75 Claims Management jobs in Kenya
Senior Claims Adjuster
Bungoma, Western
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Job Description
Our client is seeking a seasoned Senior Claims Adjuster to join their esteemed insurance team, operating in a fully remote capacity. This role is critical in managing complex insurance claims, ensuring fair and efficient resolution while upholding company standards and regulatory compliance. You will be responsible for investigating, evaluating, and negotiating settlements for a variety of claims, including property, casualty, and liability. Key duties include thoroughly reviewing policy documents, gathering evidence, interviewing claimants and witnesses, and determining coverage and liability. The ideal candidate will possess exceptional analytical and problem-solving skills, with a keen eye for detail and a strong understanding of insurance law and practices. This position requires excellent negotiation and communication abilities, enabling effective interaction with clients, legal counsel, and other stakeholders. As a remote role, strong organizational skills, self-discipline, and proficiency in using digital claim management systems are essential. You must be adept at managing a caseload efficiently and working independently to meet performance targets. A Bachelor's degree in Business Administration, Law, or a related field is preferred. Relevant professional certifications in claims adjusting and a minimum of 5 years of experience handling diverse insurance claims are required. Experience with various types of insurance policies (e.g., homeowners, auto, commercial general liability) is highly desirable. You will be expected to maintain accurate and detailed claim files, prepare comprehensive reports, and adhere to all company policies and ethical guidelines. A commitment to providing exceptional customer service and maintaining client trust is paramount. Join our team and contribute your expertise to our remote claims processing operations.
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Insurance Claims Adjuster
80200 Nairobi, Nairobi
KES90000 Annually
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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.
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Insurance Claims Adjuster
20200 Abothuguchi West
KES200000 Annually
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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.
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1
Insurance Claims Adjuster
40100 Kisumu
KES180000 Annually
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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.
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2
Insurance Claims Adjuster
30100 Moiben
KES90000 Annually
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Posted 1 day ago
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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.
3
Insurance Claims Adjuster (Remote)
00200 Mumbuni
KES100000 Annually
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Job Description
A leading insurance provider is seeking a diligent and customer-focused Insurance Claims Adjuster to join their fully remote claims department. This role is vital in managing and processing insurance claims efficiently and accurately, ensuring customer satisfaction and adherence to company policies. You will be responsible for investigating insurance claims, determining coverage, negotiating settlements, and managing claim files from inception to closure. The ideal candidate will possess a strong understanding of insurance principles, excellent investigative and analytical skills, and the ability to communicate effectively with policyholders, witnesses, and other stakeholders. Your responsibilities will include gathering information, reviewing policy documents, assessing damages, and making informed decisions on claim validity and payout amounts. Proficiency with claims management software and a commitment to providing exceptional service are crucial. This position requires a high degree of integrity, professionalism, and the ability to work independently while managing a caseload of diverse claims. You will utilize digital tools to manage claim documentation, communication, and workflow in a fully remote environment. This is an outstanding opportunity for an experienced claims professional to advance their career in a remote setting and contribute to a reputable insurance organization.
Key Responsibilities:
Key Responsibilities:
- Investigate and evaluate insurance claims promptly and thoroughly.
- Determine coverage based on policy terms and conditions.
- Interview policyholders, witnesses, and other relevant parties.
- Inspect damaged property or review damage reports to assess the extent of losses.
- Negotiate settlements with policyholders and claimants in a fair and timely manner.
- Manage a caseload of claims, ensuring all documentation and actions are recorded accurately.
- Ensure compliance with all applicable insurance laws and regulations.
- Communicate claim status and decisions clearly and professionally to policyholders.
- Collaborate with internal legal and underwriting departments as needed.
- Maintain up-to-date knowledge of insurance products and industry best practices.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Minimum of 3 years of experience as an insurance claims adjuster.
- Strong understanding of insurance policies, claims processes, and relevant laws.
- Excellent investigative, analytical, and negotiation skills.
- Proficiency with claims management software and standard office applications.
- Strong written and verbal communication skills.
- High level of integrity and attention to detail.
- Ability to work independently and manage time effectively in a remote setting.
- Relevant insurance licenses or certifications are an advantage.
This advertiser has chosen not to accept applicants from your region.
4
Remote Insurance Claims Adjuster
60100 Mumbuni
KES1500000 Annually
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Job Description
Our client is seeking a diligent and customer-focused Remote Insurance Claims Adjuster to manage claims processing efficiently and empathetically. This is a fully remote position, offering the flexibility to work from home while serving clients across various regions. As a Remote Insurance Claims Adjuster, you will be responsible for investigating, evaluating, and settling insurance claims in a timely and fair manner, adhering to company policies and regulatory requirements. Your primary duties will involve reviewing policy coverage, assessing damages or losses, communicating with policyholders, witnesses, and other involved parties, and determining the extent of liability.
You will conduct thorough investigations, which may include reviewing documents, gathering evidence, and potentially coordinating with external experts. This role requires excellent investigative, analytical, and negotiation skills. Strong communication abilities are crucial for explaining claim procedures, settlement offers, and policy terms to clients, ensuring a clear and supportive experience during what can be a stressful time. The ability to manage a caseload, prioritize tasks, and maintain accurate and detailed records in our claims management system is essential. This role demands a high level of integrity, professionalism, and customer service. Experience with specific types of insurance, such as auto, property, or general liability, is highly valued. Success in this role depends on your ability to balance thoroughness with efficiency while maintaining a compassionate approach.
Responsibilities:
You will conduct thorough investigations, which may include reviewing documents, gathering evidence, and potentially coordinating with external experts. This role requires excellent investigative, analytical, and negotiation skills. Strong communication abilities are crucial for explaining claim procedures, settlement offers, and policy terms to clients, ensuring a clear and supportive experience during what can be a stressful time. The ability to manage a caseload, prioritize tasks, and maintain accurate and detailed records in our claims management system is essential. This role demands a high level of integrity, professionalism, and customer service. Experience with specific types of insurance, such as auto, property, or general liability, is highly valued. Success in this role depends on your ability to balance thoroughness with efficiency while maintaining a compassionate approach.
Responsibilities:
- Investigate insurance claims to determine coverage and liability.
- Gather information from policyholders, witnesses, and other relevant sources.
- Assess damages or losses and determine the value of the claim.
- Negotiate settlements with policyholders and/or their representatives.
- Process claims accurately and efficiently using claims management software.
- Maintain detailed and organized claim files.
- Provide excellent customer service and support to policyholders.
- Communicate claim status updates to all relevant parties.
- Ensure compliance with insurance laws and regulations.
- Proven experience as an Insurance Claims Adjuster or in a similar role.
- Strong understanding of insurance policies and claims procedures.
- Excellent investigative, analytical, and problem-solving skills.
- Exceptional communication, negotiation, and interpersonal skills.
- Proficiency in claims management software and MS Office Suite.
- Ability to work independently and manage time effectively in a remote setting.
- Relevant insurance certifications or licenses are a strong asset.
- High school diploma or equivalent; further education preferred.
- Attention to detail and strong organizational skills.
This advertiser has chosen not to accept applicants from your region.
5
Remote Insurance Claims Adjuster
50100 Kakamega, Western
KES65000 month
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Posted today
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Job Description
Our client, a prominent insurance provider, is seeking a diligent and customer-focused Remote Insurance Claims Adjuster. This is a fully remote position, allowing you to manage claims and assist policyholders from the comfort of your home. You will be responsible for investigating insurance claims, determining coverage, negotiating settlements, and ensuring fair and efficient resolution for clients. The ideal candidate possesses excellent communication skills, a strong understanding of insurance policies and procedures, and a commitment to providing exceptional customer service. You will conduct thorough investigations, assess damages or losses, and make informed decisions regarding claim validity and payouts. This role requires strong analytical abilities, negotiation skills, and the capacity to manage a caseload effectively in a remote setting.
Key Responsibilities:
Qualifications:
Key Responsibilities:
- Investigate insurance claims by gathering information from policyholders, witnesses, and other relevant parties.
- Review insurance policies to determine coverage and assess liability.
- Inspect damaged property or evaluate losses to determine the extent of the insurer's liability.
- Negotiate settlements with policyholders and/or their representatives.
- Prepare detailed claim reports, documenting findings, evaluations, and settlement recommendations.
- Ensure compliance with all applicable laws, regulations, and company policies.
- Maintain accurate and organized claim files, updating them regularly.
- Provide clear and timely communication to policyholders regarding their claims status.
- Manage a caseload of claims efficiently, prioritizing tasks and meeting deadlines.
- Identify potentially fraudulent claims and escalate them for further investigation.
- Utilize claims management software and other tools to process claims.
- Contribute to the improvement of claims handling processes.
Qualifications:
- 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.
- Strong understanding of insurance policies, claim investigation techniques, and settlement procedures.
- Excellent negotiation, communication, and interpersonal skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Strong analytical and critical thinking skills.
- Ability to work independently, manage time effectively, and maintain high productivity in a remote environment.
- Customer-centric approach with a focus on providing excellent service.
- Knowledge of relevant legal and regulatory frameworks affecting insurance claims.
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6
Remote Insurance Claims Adjuster
50100 Kakamega, Western
KES70000 month
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Posted today
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Job Description
Our client is seeking a meticulous and detail-oriented Remote Insurance Claims Adjuster to manage and process insurance claims efficiently. This fully remote position involves investigating insurance claims, determining liability, negotiating settlements, and ensuring timely resolution while adhering to company policies and regulatory requirements. The ideal candidate possesses strong analytical skills, a thorough understanding of insurance principles, and excellent customer service abilities. You will be responsible for communicating effectively with policyholders, witnesses, and other involved parties to gather information and facilitate the claims process.
Key Responsibilities:
Key Responsibilities:
- Investigate assigned insurance claims to determine coverage and liability.
- Gather information from policyholders, witnesses, and relevant parties through interviews and document review.
- Analyze claim details, policy terms, and applicable laws to make informed decisions.
- Evaluate damages and determine the extent of the insurer's liability.
- Negotiate settlements with policyholders and claimants in a fair and timely manner.
- Prepare detailed reports documenting claim investigations, findings, and settlements.
- Ensure compliance with all relevant insurance regulations and company procedures.
- Maintain accurate and organized claim files in the claims management system.
- Provide excellent customer service throughout the claims process.
- Manage a caseload of claims efficiently and prioritize tasks accordingly.
- Stay updated on changes in insurance laws, industry best practices, and policy interpretations.
- Collaborate with legal counsel and other departments as needed.
- Proven experience as an Insurance Claims Adjuster or similar role.
- Strong knowledge of insurance policies, procedures, and relevant legal/regulatory frameworks.
- Excellent investigation, analytical, and problem-solving skills.
- Exceptional communication, negotiation, and interpersonal skills.
- Proficiency in claims management software and standard office applications.
- Ability to work independently and manage time effectively in a remote setting.
- Relevant insurance licenses or certifications are required.
- High school diploma or equivalent; a bachelor's degree is preferred.
- Strong attention to detail and commitment to accuracy.
- Empathy and a customer-focused approach.
This advertiser has chosen not to accept applicants from your region.
7
Remote Insurance Claims Adjuster
20100 Mwembe
KES70000 Annually
WhatJobs
Posted today
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Job Description
Our client, a reputable insurance provider, is seeking a diligent and experienced Remote Insurance Claims Adjuster to manage claims processing from a distance. This fully remote role is vital for investigating, evaluating, and settling insurance claims accurately and efficiently, ensuring customer satisfaction and compliance with policy terms. The Claims Adjuster will leverage their expertise in insurance regulations, investigation techniques, and communication to handle a diverse portfolio of claims. As a remote-first operation, you will utilize advanced technology and communication platforms to connect with policyholders, witnesses, and other relevant parties. Key responsibilities include:
The ideal candidate will possess a strong understanding of insurance principles and claims handling procedures, ideally with relevant certifications. Previous experience as a claims adjuster or in a similar role within the insurance industry is essential. Excellent investigative, analytical, and negotiation skills are required, along with strong written and verbal communication abilities. Proficiency in using claims management software and digital communication tools is a must. You should be highly organized, detail-oriented, and capable of working independently in a remote environment. A commitment to ethical practices and customer service excellence is paramount. This is a fully remote position, offering the flexibility to work from home while playing a critical role in the insurance claims process. If you are a proactive and skilled professional with a passion for customer advocacy and efficient claim resolution, we encourage you to apply.
- Investigating insurance claims to determine coverage, liability, and damages.
- Interviewing policyholders, claimants, witnesses, and other parties involved in a claim.
- Collecting and analyzing claim-related documents, such as police reports, medical records, and repair estimates.
- Evaluating policy coverage and ensuring claims are processed in accordance with policy terms and conditions.
- Negotiating settlements with claimants and their representatives.
- Determining the amount of loss and preparing detailed reports on claim findings.
- Communicating claim status and decisions clearly and professionally to policyholders and stakeholders.
- Managing a caseload of claims, ensuring timely processing and resolution.
- Staying up-to-date with insurance laws, regulations, and industry best practices.
- Utilizing claims management software and other digital tools for efficient claim processing and documentation.
- Identifying potential fraudulent claims and escalating them for further investigation.
The ideal candidate will possess a strong understanding of insurance principles and claims handling procedures, ideally with relevant certifications. Previous experience as a claims adjuster or in a similar role within the insurance industry is essential. Excellent investigative, analytical, and negotiation skills are required, along with strong written and verbal communication abilities. Proficiency in using claims management software and digital communication tools is a must. You should be highly organized, detail-oriented, and capable of working independently in a remote environment. A commitment to ethical practices and customer service excellence is paramount. This is a fully remote position, offering the flexibility to work from home while playing a critical role in the insurance claims process. If you are a proactive and skilled professional with a passion for customer advocacy and efficient claim resolution, we encourage you to apply.
This advertiser has chosen not to accept applicants from your region.
8
Senior Insurance Claims Adjuster
40101 Mumbuni
KES85000 Annually
WhatJobs
Posted today
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Job Description
Our client is seeking a highly skilled and experienced Senior Insurance Claims Adjuster to join their dynamic team. This is a fully remote position, offering the flexibility to work from anywhere within Kenya. You will be responsible for managing complex insurance claims from initial report to final settlement. This includes investigating claims, determining coverage, negotiating settlements, and ensuring compliance with all relevant regulations and company policies. The ideal candidate will possess a strong understanding of insurance principles and practices, excellent analytical and problem-solving skills, and a proven ability to handle sensitive information with discretion. You will interact with policyholders, legal representatives, and other third parties, requiring exceptional communication and interpersonal abilities. This role demands meticulous attention to detail, the capacity to manage multiple claims simultaneously, and the ability to work independently with minimal supervision. Proficiency in claims management software and a commitment to providing outstanding customer service are essential. Responsibilities will include:
- Investigating and evaluating insurance claims for accuracy and completeness.
- Determining the extent of liability and coverage based on policy terms.
- Negotiating fair and reasonable settlements with claimants and their representatives.
- Documenting all claim activities and maintaining accurate records.
- Communicating effectively with policyholders, underwriters, and other stakeholders.
- Providing guidance and support to junior claims adjusters.
- Staying updated on industry trends and regulatory changes.
- Bachelor's degree in Business Administration, Law, or a related field.
- Minimum of 5 years of experience in insurance claims adjusting.
- Professional certification from an accredited insurance body is a plus.
- Strong knowledge of insurance laws and claims handling procedures.
- Excellent negotiation, communication, and customer service skills.
- Proficiency in Microsoft Office Suite and claims management software.
- Ability to work independently and manage time effectively in a remote setting.
This advertiser has chosen not to accept applicants from your region.
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