125 Claims Management jobs in Kenya
Senior Claims Adjuster, Remote Insurance Claims Management
80100 Mombasa, Coast
KES210000 Annually
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Job Description
Our client, a well-established insurance provider, is seeking a highly experienced Senior Claims Adjuster to join their fully remote claims department. This vital role involves managing a caseload of complex insurance claims from initial reporting through to settlement. You will be responsible for thoroughly investigating claims, determining coverage, assessing damages, negotiating settlements, and ensuring fair and timely resolution while upholding company policies and regulatory standards. The ideal candidate will possess strong analytical skills, excellent negotiation abilities, and a deep understanding of insurance policies and claims handling procedures. This is a remote-first position, offering the flexibility to manage claims efficiently from any location.
Responsibilities:
Responsibilities:
- Investigate, evaluate, and negotiate complex insurance claims, ensuring accuracy and compliance with policy terms.
- Determine coverage liability and assess damages by reviewing policy documents, incident reports, and expert assessments.
- Communicate effectively with policyholders, claimants, legal counsel, and other involved parties throughout the claims process.
- Conduct thorough investigations, which may include gathering statements, reviewing evidence, and coordinating with external adjusters or investigators.
- Negotiate fair and equitable settlements within established authority limits.
- Manage a caseload of claims efficiently, prioritizing tasks and meeting deadlines.
- Prepare detailed claim files, documentation, and reports.
- Identify potential fraud indicators and escalate suspicious claims for further investigation.
- Stay current with insurance regulations, industry best practices, and claims handling technologies.
- Provide excellent customer service to policyholders, demonstrating empathy and professionalism.
- Bachelor's degree in Business, Finance, Law, or a related field.
- Minimum of 6 years of experience in insurance claims adjusting, with a focus on complex claims.
- In-depth knowledge of various insurance policies (e.g., property, casualty, auto, liability) and their respective coverage.
- Proven experience in negotiation, investigation, and dispute resolution.
- Strong analytical, critical thinking, and problem-solving skills.
- Excellent written and verbal communication skills.
- Proficiency in claims management software and standard office applications.
- Ability to work independently, manage time effectively, and maintain accuracy in a remote work environment.
- Relevant professional certifications (e.g., AIC, CPCU) are highly desirable.
- A strong understanding of local insurance laws and regulations.
This advertiser has chosen not to accept applicants from your region.
0
Insurance Claims Adjuster
60100 Garissa, North Eastern
KES70000 month
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Posted 1 day ago
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Job Description
Our client is seeking a dedicated and experienced Insurance Claims Adjuster to manage a portfolio of diverse insurance claims. This hybrid role offers the flexibility of working both from home and in our **Embu** office. The ideal candidate will be responsible for investigating, evaluating, and settling insurance claims promptly and fairly. You will conduct thorough investigations, determine coverage, and negotiate settlements with claimants and other parties involved. This position requires meticulous attention to detail, strong analytical skills, and the ability to interpret complex policy documents. You will interact with policyholders, witnesses, and other relevant parties to gather necessary information and ensure the accurate assessment of damages and liabilities.
Key responsibilities:
Key responsibilities:
- Investigate insurance claims by gathering information from policyholders, witnesses, and other sources.
- Analyze insurance policies to determine coverage and applicability to the claim.
- Assess the extent of damages and liabilities to determine the fair settlement value of claims.
- Negotiate settlements with policyholders and their representatives.
- Prepare detailed reports on claim investigations and settlements.
- Manage a caseload of claims efficiently and effectively.
- Ensure compliance with all relevant regulations and company policies.
- Provide exceptional customer service throughout the claims process.
- Attend meetings and training sessions as required, both in-person and remotely.
- Utilize claims management software to process and track claims.
- Proven experience as an Insurance Claims Adjuster.
- In-depth knowledge of insurance policies and claims procedures.
- Strong negotiation and communication skills.
- Excellent analytical and problem-solving abilities.
- Proficiency in claims management software.
- Relevant professional certifications (e.g., ACII, CIP) are a strong advantage.
- Ability to work independently and as part of a team in a hybrid environment.
- A valid driver's license and willingness to travel to claim sites as needed.
- High school diploma or equivalent; a bachelor's degree is preferred.
This advertiser has chosen not to accept applicants from your region.
1
Insurance Claims Adjuster
00201 Abothuguchi West
KES120000 Annually
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Posted 1 day ago
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Job Description
Our client is seeking a diligent and detail-oriented Insurance Claims Adjuster to join our growing team. This hybrid role requires a balance of remote work flexibility and in-person client interaction. You will be responsible for investigating, evaluating, and settling insurance claims efficiently and fairly. Your primary goal is to ensure that our clients receive prompt and accurate claim resolutions while upholding company policies and regulatory compliance.
Key duties include interviewing claimants and witnesses, inspecting damaged property, and reviewing police reports and medical records. You will analyze policy coverage, determine liability, and negotiate settlements with claimants and their representatives. A thorough understanding of insurance policies, legal requirements, and claims handling procedures is essential. You must possess strong investigative skills and the ability to assess damages accurately.
This role demands excellent communication and interpersonal skills, as you will be interacting with a diverse range of individuals during often stressful situations. You must be empathetic, patient, and capable of explaining complex policy terms and claim processes clearly. Proficiency in claims management software and standard office applications is required. You will be expected to maintain accurate and thorough claim files and documentation.
We are looking for a candidate who is organized, possesses strong analytical and problem-solving abilities, and can manage a caseload effectively. The ability to work independently, prioritize tasks, and meet deadlines is crucial. While much of the administrative work can be done remotely, occasional site visits and client meetings will be necessary.
Qualifications:
Key duties include interviewing claimants and witnesses, inspecting damaged property, and reviewing police reports and medical records. You will analyze policy coverage, determine liability, and negotiate settlements with claimants and their representatives. A thorough understanding of insurance policies, legal requirements, and claims handling procedures is essential. You must possess strong investigative skills and the ability to assess damages accurately.
This role demands excellent communication and interpersonal skills, as you will be interacting with a diverse range of individuals during often stressful situations. You must be empathetic, patient, and capable of explaining complex policy terms and claim processes clearly. Proficiency in claims management software and standard office applications is required. You will be expected to maintain accurate and thorough claim files and documentation.
We are looking for a candidate who is organized, possesses strong analytical and problem-solving abilities, and can manage a caseload effectively. The ability to work independently, prioritize tasks, and meet deadlines is crucial. While much of the administrative work can be done remotely, occasional site visits and client meetings will be necessary.
Qualifications:
- Diploma or Bachelor's degree in Insurance, Business Administration, or a related field.
- Professional certification in Insurance (e.g., ACII, Diploma in Insurance) is preferred.
- Minimum of 3 years of experience in insurance claims adjusting.
- Proven experience in handling various types of claims (e.g., auto, property, liability).
- Strong understanding of insurance law and regulations.
- Excellent negotiation, communication, and customer service skills.
- Proficiency in claims processing software and MS Office Suite.
- Ability to work effectively in a hybrid work environment.
This advertiser has chosen not to accept applicants from your region.
2
Insurance Claims Adjuster
80200 Nairobi, Nairobi
KES90000 Annually
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Posted 2 days ago
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Job Description
Our client, a reputable insurance provider, is seeking an experienced Insurance Claims Adjuster for their operations in Malindi, Kilifi, KE . This hybrid role requires a blend of in-office presence for critical meetings and client interactions, alongside remote work flexibility for processing and administrative tasks. You will be responsible for investigating, evaluating, and settling insurance claims in a timely and fair manner.
Responsibilities:
Qualifications:
This role is ideal for a meticulous and ethical professional who can manage complex claims and provide excellent customer service. You will play a crucial role in ensuring the smooth and fair resolution of insurance claims for our client's policyholders.
Responsibilities:
- Investigate insurance claims by gathering relevant information, interviewing parties involved, and reviewing policy details.
- Assess the extent of liability and damages to determine the validity and value of claims.
- Negotiate settlements with policyholders and claimants.
- Prepare detailed reports on claim investigations and recommendations for settlement.
- Ensure compliance with all relevant laws, regulations, and company policies.
- Maintain accurate and organized claim files.
- Communicate effectively with policyholders, claimants, legal counsel, and other stakeholders.
- Identify potential cases of fraud and take appropriate action.
- Manage a caseload of claims efficiently, prioritizing tasks to meet deadlines.
- Participate in training and professional development to stay current with industry practices.
Qualifications:
- Proven experience as an Insurance Claims Adjuster or in a similar role.
- In-depth knowledge of insurance policies, claims processes, and relevant legal frameworks.
- Excellent analytical, negotiation, and decision-making skills.
- Strong investigative and report-writing abilities.
- Proficiency in using claims management software.
- Excellent communication and interpersonal skills, with the ability to handle sensitive situations.
- Ability to work effectively both independently and as part of a team.
- A bachelor's degree in business, finance, law, or a related field is preferred.
- Relevant professional certifications (e.g., ACII, IIAI) are a strong asset.
- Must be able to work effectively in a hybrid model, balancing office and remote responsibilities.
This role is ideal for a meticulous and ethical professional who can manage complex claims and provide excellent customer service. You will play a crucial role in ensuring the smooth and fair resolution of insurance claims for our client's policyholders.
This advertiser has chosen not to accept applicants from your region.
3
Insurance Claims Adjuster
20200 Abothuguchi West
KES200000 Annually
WhatJobs
Posted 2 days ago
Job Viewed
Job Description
Our client is seeking an experienced and detail-oriented Insurance Claims Adjuster to join their growing team. This role involves investigating, evaluating, and settling insurance claims in a fair and efficient manner. The ideal candidate will possess strong analytical skills, excellent customer service abilities, and a thorough understanding of insurance policies and regulations. Responsibilities include:
- Investigating insurance claims by gathering information, reviewing policy coverage, and interviewing claimants and witnesses.
- Assessing the extent of damages and determining liability.
- Negotiating settlements with claimants and their representatives.
- Preparing detailed reports on claim investigations and findings.
- Ensuring compliance with all state and federal regulations.
- Maintaining accurate claim files and documentation.
- Providing excellent customer service to claimants throughout the claims process.
- Identifying potential fraud and escalating suspicious claims.
- Collaborating with legal counsel when necessary.
This advertiser has chosen not to accept applicants from your region.
4
Insurance Claims Adjuster
40100 Kisumu
KES180000 Annually
WhatJobs
Posted 2 days ago
Job Viewed
Job Description
Our client is looking for a meticulous and empathetic Insurance Claims Adjuster to manage and process insurance claims efficiently and fairly. This role involves investigating insurance claims, assessing damages, negotiating settlements, and ensuring compliance with company policies and regulations. You will be responsible for interviewing claimants, witnesses, and relevant parties, gathering all necessary documentation, and analyzing policy coverage to determine liability. Key duties include inspecting damaged property, evaluating repair estimates, and making informed decisions regarding claim payouts. The ideal candidate will possess strong analytical and problem-solving skills, excellent communication and negotiation abilities, and a high degree of integrity. A Bachelor's degree in Business Administration, Finance, or a related field is preferred, along with a minimum of 3 years of experience in the insurance industry, specifically in claims handling. Knowledge of insurance laws and regulations is crucial. This position requires a detail-oriented individual who can manage multiple claims simultaneously and work effectively in a team environment, balancing remote work with occasional on-site visits as needed.
This advertiser has chosen not to accept applicants from your region.
5
Insurance Claims Adjuster
30100 Moiben
KES90000 Annually
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Posted 3 days ago
Job Viewed
Job Description
Our client, a leading insurance provider, is seeking a diligent and empathetic Insurance Claims Adjuster to manage claims efficiently and effectively. This is a fully remote position, allowing you to conduct investigations, assessments, and negotiations from your home office. You will be responsible for investigating insurance claims, determining coverage, assessing damages or losses, and negotiating settlements with policyholders. The ideal candidate will possess strong analytical skills, excellent communication abilities, and a commitment to providing fair and timely claim resolutions.
Key Responsibilities:
Qualifications:
This remote opportunity is perfect for an experienced claims professional looking to manage their workload with flexibility while ensuring excellent service delivery. You will play a vital role in supporting policyholders during challenging times.
Key Responsibilities:
- Receive and review insurance claim forms and supporting documentation.
- Investigate claims by gathering information through interviews, reviewing records, and assessing damage/loss.
- Determine the extent of the insurance company's liability and coverage based on policy terms.
- Evaluate and analyze the cause and extent of damages or losses sustained by policyholders.
- Negotiate claim settlements with policyholders and/or their representatives.
- Arrange for repairs or replacement of damaged property as necessary.
- Maintain accurate and detailed claim files, documenting all communications and decisions.
- Ensure claims are processed in compliance with company policies and regulatory requirements.
- Respond to policyholder inquiries and provide clear explanations of claim status and decisions.
- Identify potentially fraudulent claims and follow established procedures for investigation.
- Stay updated on insurance laws, regulations, and industry best practices.
- Collaborate with legal counsel when necessary for complex claims.
Qualifications:
- Bachelor's degree in Business, Finance, Risk Management, or a related field.
- Minimum of 3 years of experience as a claims adjuster or in a similar role within the insurance industry.
- Knowledge of insurance policies, claims processing, and relevant legal regulations.
- Strong analytical, investigative, and problem-solving skills.
- Excellent negotiation, communication, and interpersonal abilities.
- Proficiency in claims management software and standard office applications.
- High level of integrity and attention to detail.
- Ability to manage a caseload effectively and meet performance metrics in a remote environment.
- Empathy and strong customer service orientation.
- Certification as an Insurance Adjuster is a plus.
This remote opportunity is perfect for an experienced claims professional looking to manage their workload with flexibility while ensuring excellent service delivery. You will play a vital role in supporting policyholders during challenging times.
This advertiser has chosen not to accept applicants from your region.
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6
Senior Insurance Claims Adjuster
20700 Kipreres
KES65000 Annually
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Posted today
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Job Description
Our client is seeking a highly competent and detail-oriented Senior Insurance Claims Adjuster to manage complex insurance claims efficiently and effectively. This hybrid role offers a balanced approach, combining remote work flexibility with essential in-person interactions, supporting operations in **Kitale, Trans-Nzoia, KE**. The ideal candidate will have a solid understanding of insurance policies, claims investigation processes, and excellent negotiation skills. You will be responsible for investigating insurance claims, determining coverage, negotiating settlements, and ensuring policyholder satisfaction while upholding company standards. This position requires strong analytical abilities, meticulous record-keeping, and outstanding communication skills.
Key Responsibilities:
Qualifications:
This is a rewarding opportunity for an experienced claims professional to advance their career within a reputable insurance provider. If you possess the required skills and are looking for a hybrid role that offers both autonomy and collaboration, we encourage you to apply and contribute your expertise to our client's team in **Kitale, Trans-Nzoia, KE**.
Key Responsibilities:
- Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing relevant documentation.
- Analyze insurance policies to determine coverage and liability.
- Assess damages and estimate repair costs for property and casualty claims.
- Negotiate settlements with policyholders, claimants, and their representatives.
- Prepare detailed claim reports and maintain accurate case files.
- Communicate effectively with policyholders, attorneys, and other stakeholders throughout the claims process.
- Ensure compliance with all relevant insurance regulations and company procedures.
- Manage a caseload of complex and high-value claims.
- Approve payments and authorize repairs or replacements based on claim assessments.
- Attend mediations or legal proceedings when necessary.
Qualifications:
- Bachelor's degree in Business, Finance, Law, or a related field.
- Minimum of 5 years of experience as an insurance claims adjuster.
- Proven knowledge of insurance policies, claims procedures, and legal/regulatory requirements.
- Strong analytical and problem-solving skills.
- Excellent negotiation and communication skills, both written and verbal.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently and as part of a team in a hybrid work environment.
- Valid insurance adjuster license (or willingness to obtain one).
- Customer-focused attitude and the ability to handle sensitive situations with empathy and professionalism.
- Strong organizational and time-management skills.
This is a rewarding opportunity for an experienced claims professional to advance their career within a reputable insurance provider. If you possess the required skills and are looking for a hybrid role that offers both autonomy and collaboration, we encourage you to apply and contribute your expertise to our client's team in **Kitale, Trans-Nzoia, KE**.
This advertiser has chosen not to accept applicants from your region.
7
Remote Insurance Claims Adjuster
60200 Meru , Eastern
KES1500000 Annually
WhatJobs
Posted 1 day ago
Job Viewed
Job Description
Our client is seeking a detail-oriented and empathetic Remote Insurance Claims Adjuster to join their fully remote operations team. You will be responsible for investigating insurance claims, assessing damages or losses, determining coverage, and negotiating settlements with policyholders. This role requires excellent analytical skills, a thorough understanding of insurance policies, and the ability to communicate effectively with individuals experiencing difficult situations. As a remote adjuster, you will manage claims from initial report to closure using digital tools and maintaining high standards of customer service.
Key Responsibilities:
Qualifications:
This is a fully remote position, allowing you to work from home. Our client is a reputable insurance provider committed to excellent service and employee growth. Join our efficient and supportive remote claims team.
Key Responsibilities:
- Receive and review insurance claim forms and related documents to ensure completeness and accuracy.
- Investigate claims by gathering information through interviews with claimants, witnesses, and relevant parties, and by reviewing police reports, medical records, and other documentation.
- Assess the extent of liability and determine the extent of the insurance company's obligation to pay based on policy terms and conditions.
- Evaluate damages or losses and estimate the cost of repair or replacement.
- Negotiate fair and equitable settlements with policyholders, contractors, and legal representatives.
- Provide clear and concise explanations of policy coverage and claim procedures to policyholders.
- Maintain accurate and detailed records of all claim activities, communications, and decisions in the claims management system.
- Adhere to all relevant insurance regulations, company policies, and ethical standards.
- Manage a caseload of claims efficiently, prioritizing tasks to ensure timely resolution.
- Conduct on-site inspections (where feasible and required, though role is primarily remote) or arrange for inspections by qualified professionals.
- Identify potential fraudulent claims and escalate them for further investigation.
- Collaborate with legal counsel, medical professionals, and other experts as needed.
- Stay updated on insurance laws, regulations, and industry best practices.
- Offer exceptional customer service throughout the claims process, demonstrating empathy and professionalism.
- Contribute to process improvement initiatives within the claims department.
Qualifications:
- Bachelor's degree in Business, Finance, Law, or a related field.
- Minimum of 3 years of experience as an insurance claims adjuster or in a similar claims handling role.
- Possession of relevant insurance licenses or willingness to obtain them promptly.
- Strong understanding of insurance policies, coverage, and claims procedures.
- Excellent investigation, analytical, and problem-solving skills.
- Exceptional communication, negotiation, and interpersonal skills.
- Proficiency in using claims management software and Microsoft Office Suite.
- Ability to work independently, manage time effectively, and meet deadlines in a remote setting.
- High level of integrity and attention to detail.
- Empathy and strong customer service orientation.
- Ability to handle sensitive information with discretion.
- Experience with specialized claims (e.g., property, auto, liability) is a plus.
- Commitment to continuous professional development in the insurance field.
This is a fully remote position, allowing you to work from home. Our client is a reputable insurance provider committed to excellent service and employee growth. Join our efficient and supportive remote claims team.
This advertiser has chosen not to accept applicants from your region.
8
Senior Insurance Claims Adjuster
01001 Mlolongo, Eastern
KES110000 Annually
WhatJobs
Posted 1 day ago
Job Viewed
Job Description
Our client is looking for a seasoned Senior Insurance Claims Adjuster to join their remote team. This role is critical in managing and resolving insurance claims efficiently and effectively. You will be responsible for investigating complex claims, determining coverage, assessing damages, negotiating settlements, and ensuring compliance with all relevant regulations and company policies. The ideal candidate will possess extensive knowledge of insurance policies, claims processing, and liability assessment. Your duties will include interviewing claimants and witnesses, inspecting damaged property or assessing financial losses, obtaining estimates, and preparing detailed claim reports. Strong analytical and critical thinking skills are essential for evaluating policy coverage and making informed decisions. You will need to communicate effectively with policyholders, legal counsel, and other stakeholders throughout the claims process. This is a fully remote position, allowing you to manage your workload and client interactions from any location. You will leverage advanced communication tools and software to perform your duties. A proven ability to handle a high volume of claims while maintaining accuracy and customer satisfaction is required. Experience in a specific line of insurance (e.g., auto, property, casualty) and relevant certifications are highly advantageous. You will play a key role in maintaining the company's reputation for fairness and efficiency in claims handling. The ability to work independently, manage your time effectively, and meet deadlines is paramount. This role offers the flexibility to contribute significantly to our insurance operations while enjoying the benefits of remote work. Your expertise will support claims handling for clients and operations within the vicinity of Mlolongo, Machakos, KE , though you will work remotely.
This advertiser has chosen not to accept applicants from your region.
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