributed team of claims professionals and legal experts. You will utilize advanced claims management software and communication technologies to facilitate your work. This is an excellent opportunity to join a reputable insurance provider and make a significant impact on customer satisfaction and operational efficiency from a remote setup. A commitment to ethical practices, integrity, and customer service is paramount. The ability to handle complex claims and work effectively under pressure is essential for success in this role.
Key Responsibilities:
Key Responsibilities:
- Investigate insurance claims by gathering factual information, reviewing policy details, and interviewing claimants and witnesses remotely.
- Determine coverage based on policy terms and conditions, and assess the extent of the insurer's liability.
- Evaluate the damages or losses sustained and estimate the cost of repairs or replacement.
- Negotiate settlements with policyholders and their representatives in a fair and timely manner.
- Document all claim activities, communications, and decisions accurately in the claims management system.
- Ensure compliance with all relevant insurance regulations, laws, and company policies.
- Manage a caseload of assigned claims efficiently, prioritizing tasks and meeting deadlines.
- Collaborate with internal legal counsel, risk management, and other departments as needed.
- Provide clear and concise explanations of policy coverage and claim decisions to policyholders.
- Identify potential fraud indicators and escalate suspicious claims for further investigation.
- Stay up-to-date with industry trends, regulatory changes, and best practices in claims adjusting.
- Conduct virtual inspections and utilize digital tools for damage assessment.
- Process claim payments and ensure accurate record-keeping.
- Bachelor's degree in Business Administration, Finance, Law, or a related field.
- Relevant professional certifications in insurance (e.g., ACII, IIK) are highly desirable.
- Minimum of 4 years of experience as an insurance claims adjuster or in a similar claims handling role.
- Strong understanding of insurance principles, policy wordings, and claims investigation techniques.
- Proficiency in using claims management software and standard office applications.
- Excellent analytical, critical thinking, and problem-solving skills.
- Exceptional negotiation, communication, and interpersonal skills.
- High level of integrity, ethical conduct, and attention to detail.
- Ability to work independently, manage time effectively, and handle a high volume of claims remotely.
- Experience in handling specialized lines of insurance (e.g., property, casualty, motor) is a plus.
- Demonstrated ability to adapt to new technologies and remote work tools.
This advertiser has chosen not to accept applicants from your region.
0
Insurance Claims Adjuster
01000 Makongeni
KES950000 Annually
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Posted today
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Job Description
Our client is looking for a diligent and detail-oriented Insurance Claims Adjuster to manage and process a variety of insurance claims. This position offers a hybrid work arrangement, combining remote flexibility with essential in-office collaboration. You will be responsible for investigating insurance claims, determining liability, and negotiating settlements to ensure fair and timely resolutions for our policyholders. This role requires a thorough understanding of insurance policies, legal regulations, and claims handling procedures. The successful candidate will interview claimants and witnesses, inspect damaged property, and gather all necessary documentation to support claim assessments. You will utilize your analytical skills to evaluate policy coverage, assess the extent of damages, and calculate appropriate compensation amounts. This role involves extensive communication with policyholders, legal representatives, repair shops, and other relevant parties to facilitate the claims process. The Insurance Claims Adjuster will maintain accurate and comprehensive claim files, document all activities, and ensure compliance with company policies and industry standards. You will also be tasked with identifying potential fraudulent claims and taking appropriate action. This position requires strong negotiation skills, excellent problem-solving abilities, and a keen eye for detail. You must be able to manage a caseload efficiently, prioritize tasks, and meet strict deadlines. The ability to work independently and as part of a team, both remotely and in the office, is essential. A Bachelor's degree in Business Administration, Finance, or a related field is preferred, along with at least 3 years of experience in insurance claims adjusting or a closely related field. Relevant professional certifications are a plus. Proficiency in claims management software and standard office applications is required. Excellent communication, interpersonal, and customer service skills are paramount. If you are a proactive individual with a strong commitment to providing exceptional service and possess the skills to navigate complex insurance claims, we encourage you to apply.
This advertiser has chosen not to accept applicants from your region.
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Insurance Claims Adjuster
10100 Nyeri Town
KES5500 Annually
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Posted today
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Job Description
Our client is seeking a meticulous and empathetic Insurance Claims Adjuster to join their dedicated team. This is a fully remote position, offering the flexibility to manage claims efficiently from home. You will be responsible for investigating insurance claims, assessing damages, determining policy coverage, and negotiating settlements with policyholders. The ideal candidate will possess strong analytical and investigative skills, combined with excellent communication and interpersonal abilities. You must be adept at handling sensitive information with discretion and maintaining a professional demeanor when dealing with claimants. This role requires a thorough understanding of insurance policies and claims procedures. You will be expected to conduct detailed investigations, gather evidence, and document all findings accurately. We are looking for a proactive individual who can manage a caseload effectively, ensuring timely and fair resolution of claims. Your ability to interpret policy language and apply it to specific claim circumstances will be crucial. The successful candidate will be proficient in claims management software and possess strong negotiation skills to reach equitable settlements. Your commitment to providing excellent customer service and upholding the company's reputation will be paramount. This position offers the opportunity to work autonomously while contributing to a critical function of the insurance business. Responsibilities include:
- Investigating insurance claims thoroughly and impartially.
- Assessing the extent of damages and liabilities.
- Interpreting insurance policy terms and conditions.
- Negotiating settlements with policyholders and third parties.
- Documenting all claims-related activities and communications.
- Coordinating with legal counsel and other experts when necessary.
- Ensuring compliance with regulatory requirements and company policies.
- Providing clear explanations of policy coverage and claim outcomes.
- A Bachelor's degree in Business Administration, Finance, or a related field is preferred.
- Minimum of 3 years of experience in insurance claims adjusting or a related role.
- Strong knowledge of insurance policies and claims processes.
- Excellent investigative, analytical, and problem-solving skills.
- Proficiency in claims management software.
- Exceptional communication, negotiation, and interpersonal skills.
- Ability to manage a high volume of claims in a remote setting.
- Integrity and a strong sense of ethics.
This advertiser has chosen not to accept applicants from your region.
2
Insurance Claims Adjuster
00200 Gathiruini
KES700000 Annually
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Posted today
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Job Description
Our client, a prominent insurance provider, is looking for a diligent and detail-oriented Insurance Claims Adjuster. This hybrid role offers a blend of remote work flexibility and necessary on-site presence. The successful candidate will be responsible for investigating, evaluating, and settling insurance claims in a fair and timely manner. Key responsibilities include interviewing claimants and witnesses, inspecting damaged property, reviewing policy coverage, and determining the extent of the insurer's liability. You will negotiate settlements with policyholders and claimants, ensuring compliance with company policies and relevant regulations. Strong analytical skills, excellent communication, and negotiation abilities are essential for this role. The ideal candidate will possess a thorough understanding of insurance policies, claims procedures, and relevant legal frameworks. You will be required to maintain accurate and comprehensive claim files, document all findings, and provide clear explanations of coverage and settlement offers. This position demands a high level of integrity, problem-solving skills, and the ability to manage a caseload effectively, balancing remote responsibilities with occasional site visits and team meetings in **Mlolongo, Machakos, KE**.
This advertiser has chosen not to accept applicants from your region.
3
Insurance Claims Adjuster
80100 Nairobi, Nairobi
KES65000 Monthly
WhatJobs
Posted 1 day ago
Job Viewed
Job Description
Our client, a reputable insurance provider, is actively seeking an diligent and customer-focused Insurance Claims Adjuster to join their team. This role is essential in managing and settling insurance claims efficiently and fairly, ensuring customer satisfaction while adhering to company policies and regulatory requirements. You will be responsible for investigating insurance claims, assessing damages or losses, negotiating settlements, and processing payments. Key duties include interviewing claimants and witnesses, inspecting damaged property, reviewing policy coverage, determining liability, and maintaining accurate and detailed claim records. The ideal candidate will possess a strong understanding of insurance policies, claims procedures, and relevant legal regulations. Excellent investigative, analytical, and negotiation skills are paramount. You should have the ability to make sound judgments under pressure and communicate effectively and empathetically with clients during often stressful situations. A Bachelor's degree or equivalent experience in a related field is preferred. Relevant insurance certifications (e.g., Associate in Claims - AIC) are a significant advantage. This position requires strong organizational skills and the ability to manage a caseload efficiently. While some aspects of the role may involve remote communication, it requires regular travel to inspect claims sites and meet with clients, necessitating a presence in the Mombasa, Mombasa, KE area. A valid driver's license and reliable transportation are required. If you are detail-oriented, possess excellent interpersonal skills, and are committed to providing exceptional service in the insurance industry, we encourage you to apply and become a valuable member of our client's dedicated claims team.
This advertiser has chosen not to accept applicants from your region.
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Insurance Claims Adjuster
10100 Nyeri Town
KES180000 Annually
WhatJobs
Posted 1 day ago
Job Viewed
Job Description
Our client, a reputable insurance firm, is seeking a dedicated and detail-oriented Insurance Claims Adjuster to manage and process client claims. This role involves investigating insurance claims, determining liability, negotiating settlements, and ensuring compliance with company policies and regulations. You will be responsible for gathering information, interviewing claimants and witnesses, reviewing documentation, and assessing damages to determine the validity and extent of claims. The ability to accurately interpret insurance policies and apply them to specific claim situations is crucial. You will maintain detailed records of all claim activities, communicate effectively with claimants, policyholders, and legal representatives, and work towards efficient and fair claim resolution. The ideal candidate will possess strong analytical and problem-solving skills, excellent communication and negotiation abilities, and a thorough understanding of the insurance industry and claims processes. Attention to detail and a commitment to ethical practices are paramount. This position offers a hybrid work model, requiring a blend of remote work flexibility and in-office presence for specific tasks and team collaboration. The **job location** for this role is **Nyeri, Nyeri, KE**.
Responsibilities:
Responsibilities:
- Investigate insurance claims thoroughly and impartially.
- Determine coverage based on policy terms and conditions.
- Interview claimants, witnesses, and relevant parties.
- Gather and review all necessary documentation, including police reports and medical records.
- Assess damages and estimate repair or replacement costs.
- Negotiate settlements with claimants and their representatives.
- Process claim payments accurately and efficiently.
- Maintain detailed and up-to-date claim files.
- Ensure compliance with all relevant regulations and company policies.
- Provide clear and timely communication to all stakeholders.
- Bachelor's degree in Business Administration, Law, or a related field is preferred.
- Professional certification in insurance (e.g., ACII, IIK) is a significant advantage.
- Minimum of 3 years of experience in insurance claims handling.
- Strong understanding of insurance policies and claims procedures.
- Excellent investigative, analytical, and problem-solving skills.
- Superior negotiation and communication skills.
- Proficiency in claims management software.
- Ability to manage a caseload effectively and prioritize tasks.
- Attention to detail and commitment to accuracy.
This advertiser has chosen not to accept applicants from your region.
5
Insurance Claims Adjuster
50100 Tuwan
KES110000 Annually
WhatJobs
Posted 1 day ago
Job Viewed
Job Description
Our client is seeking a diligent and detail-oriented Insurance Claims Adjuster to join their entirely remote claims department. In this role, you will be responsible for investigating, evaluating, and settling insurance claims in accordance with policy provisions and company guidelines. Your primary objective will be to ensure fair and prompt resolution of claims, providing excellent service to policyholders while managing costs effectively. This position requires a thorough understanding of insurance policies, strong analytical skills, and the ability to conduct investigations with integrity and objectivity. Key responsibilities include receiving, reviewing, and processing insurance claims submitted by policyholders. You will investigate the circumstances surrounding the claim, gathering relevant information and evidence, which may include reviewing documentation, interviewing claimants and witnesses, and collaborating with external parties such as repair shops or medical professionals. Evaluating the validity and extent of the loss or damage based on policy terms and conditions will be a crucial step. Calculating the appropriate settlement amount and negotiating with claimants to reach a fair resolution will be ongoing tasks. You will maintain accurate and detailed records of claim investigations, decisions, and settlements within the claims management system. Ensuring compliance with all applicable state and federal insurance regulations will be paramount. Identifying potentially fraudulent claims and escalating them for further investigation will be a necessary part of the role. Providing clear and empathetic communication to policyholders regarding their claims status and decisions is essential. This role demands strong problem-solving skills, excellent judgment, and the ability to manage a caseload efficiently in a remote work environment. The ideal candidate is organized, ethical, and committed to providing professional and timely claims handling. Qualifications: Bachelor's degree in Business Administration, Finance, or a related field, or equivalent work experience. Proven experience as an Insurance Claims Adjuster or in a similar role within the insurance industry. Knowledge of insurance policies, claims investigation procedures, and relevant legal and regulatory requirements. Strong analytical and critical thinking skills. Excellent communication, negotiation, and interpersonal abilities. Proficiency in using claims management software and other relevant IT tools. Ability to manage time effectively and handle a high volume of claims in a remote setting. Relevant insurance licenses or certifications are highly desirable. This position offers the flexibility of working remotely while making a significant contribution to the insurance claims process.
This advertiser has chosen not to accept applicants from your region.
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6
Insurance Claims Adjuster
40200 Abothuguchi West
KES90000 Monthly
WhatJobs
Posted 1 day ago
Job Viewed
Job Description
Our client, a reputable insurance provider, is seeking a diligent and compassionate Insurance Claims Adjuster to manage and process insurance claims. This is a fully remote position, allowing you to work from a location of your choice while serving policyholders. You will be responsible for investigating insurance claims, determining the extent of liability, and negotiating settlements with claimants. The role requires meticulous attention to detail, strong investigative skills, and excellent communication abilities to handle sensitive situations with empathy and professionalism. You will conduct interviews, review policy coverage, gather evidence, and make informed decisions on claim payouts. This position is crucial for maintaining customer satisfaction and ensuring the fair and efficient resolution of claims.
Responsibilities:
Responsibilities:
- Investigate insurance claims thoroughly to determine cause and extent of loss.
- Review insurance policies to ensure coverage is applicable to the claim.
- Conduct interviews with claimants, witnesses, and other parties involved.
- Gather and analyze evidence, including reports, photos, and documentation.
- Determine liability and calculate the appropriate settlement amount.
- Negotiate claim settlements with policyholders and their representatives.
- Explain policy coverage and claim procedures clearly to claimants.
- Maintain accurate and detailed records of all claim activities.
- Adhere to company policies, procedures, and regulatory requirements.
- Collaborate with legal counsel and other professionals as needed.
- Manage a caseload of claims efficiently and effectively.
- Provide excellent customer service throughout the claims process.
- Identify potential fraud and escalate suspicious cases.
- Approve or deny claims based on investigation findings and policy terms.
- Stay updated on industry trends and regulations.
- Bachelor's degree in Business Administration, Finance, Law, or a related field.
- Proven experience as an Insurance Claims Adjuster or in a similar role (3+ years).
- In-depth knowledge of insurance policies, claims procedures, and relevant regulations.
- Strong investigative, analytical, and problem-solving skills.
- Excellent negotiation and communication skills, both written and verbal.
- Ability to handle sensitive and complex situations with empathy and professionalism.
- Proficiency in claims management software and general office applications.
- Strong organizational skills and attention to detail.
- Ability to work independently and manage time effectively in a remote setting.
- Relevant insurance certifications (e.g., Associate in Claims - AIC) are a strong asset.
- Commitment to ethical conduct and fair claims handling.
This advertiser has chosen not to accept applicants from your region.
7
Insurance Claims Adjuster
80100 Nairobi, Nairobi
KES60000 Annually
WhatJobs
Posted 2 days ago
Job Viewed
Job Description
Our client, a reputable insurance provider, is looking for a dedicated and detail-oriented Insurance Claims Adjuster to join their team. This position is based in Mombasa, Mombasa, KE , and requires the successful candidate to be physically present in the office and potentially at claim sites. You will be responsible for investigating, evaluating, and settling insurance claims accurately and efficiently. This role demands strong analytical skills, excellent communication abilities, and a commitment to providing outstanding customer service during challenging times for policyholders.
Responsibilities:
Responsibilities:
- Investigate insurance claims by gathering information through interviews, reviewing policy details, and examining damage to property.
- Determine the extent of the insurance company's liability and coverage for each claim.
- Negotiate settlements with claimants and/or their representatives in a fair and timely manner.
- Assess the value of damaged property, medical expenses, or other losses covered by the policy.
- Prepare detailed reports documenting investigation findings, claim valuations, and settlement recommendations.
- Maintain accurate and organized claim files, ensuring all documentation is complete and up-to-date.
- Communicate effectively with policyholders, claimants, witnesses, and other involved parties throughout the claims process.
- Adhere to all company policies, procedures, and regulatory requirements.
- Identify potential fraudulent claims and escalate them for further investigation.
- Provide exceptional customer service, offering guidance and support to policyholders during the claims process.
- Work collaboratively with internal departments, such as underwriting and legal, when necessary.
- Conduct on-site inspections of damaged property as required.
- Stay informed about industry trends, legal regulations, and best practices in claims adjusting.
- Manage a caseload of claims efficiently, prioritizing urgent cases.
- Utilize claims management software to track and process claims.
- High school diploma or equivalent; a Bachelor's degree in a related field is a plus.
- Proven experience as an Insurance Claims Adjuster or in a related claims handling role.
- Strong understanding of insurance policies, legal principles, and claims investigation techniques.
- Excellent negotiation, communication, and interpersonal skills.
- Strong analytical and problem-solving abilities with keen attention to detail.
- Proficiency in using claims management software and standard office applications.
- Ability to work independently, manage time effectively, and meet deadlines.
- Possession of a valid driver's license and a reliable vehicle for potential site visits.
- Integrity, honesty, and a strong ethical compass.
- Customer-focused mindset with empathy and patience.
- Ability to work under pressure and handle sensitive situations with professionalism.
- Knowledge of local regulations and market practices in Mombasa is advantageous.
This advertiser has chosen not to accept applicants from your region.
8
Insurance Claims Adjuster
30200 Tuwan
KES90000 Annually
WhatJobs
Posted 2 days ago
Job Viewed
Job Description
Our client, a reputable insurance firm committed to providing exceptional service, is seeking a diligent and detail-oriented Insurance Claims Adjuster. This fully remote role requires individuals with a sharp analytical mind and strong investigative skills to manage and process a variety of insurance claims efficiently and fairly. You will be responsible for investigating claims, determining coverage, assessing damages, and negotiating settlements to ensure client satisfaction and uphold the company's integrity. Your ability to communicate effectively and empathetically with policyholders during challenging times will be paramount.
Responsibilities:
Responsibilities:
- Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing relevant documents.
- Determine coverage under various insurance policies and assess liability based on the findings of the investigation.
- Evaluate the extent of damages or losses sustained by policyholders.
- Negotiate settlements with claimants, ensuring fairness and adherence to policy terms and company guidelines.
- Prepare detailed reports outlining claim findings, coverage determinations, and settlement recommendations.
- Maintain accurate and up-to-date claim files using the company's claims management system.
- Ensure compliance with all relevant insurance regulations and legal requirements.
- Provide excellent customer service to policyholders, responding to inquiries and explaining claim processes.
- Collaborate with legal counsel, medical professionals, and other experts as needed during claim investigations.
- Identify potential fraud indicators and escalate suspicious claims for further review.
- Manage a caseload of claims effectively, prioritizing tasks and meeting established deadlines.
- Stay informed about changes in insurance laws, industry trends, and policy updates.
- Assist in the development and implementation of claims handling procedures.
- Bachelor's degree in Business Administration, Finance, Law, or a related field.
- Minimum of 3 years of experience as an insurance claims adjuster or in a related claims handling role.
- Possession of relevant insurance licenses and certifications (e.g., ACII, AIIK) is highly advantageous.
- Strong understanding of insurance policies, contract law, and claims investigation procedures.
- Excellent analytical, critical-thinking, and problem-solving skills.
- Exceptional negotiation and communication skills, both written and verbal.
- Proficiency in using claims management software and standard office applications.
- Ability to work independently, manage time effectively, and handle sensitive information with discretion.
- Strong ethical standards and commitment to fair claims practices.
- Empathy and excellent interpersonal skills for dealing with distressed policyholders.
- Ability to work remotely with a high degree of self-discipline and organization.
This advertiser has chosen not to accept applicants from your region.
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