418 Claims Investigation jobs in Kenya
Insurance Claims Adjuster
50100 Kakamega, Western
KES90000 Annually
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Job Description
Our client is seeking an experienced and detail-oriented Insurance Claims Adjuster to manage and process insurance claims efficiently and effectively. This role involves assessing damage or loss, determining coverage based on policy terms, and negotiating settlements with policyholders and claimants. You will be responsible for investigating claims, gathering evidence, interviewing relevant parties, and preparing comprehensive reports. The ideal candidate will have a strong understanding of insurance policies, claims procedures, and relevant regulations. Excellent analytical, problem-solving, and negotiation skills are crucial for success in this role. You should be adept at communicating with diverse individuals, maintaining a professional demeanor, and ensuring fair and timely resolution of claims. This hybrid position requires a balance of in-office work for collaborative tasks and team meetings, and remote work for independent case management and administrative duties. You must possess strong organizational skills to manage a caseload effectively and meet deadlines. A commitment to customer service and a thorough understanding of the claims process are essential. You will play a critical role in upholding the company's commitment to its policyholders by ensuring accurate and equitable claims handling. Responsibilities:
- Investigating insurance claims by gathering evidence, reviewing documentation, and interviewing claimants and witnesses.
- Determining coverage liability based on policy terms and conditions.
- Assessing the extent of damages or losses and estimating repair or replacement costs.
- Negotiating settlements with policyholders and claimants in a fair and timely manner.
- Preparing detailed claims reports and maintaining accurate case files.
- Ensuring compliance with company policies, procedures, and regulatory requirements.
- Collaborating with internal departments, such as underwriting and legal, as needed.
- Providing excellent customer service and maintaining professional communication with all parties involved.
- Managing a caseload of claims efficiently and prioritizing workload effectively.
- Proven experience as an Insurance Claims Adjuster.
- In-depth knowledge of insurance policies, claims processing, and legal/regulatory requirements.
- Strong analytical, investigative, and problem-solving skills.
- Excellent negotiation and communication abilities.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently and manage time effectively in a hybrid work environment.
- Relevant insurance certifications (e.g., Associate in Claims - AIC) are a plus.
- Bachelor's degree in Business, Finance, or a related field is preferred.
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0
Insurance Claims Adjuster
00204 Abothuguchi West
KES70000 Annually
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Posted today
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Job Description
Our client is seeking a meticulous and experienced Insurance Claims Adjuster to manage the processing of insurance claims. This role involves investigating, evaluating, and settling claims in accordance with policy coverage and company guidelines. The ideal candidate will possess strong analytical skills, excellent negotiation abilities, and a commitment to providing outstanding customer service.
Responsibilities:
Responsibilities:
- Investigate insurance claims by gathering information through interviews, policy reviews, and site inspections.
- Determine the extent of the insurance company's liability and the amount of compensation.
- Negotiate settlements with claimants and their representatives.
- Communicate claim status and decisions to all relevant parties in a timely and professional manner.
- Maintain detailed and accurate records of all claim activities and correspondence.
- Ensure compliance with all relevant insurance laws and regulations.
- Identify potential fraud and escalate suspicious claims to the appropriate department.
- Analyze claim data to identify trends and recommend process improvements.
- Conduct field investigations as necessary to assess damages and gather evidence.
- Process claim payments accurately and efficiently.
- Provide expert advice and support to policyholders during the claims process.
- Manage a caseload of claims, prioritizing tasks to ensure timely resolution.
- Stay updated on industry best practices and changes in insurance policies.
- Bachelor's degree in Business, Finance, or a related field.
- Proven experience as an Insurance Claims Adjuster or in a similar role.
- In-depth knowledge of insurance policies, legal requirements, and claims processing procedures.
- Strong analytical, problem-solving, and decision-making skills.
- Excellent negotiation and communication skills, both written and verbal.
- Ability to conduct thorough investigations and gather relevant evidence.
- Proficiency in insurance claims management software.
- Valid insurance adjuster license (or ability to obtain one).
- Strong ethical conduct and attention to detail.
- Ability to work independently and manage time effectively.
- Willingness to travel for claim investigations as required.
This advertiser has chosen not to accept applicants from your region.
1
Insurance Claims Adjuster
00100 Abothuguchi West
KES950000 Annually
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Posted 2 days ago
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Job Description
Our client is seeking a diligent and detail-oriented Insurance Claims Adjuster to join their claims department. This role is crucial in investigating, evaluating, and settling insurance claims efficiently and fairly. You will be responsible for assessing damages, determining coverage, negotiating settlements, and ensuring a positive experience for policyholders during the claims process. This position requires on-site presence to conduct property inspections and meet with clients.
Key responsibilities include:
Key responsibilities include:
- Investigating insurance claims promptly and thoroughly to determine the extent of liability and damages.
- Gathering and reviewing claim-related documentation, including police reports, medical records, and repair estimates.
- Conducting on-site inspections of damaged property (e.g., vehicles, homes) to assess the scope of loss.
- Communicating effectively with policyholders, witnesses, and other parties involved in the claim.
- Applying knowledge of insurance policies and relevant laws to make fair and accurate coverage decisions.
- Negotiating settlements with policyholders and third-party representatives.
- Authorizing payments for approved claims in accordance with policy limits and company guidelines.
- Maintaining accurate and detailed records of claim investigations and resolutions.
- Identifying potential cases of fraud and referring them for further investigation.
- Providing excellent customer service throughout the claims handling process.
This advertiser has chosen not to accept applicants from your region.
2
Insurance Claims Adjuster
00200 Njiru Village
KES70000 month
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Posted 2 days ago
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Job Description
Our client, a leading insurance provider, is seeking a detail-oriented and proactive Insurance Claims Adjuster to join their team in Ongata Rongai, Kajiado, KE . This is a critical role responsible for investigating, evaluating, and settling insurance claims efficiently and fairly. The ideal candidate will possess strong analytical skills, excellent negotiation abilities, and a thorough understanding of insurance policies and procedures. You will be responsible for managing a caseload of claims, conducting thorough investigations, gathering necessary documentation, interviewing claimants and witnesses, and making informed decisions on claim validity and settlement amounts. Key responsibilities include inspecting damaged property, assessing liability, negotiating settlements with claimants and their representatives, and maintaining accurate and timely claim files. A commitment to customer service and ethical conduct is paramount. We are looking for individuals who can work independently, manage their time effectively, and possess strong interpersonal skills to build rapport with clients during potentially stressful situations. Experience in the insurance industry, particularly in claims adjusting, is highly preferred. Familiarity with claims management software and relevant legal regulations is also a plus. This position offers a competitive salary and benefits package, along with opportunities for professional development and career advancement within a reputable organization. You will play a vital role in ensuring our clients receive the support and resolution they deserve.
This advertiser has chosen not to accept applicants from your region.
3
Insurance Claims Adjuster
60100 Meru , Eastern
KES60000 month
WhatJobs
Posted 2 days ago
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Job Description
Our client is seeking a diligent and detail-oriented Insurance Claims Adjuster to manage and process insurance claims efficiently. This role offers a flexible work arrangement, with the possibility of remote work, hybrid, or in-office presence depending on business needs and candidate preference. You will be responsible for investigating insurance claims, determining the extent of liability, and negotiating settlements with claimants. This involves reviewing policy coverage, gathering evidence, interviewing witnesses, and assessing damages. The ability to analyze complex information, make sound judgments, and communicate effectively with policyholders, legal representatives, and other parties is crucial. You will ensure claims are handled in compliance with company policies and regulatory requirements, maintaining accurate records and documentation throughout the claims process. A strong understanding of insurance principles and types of coverage is essential for success in this role.
Responsibilities:
Qualifications:
Responsibilities:
- Investigate and evaluate insurance claims to determine coverage and liability.
- Gather necessary documentation, including police reports, medical records, and property damage assessments.
- Interview claimants, witnesses, and other involved parties.
- Analyze policy details and applicable laws to make informed decisions on claims.
- Negotiate claim settlements with policyholders and their representatives.
- Ensure timely and accurate processing of claims and payments.
- Maintain detailed and organized records of all claim-related activities.
- Adhere to all company policies, procedures, and regulatory requirements.
- Identify potential fraud and escalate suspicious claims.
- Provide clear explanations of claim decisions and processes to policyholders.
Qualifications:
- Bachelor's degree in Business Administration, Finance, or a related field.
- Proven experience as an Insurance Claims Adjuster or in a related claims handling role.
- Strong understanding of insurance policies, claims investigation, and settlement procedures.
- Excellent analytical, problem-solving, and decision-making skills.
- Exceptional communication, negotiation, and interpersonal skills.
- Proficiency in claims management software and MS Office Suite.
- Ability to manage a caseload effectively and meet deadlines.
- Integrity and ethical conduct in handling sensitive information.
- Relevant insurance licenses or certifications are highly desirable.
- Experience in handling specific types of insurance (e.g., auto, property, liability) is a plus.
This advertiser has chosen not to accept applicants from your region.
4
Insurance Claims Adjuster
40100 Kitale, Rift Valley
KES70000 Annually
WhatJobs
Posted 2 days ago
Job Viewed
Job Description
Our client is seeking a diligent and experienced Insurance Claims Adjuster to manage claims processing. This role involves investigating insurance claims, determining liability, and negotiating settlements with policyholders. You will be responsible for reviewing policy coverage, gathering evidence, interviewing claimants and witnesses, and assessing damages. The ideal candidate will have a strong understanding of insurance policies and claims procedures, excellent analytical and communication skills, and the ability to handle sensitive information with discretion. Responsibilities include accurately documenting claims, coordinating with legal counsel when necessary, and ensuring timely resolution of all claims in accordance with company guidelines and regulations. This position requires you to be based in Kitale to conduct on-site investigations and client interactions.
This advertiser has chosen not to accept applicants from your region.
5
Insurance Claims Adjuster
60200 Meru , Eastern
KES60000 Annually
WhatJobs
Posted 2 days ago
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Job Description
Our client is looking for a dedicated and efficient Insurance Claims Adjuster to join their team in **Meru, Meru, KE**. The primary responsibility of this role is to investigate, evaluate, and settle insurance claims accurately and in a timely manner, ensuring adherence to policy terms and company procedures. The Claims Adjuster will be the primary point of contact for policyholders during the claims process, providing guidance and support while managing investigations.
Key Responsibilities:
Qualifications:
Key Responsibilities:
- Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing policy coverage.
- Evaluate the extent of liability and damage, determining the appropriate course of action for claim settlement.
- Negotiate claim settlements with policyholders and/or their representatives, ensuring fairness and compliance with policy limits.
- Manage a caseload of claims from initial contact through to final settlement.
- Document all claim activities, decisions, and communications accurately in the claims management system.
- Conduct site visits and inspections to assess damages and verify information related to claims, especially for property and auto claims.
- Ensure claims are processed in accordance with company guidelines, industry best practices, and regulatory requirements.
- Identify potential fraudulent claims and escalate them for further investigation.
- Provide clear and timely communication to policyholders regarding the status of their claims.
- Collaborate with legal counsel, medical professionals, and other experts as needed to resolve complex claims.
- Maintain a commitment to customer service excellence throughout the claims handling process.
- Contribute to the development and implementation of claims handling procedures.
- Manage reserve adequacy and ensure payments are made promptly and correctly.
- Prepare detailed reports on claim investigations and settlements.
- Stay updated on insurance products, claims procedures, and relevant legislation.
Qualifications:
- Bachelor's degree in a relevant field such as Business Administration, Law, or a related discipline.
- Minimum of 3 years of experience as an insurance claims adjuster or in a similar claims handling role.
- Demonstrated experience in investigating and settling claims, preferably within general insurance (property, casualty, auto).
- Strong understanding of insurance policies, legal principles, and regulatory requirements.
- Excellent analytical, critical thinking, and problem-solving skills.
- Exceptional negotiation and interpersonal skills.
- Proficiency in claims management software and standard office applications.
- A valid driver's license and a reliable vehicle for site visits are required.
- Ability to work independently, manage time effectively, and handle pressure in a demanding environment.
- High degree of integrity and attention to detail.
- Relevant professional certifications or licenses are an advantage.
This advertiser has chosen not to accept applicants from your region.
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6
Insurance Claims Adjuster
40100 Kisumu
KES75000 Annually
WhatJobs
Posted 2 days ago
Job Viewed
Job Description
Our client , a reputable insurance provider, is looking for a meticulous and dedicated Insurance Claims Adjuster. This is a remote-first position, allowing you to manage claims efficiently from any location. The successful candidate will be responsible for investigating, evaluating, and settling insurance claims in a timely and fair manner. You will play a critical role in ensuring customer satisfaction and upholding the company's commitment to integrity and service excellence.
Key responsibilities include:
Key responsibilities include:
- Investigating insurance claims thoroughly by gathering facts, reviewing policy coverage, and interviewing involved parties.
- Assessing the extent of liability and determining the amount of compensation payable according to policy terms.
- Negotiating settlements with policyholders and claimants in a professional and ethical manner.
- Documenting all claim activities accurately and maintaining detailed case files.
- Communicating claim status updates to policyholders, claimants, and internal stakeholders.
- Coordinating with other departments, such as legal and medical, as needed for claim resolution.
- Identifying potential fraud or suspicious claims and escalating them for further investigation.
- Staying updated on relevant insurance laws, regulations, and industry best practices.
- Utilizing claims management software and other tools to process claims efficiently.
- Providing excellent customer service throughout the claims handling process.
- Bachelor's degree in Business Administration, Finance, 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 processes, and relevant legislation.
- Strong analytical, negotiation, and problem-solving skills.
- Excellent written and verbal communication abilities.
- Proficiency in using claims management software and standard office applications.
- Ability to manage a caseload effectively and meet deadlines.
- High level of integrity and attention to detail.
- Customer-centric approach and ability to handle sensitive situations with empathy.
- Possession of relevant insurance certifications is a significant advantage.
This advertiser has chosen not to accept applicants from your region.
7
Insurance Claims Adjuster
10100 Nyeri Town
KES200000 Annually
WhatJobs
Posted 2 days ago
Job Viewed
Job Description
Our client is seeking a dedicated and detail-oriented Insurance Claims Adjuster to join their team in **Nyeri, Nyeri, KE**. This role is crucial in managing and processing insurance claims efficiently and accurately. You will be responsible for investigating insurance claims, assessing damage or loss, negotiating settlements, and ensuring compliance with company policies and regulatory requirements. The ideal candidate will possess strong analytical skills, excellent customer service abilities, and a thorough understanding of insurance principles. You will conduct thorough investigations into the circumstances of insurance claims, interviewing claimants and witnesses, reviewing police reports, and examining physical evidence. Based on the findings, you will determine the extent of the insurance company's liability and negotiate fair settlements with policyholders and claimants.
Key responsibilities:
Qualifications:
Key responsibilities:
- Investigate insurance claims by gathering information through interviews, reviewing documents, and examining damaged property.
- Determine the extent of liability and coverage based on policy terms and conditions.
- Assess the value of damaged property or the extent of loss or injury.
- Negotiate settlements with claimants and policyholders in a fair and timely manner.
- Prepare detailed reports on claim investigations and outcomes.
- Ensure compliance with all applicable insurance laws and regulations.
- Maintain accurate and up-to-date claim files and records.
- Liaise with legal counsel, engineers, and other experts as needed to resolve complex claims.
- Provide excellent customer service to policyholders throughout the claims process.
- Identify potential fraud and follow established procedures for investigation.
Qualifications:
- Proven experience as an Insurance Claims Adjuster or in a similar role.
- In-depth knowledge of insurance policies, claims procedures, and relevant laws.
- Strong investigative and analytical skills.
- Excellent negotiation and communication skills.
- Proficiency in claims management software.
- Ability to work independently and manage a caseload effectively.
- Attention to detail and strong organizational skills.
- A relevant professional certification or degree in a related field is a plus.
This advertiser has chosen not to accept applicants from your region.
8
Insurance Claims Adjuster
00100 Abothuguchi West
KES120000 month
WhatJobs
Posted 2 days ago
Job Viewed
Job Description
Our client, a reputable insurance provider, is seeking a diligent and experienced Insurance Claims Adjuster to join their team. This role requires active presence in the field and at the office to manage the claims process effectively. You will be responsible for investigating insurance claims, determining coverage based on policy terms, assessing damages or losses, and negotiating settlements with policyholders and claimants. Your duties will include inspecting damaged property, interviewing involved parties, gathering evidence, and reviewing relevant documentation such as police reports or medical records. You must possess a strong understanding of various insurance policies (e.g., auto, property, casualty) and be proficient in claims management software. Excellent analytical skills are required to evaluate the validity and extent of claims. The ability to communicate clearly and empathetically with clients, build rapport, and negotiate fair settlements is crucial. You will also be responsible for maintaining accurate claim files, preparing detailed reports, and ensuring compliance with all relevant regulations and company procedures. We are looking for a professional with integrity, strong ethical values, and the ability to manage a caseload efficiently, making fair and timely decisions. This is an excellent opportunity to build a career in the insurance industry and provide essential support to clients during challenging times.
Key Responsibilities:
Key Responsibilities:
- Investigate insurance claims to determine liability and coverage.
- Inspect damaged property or review evidence to assess the extent of losses.
- Interview claimants, witnesses, and other relevant parties.
- Gather and analyze supporting documentation, such as reports and records.
- Evaluate policy coverage and determine the validity of claims.
- Negotiate settlements with policyholders and claimants.
- Prepare detailed claim reports and maintain accurate records.
- Ensure compliance with insurance regulations and company policies.
- Provide excellent customer service throughout the claims process.
- Manage a caseload efficiently and prioritize tasks to meet deadlines.
- 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.
- In-depth knowledge of insurance policies and claims investigation procedures.
- Proficiency in claims management software and standard office applications.
- Strong analytical, negotiation, and problem-solving skills.
- Excellent communication, interpersonal, and customer service skills.
- Ability to work independently and manage time effectively.
- Valid professional license or certification as an Insurance Adjuster is highly preferred.
- Attention to detail and strong organizational abilities.
This advertiser has chosen not to accept applicants from your region.
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