Explore numerous insurance claims job opportunities. These roles involve investigating, evaluating, and settling insurance claims. Professionals working in insurance claims ensure fair and accurate claim processing, adhering to industry regulations and company policies. They communicate with policyholders, gather necessary documentation, and negotiate settlements. What Jobs are available for Insurance Claims in Kenya?
Showing 159 Insurance Claims jobs in Kenya
Insurance Claims Adjuster
Posted 1 day ago
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Job Description
Our client, a reputable insurance company, is seeking a dedicated Insurance Claims Adjuster to manage and process claims efficiently. This is a field-based contractor role requiring active engagement with policyholders and relevant parties. You will be responsible for investigating insurance claims, determining coverage, negotiating settlements, and ensuring fair and timely resolution for various types of claims, including property, auto, and liability. The ideal candidate possesses strong investigative skills, excellent negotiation abilities, and a commitment to providing exceptional customer service.
Responsibilities:
Responsibilities:
- Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing relevant documents.
- Determine the extent of liability and coverage based on policy terms and conditions.
- Assess damages and negotiate fair settlements with policyholders and third parties.
- Coordinate with repair shops, medical providers, legal counsel, and other relevant parties as needed.
- Prepare detailed damage estimates and claim reports.
- Ensure claims are processed accurately and in compliance with company policies and regulatory requirements.
- Maintain organized and up-to-date claim files.
- Provide clear explanations of policy coverage and claim procedures to policyholders.
- Identify potential fraud indicators and escalate suspicious claims for further investigation.
- Manage a caseload of claims, ensuring timely progress and resolution.
- Attend required meetings and training sessions to stay updated on insurance practices and regulations.
- Represent the company professionally in all interactions with clients and external parties.
- High school diploma or equivalent; a Bachelor's degree is preferred.
- Proven experience as an Insurance Claims Adjuster or in a similar role.
- Valid Kenyan Driver's License and a reliable vehicle for field visits.
- Strong understanding of insurance policies, claims processes, and relevant legal frameworks.
- Excellent investigative, analytical, and problem-solving skills.
- Exceptional negotiation and communication abilities.
- Proficiency in claims management software and MS Office Suite.
- High level of integrity and ethical conduct.
- Ability to manage time effectively, prioritize tasks, and meet deadlines.
- Strong customer service orientation.
- Willingness to travel within the assigned territory and conduct field investigations.
- Relevant insurance certifications or licenses are a strong asset.
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Insurance Claims Adjuster
Posted 4 days ago
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Job Description
Our client is seeking a dedicated and detail-oriented Insurance Claims Adjuster to join their expanding team. This is a fully remote position, offering the flexibility to work from anywhere while managing a portfolio of insurance claims. The successful candidate will be responsible for investigating, evaluating, and negotiating insurance claims in accordance with company policies and regulations. You will engage with policyholders, witnesses, and relevant parties to gather information, assess damages or losses, and determine coverage. Accurate documentation, clear communication, and timely claim resolution are paramount. This role requires a strong understanding of insurance principles, excellent analytical skills, and the ability to make sound judgments. You will need to conduct thorough investigations, which may involve reviewing policy documents, obtaining statements, inspecting property, and coordinating with experts when necessary. Building rapport with claimants while maintaining impartiality and adhering to ethical standards is key. The ability to manage a caseload effectively, prioritize tasks, and meet deadlines in a remote work environment is crucial. We are looking for an individual with a high degree of integrity and a commitment to providing exceptional service to our clients during a potentially stressful time. This is an excellent opportunity for a motivated professional to grow within the insurance industry.
Key Responsibilities:
Key Responsibilities:
- Receive, review, and process insurance claims from policyholders.
- Investigate assigned claims to determine the extent of liability and coverage.
- Gather relevant documentation, including police reports, medical records, and repair estimates.
- Interview claimants, witnesses, and relevant parties to obtain detailed information.
- Conduct site inspections or arrange for independent adjusters as needed.
- Evaluate damages and negotiate fair and equitable settlements.
- Interpret policy provisions and apply them to specific claim situations.
- Maintain accurate and thorough claim files, documenting all actions and communications.
- Ensure timely and efficient claim resolution in compliance with company guidelines and regulatory requirements.
- Communicate effectively with claimants, legal representatives, and internal stakeholders.
- Identify potential fraud and escalate suspicious claims for further investigation.
- Stay updated on industry trends, legal changes, and best practices in claims adjusting.
- Proven experience as an Insurance Claims Adjuster or similar role.
- In-depth knowledge of insurance policies, claims procedures, and relevant legislation.
- Excellent investigation, analytical, and negotiation skills.
- Strong communication, interpersonal, and customer service abilities.
- Proficiency in claims management software and MS Office Suite.
- Ability to work independently, manage time effectively, and meet deadlines.
- High degree of integrity, professionalism, and attention to detail.
- Bachelor's degree in Business, Law, or a related field is preferred.
- Relevant insurance certifications are a plus.
- Adaptability to working in a fully remote environment.
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Lead Insurance Claims Adjuster
Posted 1 day ago
Job Viewed
Job Description
Our client, a prominent player in the insurance industry, is seeking a highly experienced Lead Insurance Claims Adjuster to join their fully remote team. This leadership role is responsible for overseeing a team of claims adjusters, ensuring the efficient and accurate processing of insurance claims, and maintaining exceptional customer service standards. You will play a crucial role in developing claims handling best practices, providing expert guidance, and contributing to the overall success of the claims department.
Responsibilities:
The successful candidate will possess a deep understanding of various insurance lines, claims investigation techniques, and settlement negotiation. Excellent communication, interpersonal, and organizational skills are essential for managing a remote team and diverse caseload. A proven ability to handle complex claims and guide others through the process is required.
Responsibilities:
- Lead and mentor a team of insurance claims adjusters, providing guidance on complex claims and case management.
- Develop and implement efficient claims processing procedures and protocols to ensure timely and accurate resolution.
- Review and approve complex or high-value claims, ensuring compliance with policy terms and conditions.
- Conduct thorough investigations of insurance claims, including gathering evidence, interviewing witnesses, and assessing damages.
- Negotiate settlements with policyholders and third parties in a fair and equitable manner.
- Ensure adherence to all relevant insurance regulations and company policies.
- Train and develop claims adjusters, enhancing their technical skills and customer service capabilities.
- Analyze claims data to identify trends, potential fraud, and areas for process improvement.
- Manage the claims backlog and prioritize workload effectively to meet service level agreements.
- Liaise with legal counsel, external adjusters, and other stakeholders as needed.
- Contribute to the development of training materials and ongoing professional development for the claims team.
- Foster a collaborative and high-performing team environment, promoting best practices in claims handling.
- This position is ideal for a seasoned professional seeking to leverage their expertise in a remote capacity, supporting clients and operations related to Mlolongo, Machakos, KE . The successful candidate must demonstrate strong leadership, analytical, and decision-making skills, with a commitment to delivering outstanding service in a remote-first environment.
The successful candidate will possess a deep understanding of various insurance lines, claims investigation techniques, and settlement negotiation. Excellent communication, interpersonal, and organizational skills are essential for managing a remote team and diverse caseload. A proven ability to handle complex claims and guide others through the process is required.
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2
Insurance Claims Adjuster - Remote Processing
Posted 1 day ago
Job Viewed
Job Description
Our client is seeking an experienced and detail-oriented Insurance Claims Adjuster to manage claims processing remotely. This is a fully remote position, allowing you to contribute to client satisfaction and efficient claim resolution from anywhere. The ideal candidate will have a solid understanding of insurance policies, claims investigation, damage assessment, and negotiation. You will be responsible for evaluating submitted claims, determining coverage, negotiating settlements, and ensuring prompt and fair claim resolution while maintaining excellent customer service standards.
Responsibilities:
Qualifications:
Responsibilities:
- Investigate insurance claims by reviewing policy coverage, conducting interviews, and gathering necessary documentation.
- Assess the extent of damages or losses sustained by policyholders.
- Determine liability and coverage based on policy terms and conditions.
- Negotiate settlements with policyholders and third parties in a fair and timely manner.
- Authorize payments for approved claims in accordance with company guidelines and policy limits.
- Maintain accurate and detailed claim files, documenting all actions taken and communications.
- Communicate effectively with policyholders, providing clear explanations of the claims process and status updates.
- Collaborate with internal teams, such as underwriting and legal, to resolve complex claims issues.
- Ensure compliance with all relevant insurance regulations and company policies.
- Identify potential fraudulent claims and escalate for further investigation.
- Manage a caseload of claims efficiently, prioritizing tasks and meeting deadlines.
- Contribute to process improvements within the claims department.
- Provide exceptional customer service throughout the claims handling process.
Qualifications:
- Bachelor's degree in Business Administration, Finance, or a related field, or equivalent experience.
- 3+ years of experience as an Insurance Claims Adjuster or in a similar role.
- In-depth knowledge of various insurance policies (e.g., auto, home, property, liability).
- Proven experience in claims investigation, damage assessment, and negotiation.
- Strong analytical and critical thinking skills.
- Excellent communication, interpersonal, and customer service skills.
- Proficiency with claims management software and standard office applications.
- Ability to work independently, manage time effectively, and handle a high volume of claims in a remote setting.
- Relevant insurance licenses and certifications (e.g., Associate in Claims - AIC) are highly desirable.
- Detail-oriented with a commitment to accuracy and fairness.
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Insurance Claims Adjuster - Remote
Posted 1 day ago
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Job Description
Our client is seeking a diligent and empathetic Insurance Claims Adjuster to join their fully remote claims team. This position offers the flexibility to manage claims investigations and settlements from your home office. The ideal candidate will possess a strong understanding of insurance policies, claims processes, and investigative techniques. You will be responsible for receiving, investigating, and processing insurance claims, determining coverage, negotiating settlements, and ensuring fair and timely resolution for policyholders. Excellent communication, negotiation, and problem-solving skills are essential. A commitment to providing exceptional customer service while adhering to company guidelines and regulatory requirements is paramount.
Responsibilities:
Responsibilities:
- Receive, review, and investigate insurance claims submitted by policyholders.
- Determine coverage and liability based on policy terms, conditions, and relevant laws.
- Conduct thorough investigations, including interviewing claimants, witnesses, and other relevant parties.
- Gather and analyze evidence, such as police reports, medical records, and repair estimates.
- Assess the extent of damages or losses and determine the appropriate settlement amount.
- Negotiate settlements with claimants and/or their representatives.
- Manage a caseload of claims efficiently and effectively, ensuring adherence to service standards.
- Maintain accurate and detailed claim files, documenting all activities and decisions.
- Communicate claim status updates regularly to claimants and internal stakeholders.
- Ensure compliance with all applicable insurance regulations and company policies.
- Identify potential fraudulent claims and escalate as necessary.
- Provide exceptional customer service throughout the claims process.
- Collaborate with legal counsel, medical providers, and repair shops as needed.
- Stay updated on claims handling best practices and industry developments.
- Utilize claims management software and systems proficiently.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Minimum of 3 years of experience as an Insurance Claims Adjuster or in a related claims handling role.
- Solid understanding of insurance policies, coverage types, and claims investigation procedures.
- Excellent investigative, analytical, and problem-solving skills.
- Strong negotiation and conflict-resolution abilities.
- Exceptional communication (written and verbal) and interpersonal skills.
- Ability to work independently, manage time effectively, and handle a high volume of claims in a remote setting.
- Proficiency with claims management software and standard office applications.
- Relevant claims adjusting licenses and certifications are a strong asset.
- A proactive attitude and commitment to ethical conduct.
- Must have a reliable high-speed internet connection and a dedicated, quiet workspace.
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4
Insurance Claims Manager
Posted 1 day ago
Job Viewed
Job Description
Our client, a rapidly expanding insurance provider, is seeking an experienced and dynamic Insurance Claims Manager to lead their fully remote claims department. This critical role involves overseeing all aspects of the claims process, ensuring efficient and fair resolution of customer claims while maintaining high standards of service and operational efficiency. You will be responsible for managing a team of claims adjusters and support staff, developing and implementing claims policies and procedures, and ensuring compliance with industry regulations. The ideal candidate possesses strong leadership skills, a deep understanding of insurance claims, and the ability to thrive in a fast-paced, remote work environment.
You will play a key role in shaping our client's reputation for customer service by ensuring timely and accurate claim settlements. This position offers a significant opportunity for professional growth and the chance to implement innovative strategies to enhance the claims handling process. We are looking for a proactive leader who can inspire their team, drive continuous improvement, and contribute to the overall success of the organization.
Key Responsibilities:
You will play a key role in shaping our client's reputation for customer service by ensuring timely and accurate claim settlements. This position offers a significant opportunity for professional growth and the chance to implement innovative strategies to enhance the claims handling process. We are looking for a proactive leader who can inspire their team, drive continuous improvement, and contribute to the overall success of the organization.
Key Responsibilities:
- Manage and lead a remote team of insurance claims adjusters and support personnel.
- Oversee the entire claims lifecycle, from initial reporting to final settlement, ensuring adherence to policy terms and conditions.
- Develop, implement, and enforce claims handling policies and procedures to ensure consistency and fairness.
- Monitor claims performance metrics and implement strategies to improve efficiency and reduce loss ratios.
- Ensure compliance with all applicable insurance regulations and legal requirements.
- Conduct regular audits of claims files to ensure accuracy and adherence to guidelines.
- Train and mentor claims staff, fostering a culture of continuous learning and professional development.
- Investigate and resolve complex or escalated claims issues.
- Collaborate with other departments, such as underwriting and legal, to ensure seamless operations.
- Identify opportunities for process improvement and implement best practices in claims management.
- Manage relationships with third-party service providers, such as loss adjusters and legal counsel.
- Bachelor's degree in Business Administration, Finance, or a related field; a Master's degree is a plus.
- Minimum of 7 years of progressive experience in insurance claims management, with a strong understanding of various insurance lines (e.g., property, casualty, life).
- Proven track record of successfully managing and leading remote teams.
- In-depth knowledge of insurance contracts, claims investigation techniques, and settlement practices.
- Familiarity with claims management software and related technologies.
- Strong analytical, decision-making, and problem-solving skills.
- Excellent communication, interpersonal, and negotiation skills.
- Ability to remain calm and effective under pressure.
- Relevant professional certifications (e.g., ACII, CPCU) are highly desirable.
- Demonstrated commitment to customer service excellence.
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5
Senior Insurance Claims Adjuster
Posted 4 days ago
Job Viewed
Job Description
Our client is looking for an experienced and detail-oriented Senior Insurance Claims Adjuster to join their fully remote claims department. This role is essential in investigating, evaluating, and negotiating insurance claims for a diverse range of policyholders. You will be responsible for determining liability, assessing damages, and ensuring fair and timely settlements in accordance with policy terms and regulations. The ideal candidate will possess a strong understanding of insurance policies, claims handling procedures, and relevant legal frameworks. Excellent investigative, analytical, and communication skills are paramount, especially in a remote setting where clear and concise documentation and virtual client interaction are key. You will manage a caseload of complex claims, requiring keen judgment and a commitment to providing exceptional service to policyholders during their time of need.
Key Responsibilities:
Key Responsibilities:
- Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing police reports and other relevant documents.
- Analyze policy coverage and determine the extent of liability and the company's obligation.
- Assess the extent of damages or losses incurred by the policyholder.
- Negotiate settlements with claimants, policyholders, and legal representatives.
- Approve or deny claims based on policy provisions and investigative findings.
- Maintain accurate and thorough claim files, documenting all activities and decisions.
- Communicate effectively with claimants, internal departments, and external parties throughout the claims process via phone, email, and video conferencing.
- Stay updated on relevant laws, regulations, and industry best practices.
- Identify potential fraud and escalate suspicious claims for further investigation.
- Contribute to the development and improvement of claims handling processes.
- Mentor and provide guidance to junior adjusters.
- Bachelor's degree in Business Administration, Finance, or a related field, or equivalent experience.
- A minimum of 5 years of experience in insurance claims adjusting.
- Proficiency in claims management software and standard office applications.
- In-depth knowledge of various insurance lines (e.g., property, auto, liability).
- Strong understanding of insurance contracts, legal principles, and regulatory requirements.
- Exceptional negotiation, communication, and interpersonal skills.
- Excellent analytical and problem-solving abilities.
- Strong organizational skills and the ability to manage a caseload effectively.
- Self-motivated and able to work independently with minimal supervision in a fully remote environment.
- Relevant professional certifications (e.g., adjuster license) are highly desirable.
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Remote Insurance Claims Adjuster
Posted 4 days ago
Job Viewed
Job Description
Our client, a reputable and established insurance provider, is actively seeking experienced Insurance Claims Adjusters to join their fully remote claims processing team. This role is crucial for managing customer claims efficiently and ensuring fair and timely settlements. You will be responsible for investigating, evaluating, and negotiating claims, all while providing exceptional customer service from the comfort of your home office.
Key Responsibilities:
Key Responsibilities:
- Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing relevant documentation.
- Evaluate insurance policies to determine coverage and assess the extent of liability.
- Determine the appropriate course of action for claims, authorizing payments or denying claims based on policy terms and investigation findings.
- Negotiate settlements with claimants or their representatives, ensuring fair and equitable resolutions.
- Maintain detailed and accurate records of all claims activities, investigations, and communications within the claims management system.
- Communicate clearly and empathetically with policyholders, providing updates and explaining claim decisions.
- Adhere to all company policies, industry regulations, and legal requirements in claims handling.
- Identify potential fraudulent claims and escalate them for further investigation.
- Manage a caseload of claims, prioritizing tasks to meet established service level agreements.
- Collaborate with legal counsel, repair services, and other third parties as needed.
- Stay updated on changes in insurance laws, regulations, and industry best practices.
- 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 similar claims handling role.
- Possession of relevant insurance adjusting licenses (where applicable).
- Strong understanding of insurance policies, claims investigation procedures, and settlement processes.
- Excellent analytical, critical thinking, and problem-solving skills.
- Exceptional negotiation and conflict resolution abilities.
- Outstanding written and verbal communication skills, with the ability to explain complex information clearly.
- Proficiency in using claims management software and standard office applications.
- Ability to work independently, manage time effectively, and handle a high volume of claims remotely.
- High level of integrity, professionalism, and customer service orientation.
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