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Showing 242 Lead Claims Adjuster jobs in Kenya

Lead Claims Adjuster

00200 Ongata Rongai, Rift Valley KES180000 Annually WhatJobs Direct remove_red_eye View All

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Job Description

full-time
Our client, a rapidly expanding insurance provider, is actively recruiting for a Lead Claims Adjuster to spearhead their remote claims processing operations. This pivotal role demands a seasoned professional with extensive experience in evaluating and settling insurance claims across various lines of business. As a remote-first employee, you will be responsible for overseeing a team of claims adjusters, ensuring timely and fair resolution of claims, and upholding the company's commitment to exceptional customer service. Your duties will encompass complex claim investigations, detailed report generation, and the development of best practices for claims handling. You will also play a key role in training and mentoring junior adjusters, fostering a high-performance culture within the remote team. Strong knowledge of insurance policies, legal regulations, and industry standards is essential. The successful candidate will possess excellent negotiation, communication, and decision-making skills, with a proven track record of managing challenging cases. A Bachelor's degree in Business Administration, Law, or a related field is preferred, along with a minimum of 7 years of experience in the insurance claims sector, with at least 2 years in a supervisory or leadership capacity. Proficiency in claims management software and Microsoft Office Suite is required. This role requires a self-disciplined individual who thrives in an independent work environment and is adept at managing a remote workforce. You will contribute significantly to the company's reputation for reliability and integrity, operating entirely from your designated remote workspace. We seek an individual with a keen eye for detail, a strong ethical compass, and a dedication to achieving optimal outcomes for both the company and its policyholders. Join us in shaping the future of remote insurance claims management.
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Lead Claims Adjuster - Remote

00202 Ongata Rongai, Rift Valley KES180000 Annually WhatJobs Direct remove_red_eye View All

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Job Description

full-time
Our client is seeking a highly experienced and motivated Lead Claims Adjuster to join their growing remote operations team. This position is instrumental in managing and overseeing the claims process, ensuring fair and efficient resolution for policyholders. As a fully remote role, you will leverage advanced communication and analytical tools to support a dedicated team of adjusters, handle complex claims, and contribute to the continuous improvement of claims handling procedures. You will be responsible for investigating, evaluating, and negotiating claims, while upholding the highest standards of customer service and compliance. This role is vital for maintaining client satisfaction and trust within the **Ongata Rongai, Kajiado, KE** community, with the flexibility to operate from any remote location.

Key Responsibilities:
  • Supervise and mentor a team of claims adjusters, providing guidance on complex cases and best practices.
  • Investigate, analyze, and determine coverage for various types of insurance claims.
  • Negotiate settlements with claimants, policyholders, and legal representatives.
  • Ensure timely and accurate processing of claims, adhering to all company policies and regulatory requirements.
  • Review and interpret policy documents, endorsements, and applicable laws.
  • Manage a caseload of complex and high-value claims, requiring advanced problem-solving skills.
  • Conduct thorough research and gather evidence to support claim decisions.
  • Develop and implement strategies to improve claims efficiency and customer satisfaction.
  • Prepare detailed reports on claim status, findings, and settlement recommendations.
  • Stay updated on industry trends, legal developments, and emerging risks within the insurance sector.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field.
  • Minimum of 5 years of experience in claims adjusting, with at least 2 years in a supervisory or lead role.
  • Proven track record of successfully managing and resolving complex insurance claims.
  • In-depth knowledge of insurance policies, legal principles, and claims investigation techniques.
  • Excellent negotiation, communication, and conflict resolution skills.
  • Proficiency in claims management software and standard office applications.
  • Ability to work independently, manage time effectively, and maintain high productivity in a remote setting.
  • Strong analytical and critical thinking abilities.
  • Relevant professional certifications (e.g., CIP, AIC) are a plus.
  • Commitment to providing exceptional service and maintaining ethical standards.
This is a unique opportunity to lead and innovate within the insurance sector, serving the **Ongata Rongai, Kajiado, KE** area while embracing the benefits of a fully remote work environment.
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Lead Claims Adjuster - Complex Cases

40200 Mumbuni KES380000 Annually WhatJobs Direct

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Job Description

full-time
Our client, a distinguished leader in the insurance industry, is actively searching for a highly skilled and seasoned Lead Claims Adjuster to manage complex and high-value claims. This is a fully remote opportunity, enabling you to leverage your expertise from any location. The successful candidate will oversee the entire claims process, from initial investigation and assessment to settlement negotiations and final resolution. Responsibilities include conducting thorough investigations into complex insurance claims across various lines of business, determining coverage and liability, negotiating settlements with claimants and legal counsel, and ensuring compliance with all regulatory requirements and company policies. You will mentor and guide junior adjusters, review their case files, and provide expert advice on complex claim strategies. The role also involves maintaining accurate and detailed claim documentation, preparing reports for management, and identifying potential fraud indicators. A deep understanding of insurance principles, contract law, and claims handling best practices is crucial. The ideal candidate will possess exceptional analytical, negotiation, and interpersonal skills, with a proven ability to make sound judgments under pressure. A bachelor's degree in Business Administration, Law, or a related field is preferred. A minimum of 8 years of progressive experience in claims adjusting, with at least 3 years in a supervisory or lead role handling complex claims, is required. Certifications from recognized insurance bodies are a plus. This role, though remote, is associated with our operations in Machakos, Machakos, KE , and offers a competitive salary and benefits package, along with opportunities for career advancement in a supportive work environment.
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Remote Lead Claims Adjuster - Complex Cases

40100 Kisumu KES170000 Annually WhatJobs Direct

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Job Description

full-time
Our client, a reputable insurance firm, is seeking an experienced and meticulous Remote Lead Claims Adjuster to manage and oversee complex insurance claims. This is a fully remote position, enabling you to expertly handle claims from anywhere within Kenya. You will be responsible for investigating, evaluating, and negotiating the settlement of high-value and intricate insurance claims across various lines of business. Your role will involve thorough claim analysis, determining coverage, liability, and damages, and ensuring fair and timely resolution. This position requires a deep understanding of insurance policies, legal principles, and claims handling best practices. You will provide guidance and mentorship to a team of adjusters, ensuring consistency and adherence to company standards. The ideal candidate possesses exceptional analytical and negotiation skills, a keen eye for detail, and the ability to manage a demanding caseload with professionalism and integrity. You will liaise with policyholders, legal counsel, witnesses, and other parties to gather information and facilitate claim resolution. Proactive communication and meticulous documentation are paramount. Responsibilities include:
  • Investigating complex insurance claims thoroughly and impartially.
  • Interpreting insurance policies and determining coverage for submitted claims.
  • Assessing liability and quantifying damages for settlement purposes.
  • Negotiating fair and equitable settlements with policyholders and their representatives.
  • Managing a caseload of complex claims, ensuring timely progress and resolution.
  • Providing guidance, support, and mentorship to junior claims adjusters.
  • Ensuring compliance with all relevant insurance regulations and company policies.
  • Documenting all claim activities accurately and comprehensively.
  • Collaborating with legal counsel and external experts when necessary.
  • Identifying potential fraud indicators and initiating investigations as required.
Qualifications:
  • Bachelor's degree in Business Administration, Law, Finance, or a related field.
  • Minimum of 7 years of experience in insurance claims adjusting, with significant experience in handling complex claims.
  • In-depth knowledge of insurance policies, claims procedures, and relevant legal frameworks.
  • Proven negotiation and conflict resolution skills.
  • Excellent analytical and investigative abilities.
  • Strong understanding of risk assessment and damage evaluation.
  • Exceptional communication and interpersonal skills, both written and verbal.
  • Ability to work independently and manage priorities effectively in a remote setting.
  • Professional certifications in insurance adjusting (e.g., AIC, CPCU) are highly desirable.
  • Proficiency in claims management software.
This is a challenging and rewarding opportunity to lead the claims adjustment process remotely. If you are a seasoned professional committed to excellence in insurance claims management, we encourage you to apply.
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Lead Claims Adjuster - Complex Commercial Policies

00200 Bungoma, Western KES95000 Annually WhatJobs Direct

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Job Description

full-time
Our client is looking for an experienced and detail-oriented Lead Claims Adjuster to manage and oversee complex commercial insurance claims in a fully remote capacity. This role is critical in ensuring timely, fair, and accurate claims settlements, upholding our client's commitment to exceptional service and financial integrity. You will be responsible for investigating, evaluating, and negotiating settlements for high-value and intricate commercial claims, including property damage, business interruption, and liability. This involves conducting thorough reviews of policy details, gathering evidence, interviewing involved parties, and collaborating with legal counsel and subject matter experts. A key aspect of this position is mentoring and guiding a team of claims adjusters, providing expertise, and ensuring adherence to company procedures and regulatory requirements. You will analyze claim trends, identify potential fraud indicators, and contribute to the development of claims handling best practices. The ability to interpret complex policy language and apply it accurately to specific claim scenarios is paramount. Strong analytical and critical thinking skills are essential for assessing coverage, determining liability, and calculating appropriate reserve amounts. Excellent negotiation and communication skills are required to effectively interact with policyholders, claimants, brokers, and internal stakeholders. This fully remote role demands exceptional organizational skills, the ability to manage a demanding caseload independently, and a proactive approach to problem-solving. You must be adept at using claims management software and other digital tools to maintain accurate records and streamline workflows. A commitment to professional development and staying abreast of industry changes is highly valued. This is an opportunity to make a significant impact on our client's claims operations while enjoying the flexibility of a remote work environment.
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Remote Lead Claims Adjuster - Complex Commercial Lines

80104 Casuarina KES720000 Annually WhatJobs Direct

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Job Description

full-time
Our client, a prominent player in the insurance industry, is seeking an experienced and highly capable Lead Claims Adjuster to manage complex commercial lines claims within their fully remote operations. This leadership role demands a strategic approach to claim resolution, ensuring fair, efficient, and accurate settlement while upholding company standards and regulatory compliance. You will be responsible for overseeing a portfolio of high-value and intricate commercial claims, providing expert assessment, negotiation, and resolution. As a remote leader, you will guide and mentor a team of claims adjusters, fostering best practices and driving service excellence. This position requires exceptional analytical skills, a deep understanding of insurance law and policy, and a proven ability to manage challenging situations.

Key responsibilities include:
  • Investigating, evaluating, and settling complex commercial property and casualty insurance claims.
  • Managing assigned claims from initial contact through to final resolution, ensuring timely and cost-effective outcomes.
  • Interpreting insurance policies to determine coverage and liability.
  • Negotiating settlements with policyholders, legal counsel, and other involved parties.
  • Providing clear and concise explanations of policy coverage and claim status to stakeholders.
  • Conducting thorough investigations, including gathering evidence, interviewing witnesses, and obtaining expert reports.
  • Leading and mentoring a team of remote claims adjusters, providing guidance and performance feedback.
  • Ensuring compliance with all applicable laws, regulations, and company procedures.
  • Identifying potential fraud and subrogation opportunities.
  • Developing and maintaining strong relationships with brokers, agents, and other industry professionals.

The ideal candidate will possess a Bachelor's degree in Business Administration, Law, or a related field, with a minimum of 8 years of experience in claims adjusting, with a strong specialization in complex commercial lines. Demonstrated experience in leading or supervising a claims team is essential. In-depth knowledge of various commercial insurance policies (e.g., General Liability, Commercial Property, Workers' Compensation) is required. Excellent negotiation, communication, and analytical skills are paramount. Professional designations such as the Associate in Claims (AIC) or Chartered Property Casualty Underwriter (CPCU) are highly desirable. This is a fully remote position, offering the flexibility to work from home while leading critical claims operations. The role is remote-first, with the conceptual operational hub located near Malindi, Kilifi, KE .
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Lead Insurance Claims Adjuster

90100 Abothuguchi West KES110000 Annually WhatJobs Direct remove_red_eye View All

Posted 1 day ago

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Job Description

full-time
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:
  • 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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Remote Lead Insurance Claims Adjuster

01002 Abothuguchi West KES160000 Annually WhatJobs Direct remove_red_eye View All

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Job Description

full-time
Our client is seeking a seasoned and empathetic Remote Lead Insurance Claims Adjuster to manage and oversee complex insurance claims investigations and settlements. This is a fully remote, leadership position that requires a thorough understanding of insurance policies, claims processing, and client management. You will be responsible for leading a team of claims adjusters, providing guidance, training, and support to ensure efficient and fair claim resolutions. Your duties will include reviewing and verifying claim details, assessing damages, negotiating settlements with policyholders and third parties, and ensuring compliance with all relevant regulations and company policies. This role demands exceptional analytical, negotiation, and decision-making skills. You will be the primary point of contact for escalated claims, requiring strong communication and problem-solving abilities. The ideal candidate will have extensive experience in the insurance industry, with a proven track record in handling various types of claims, such as property, casualty, or auto. Experience in team leadership and remote team management is highly desirable. You will be expected to develop and implement strategies to improve claims handling efficiency, reduce loss costs, and enhance customer satisfaction. Proficiency in using claims management software and digital communication tools is essential, as you will be interacting with clients and team members exclusively through virtual channels. This is a significant opportunity to contribute to a reputable insurance provider, offering the flexibility of a remote work environment. You will play a pivotal role in upholding the company's commitment to service excellence and integrity. The successful applicant will demonstrate a strong ethical compass and a dedication to fair and timely claim adjudication. Your leadership will inspire a high-performing team focused on delivering optimal outcomes for policyholders.
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