What Jobs are available for Lead Insurance Claims Adjuster in Kenya?
Showing 160 Lead Insurance Claims Adjuster jobs in Kenya
Lead Insurance Claims Adjuster
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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
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Lead Insurance Claims Adjuster (Remote)
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Location: Garissa, Garissa, KE (Fully Remote)
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Lead Insurance Claims Adjuster & Risk Assessor
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Key Responsibilities:
- Investigate and evaluate a diverse range of insurance claims (e.g., property, casualty, liability) to determine coverage and validity.
- Conduct thorough fact-finding, including interviewing claimants, witnesses, and relevant parties, and gathering necessary documentation.
- Analyze policy terms, conditions, and exclusions to ascertain policyholder obligations and coverage limits.
- Assess damages and calculate appropriate settlement amounts, ensuring accuracy and fairness.
- Negotiate claim settlements with claimants, legal representatives, and other involved parties.
- Identify potential fraud indicators and escalate suspicious claims for further investigation.
- Provide clear and concise explanations of claim decisions and settlement offers to claimants.
- Maintain accurate and detailed claim files, documenting all communications, investigations, and decisions.
- Ensure compliance with all relevant insurance laws, regulations, and company policies.
- Collaborate with legal counsel, claims examiners, and other internal departments as needed.
- Develop and implement strategies to improve claims processing efficiency and customer satisfaction.
- Stay updated on industry best practices, legal precedents, and changes in insurance legislation.
- Provide guidance and mentorship to junior claims adjusters within the remote team.
The ideal candidate will possess a Bachelor's degree in Business Administration, Finance, Law, or a related field. A minimum of 6 years of experience in insurance claims adjustment, with a strong focus on complex claims and risk assessment, is required. Professional certifications such as AIC (Associate in Claims) or CPCU (Chartered Property Casualty Underwriter) are highly desirable. Demonstrated expertise in insurance policy analysis, investigation techniques, and negotiation is essential. Excellent analytical, critical thinking, and problem-solving skills are paramount. Strong communication, interpersonal, and customer service skills are critical for claimant interactions. The ability to work independently, manage time effectively, and maintain a high level of professionalism in a remote environment is crucial. This role supports our client's claims operations with a focus on claims originating from Kericho, Kericho, KE .
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Remote Lead Insurance Claims Adjuster - Property & Casualty
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- Lead, manage, and mentor a team of remote property and casualty claims adjusters.
- Oversee the investigation, evaluation, and settlement of complex insurance claims.
- Ensure compliance with company policies, procedures, and regulatory requirements.
- Review and approve claim payments, reserves, and settlements.
- Provide technical expertise and guidance to adjusters on coverage, liability, and damages.
- Handle escalated claims and customer inquiries, ensuring prompt and satisfactory resolution.
- Monitor team performance, providing regular feedback and coaching to improve efficiency and quality.
- Contribute to the development and implementation of claims handling best practices.
- Conduct training sessions for adjusters on new products, procedures, and legal updates.
- Collaborate with underwriting, legal, and other departments as needed.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Minimum of 7 years of experience in insurance claims adjusting, with a significant focus on property and casualty lines.
- Proven experience in a leadership or supervisory role.
- In-depth knowledge of insurance policies, coverage interpretation, and claims investigation techniques.
- Strong understanding of relevant laws and regulations governing insurance claims.
- Excellent analytical, decision-making, and problem-solving skills.
- Exceptional communication, negotiation, and interpersonal skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to lead and motivate a remote team effectively.
- Strong organizational and time management skills, with the ability to prioritize workload.
- Relevant insurance designations (e.g., AIC, CPCU) are highly desirable.
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Lead Remote Insurance Claims Adjuster
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Senior Claims Adjuster - Complex Loss
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Responsibilities:
- Investigate, evaluate, and negotiate complex and high-value insurance claims across various lines of business.
- Conduct thorough fact-finding, gather evidence, and interview relevant parties to determine coverage and liability.
- Interpret policy provisions, endorsements, and exclusions to make informed claim decisions.
- Assess damages and negotiate settlements with claimants, legal representatives, and other stakeholders.
- Prepare detailed claim reports, including findings, recommendations, and reserve adequacy assessments.
- Manage a portfolio of claims, ensuring adherence to timelines and service standards.
- Identify potential subrogation and salvage opportunities.
- Collaborate with legal counsel, subject matter experts, and internal departments as needed.
- Maintain accurate and comprehensive claim files in the company's claims management system.
- Stay current with industry best practices, legal developments, and regulatory changes impacting claims handling.
- Provide guidance and mentorship to junior adjusters.
- Bachelor's degree in Business Administration, Finance, Law, or a related field.
- Minimum of 5-7 years of experience in claims adjusting, with a significant focus on complex commercial or specialty lines claims.
- Demonstrated expertise in evaluating liability, damages, and coverage for challenging claims.
- Strong understanding of insurance contracts, legal principles, and regulatory frameworks.
- Excellent negotiation, communication, and interpersonal skills.
- Proficiency in claims management software and standard office applications.
- Ability to analyze complex information and make sound, evidence-based decisions.
- Exceptional organizational skills and attention to detail.
- Self-motivated and able to manage workload effectively in a remote environment.
- Relevant professional certifications (e.g., AIC, CPCU) are a strong asset.
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Senior Claims Adjuster - Complex Losses
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Location: Kitale, Trans-Nzoia, KE
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Remote Senior Claims Adjuster - Complex Loss Specialist
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- Investigating and analyzing complex insurance claims to determine coverage and liability.
- Evaluating damages and estimating repair or replacement costs.
- Negotiating settlements with policyholders, claimants, and their representatives.
- Gathering and reviewing relevant documentation, including police reports, medical records, and expert opinions.
- Conducting interviews with involved parties to gather information.
- Communicating claim status updates to policyholders and stakeholders.
- Ensuring compliance with all applicable insurance laws and regulations.
- Maintaining accurate and detailed claim files and documentation.
- Identifying potential subrogation or salvage opportunities.
- Mentoring and providing guidance to junior claims adjusters.
- Contributing to the development of claims handling best practices.
Qualifications:
- Bachelor's degree in Business Administration, Finance, Law, or a related field.
- Minimum of 5 years of experience in insurance claims adjusting, with a significant focus on complex or commercial claims.
- Proven ability to manage a diverse caseload and negotiate effectively.
- Strong understanding of insurance policies, contract language, and legal principles.
- Excellent analytical, problem-solving, and decision-making skills.
- Proficiency in claims management software and MS Office Suite.
- Exceptional written and verbal communication skills.
- High level of integrity and attention to detail.
- Ability to work independently, manage time effectively, and maintain productivity in a remote environment.
- Relevant insurance certifications (e.g., Associate in Claims - AIC) are highly desirable.
This fully remote role offers a challenging and rewarding career opportunity within the insurance industry, allowing you to utilize your expertise from a flexible home-based setup.
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Claims Examiner - Marine and Cargo Insurance
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Qualifications:
- Bachelor's degree in Insurance, Maritime Studies, Business Administration, or a related field.
- Minimum of 4 years of experience in claims handling, specifically within marine and cargo insurance.
- In-depth knowledge of marine insurance policies, international shipping regulations, and loss adjusting principles.
- Strong analytical, investigative, and negotiation skills.
- Excellent communication and interpersonal skills.
- Proficiency in claims processing software and Microsoft Office Suite.
- Understanding of marine survey reports and damage assessment.
- Ability to work independently and manage a remote workload efficiently.
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