What Jobs are available for Lead Insurance Claims Adjuster in Kenya?

Showing 160 Lead Insurance Claims Adjuster jobs in Kenya

Lead Insurance Claims Adjuster

90100 Abothuguchi West KES110000 Annually WhatJobs Direct remove_red_eye View All

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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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Lead Insurance Claims Adjuster (Remote)

30100 Garissa, North Eastern KES150000 Annually WhatJobs Direct remove_red_eye View All

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Job Description

full-time
Our client, a reputable insurance provider, is actively seeking a Lead Insurance Claims Adjuster to manage and oversee their claims processing operations. This is a fully remote position, allowing you to leverage your expertise from anywhere. The successful candidate will be responsible for guiding a team of adjusters, ensuring efficient and accurate assessment of insurance claims across various policy types. Your duties will include investigating claims, determining coverage, negotiating settlements, and making final payment decisions. You will play a crucial role in maintaining customer satisfaction by ensuring timely and fair claim resolutions. This role requires strong leadership, excellent communication, and negotiation skills. A thorough understanding of insurance policies, legal regulations, and claims handling procedures is paramount. You will also be involved in developing and implementing claims handling best practices, as well as mentoring and training junior adjusters. The ability to analyze complex claim scenarios and make sound judgments is essential. Experience with claims management software and data analysis is highly desirable. You will contribute to process improvement initiatives aimed at enhancing efficiency and reducing claim leakage. This is an exceptional opportunity to take on a leadership role in the insurance industry, working in a flexible, remote environment. If you have a keen eye for detail, a commitment to ethical practices, and a passion for delivering outstanding customer service, we want to hear from you. The role involves collaborating with underwriting and legal departments to ensure cohesive policy application. You will also be responsible for quality assurance of claim files and adherence to company standards. The chosen candidate will be a key player in shaping the claims department's success and reputation.
Location: Garissa, Garissa, KE (Fully Remote)
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Lead Insurance Claims Adjuster & Risk Assessor

20200 Kapsuser KES82000 Annually WhatJobs Direct

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Job Description

full-time
Our client is seeking a seasoned and highly analytical Lead Insurance Claims Adjuster & Risk Assessor to join their fully remote team. In this critical role, you will be responsible for managing complex insurance claims, conducting thorough investigations, and assessing risks to ensure fair and accurate settlements. You will leverage your expertise to evaluate policy coverage, determine liability, and negotiate resolutions while upholding the company's integrity and client satisfaction. This position requires a keen eye for detail, strong negotiation skills, and the ability to make sound judgments based on extensive knowledge of insurance principles and regulations. The flexibility of a remote-first approach allows for efficient claim management and broad reach.

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

01002 Ruiru, Central KES5500000 Annually WhatJobs Direct

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Job Description

full-time
Our client is seeking a seasoned and highly competent Lead Insurance Claims Adjuster to manage a remote team and oversee complex property and casualty claims. This is a fully remote position, offering the flexibility to manage your team and workload from any location. As the Lead Claims Adjuster, you will be responsible for guiding a team of adjusters, ensuring efficient and fair claims resolution, and maintaining high standards of customer service. Your duties will include reviewing claims, assigning caseloads, providing technical guidance, and resolving escalated issues. You will also play a key role in training and mentoring junior adjusters, fostering a collaborative and high-performing remote team environment. The ideal candidate possesses extensive knowledge of insurance policies, claims investigation procedures, and relevant regulations. Strong leadership, communication, and negotiation skills are essential. You must be adept at making sound judgments under pressure and demonstrating empathy and professionalism when dealing with policyholders. This is an excellent opportunity to take on a leadership role within a reputable insurance company, leveraging your expertise in a remote-first setting. Responsibilities:
  • 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.
Qualifications:
  • 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

60500 Embu, Eastern KES150000 Annually WhatJobs Direct remove_red_eye View All

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Job Description

full-time
Our client is looking for a seasoned Lead Remote Insurance Claims Adjuster to spearhead our remote claims processing division. In this role, you will be instrumental in ensuring efficient and accurate handling of insurance claims, from initial report to final settlement, all managed remotely. You will lead a team of remote claims adjusters, providing guidance, training, and performance oversight. Your responsibilities will include reviewing complex claims, authorizing payments, and identifying potential fraud. Developing and refining claims handling procedures to enhance customer satisfaction and operational efficiency will be a core focus. You will also serve as a point of escalation for challenging cases, offering expert analysis and solutions. Maintaining compliance with all relevant insurance regulations and company policies is paramount. This position requires a thorough understanding of various insurance products (e.g., auto, property, liability) and a proven ability to manage claims in a remote environment. Strong analytical skills, keen attention to detail, and excellent decision-making capabilities are essential. You must be proficient in claims management software and communication platforms used for remote collaboration. The successful candidate will possess exceptional interpersonal skills, enabling them to effectively communicate with claimants, colleagues, and stakeholders via virtual channels. A commitment to continuous improvement and professional development within the insurance industry is expected. This is an exciting opportunity to shape the future of remote claims handling and contribute significantly to the success of our organization. Your ability to mentor and inspire a remote team, coupled with your deep insurance expertise, will be crucial for success in this demanding role. We seek individuals who are proactive, results-oriented, and dedicated to upholding the highest standards of integrity and service.
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Senior Claims Adjuster - Complex Loss

60200 Meru , Eastern KES90000 Annually WhatJobs Direct

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Job Description

full-time
Our client, a leading insurance provider, is seeking an experienced Senior Claims Adjuster specializing in complex loss cases. This is a fully remote position, offering the flexibility to work from your home office. The successful candidate will be responsible for investigating, evaluating, and negotiating complex insurance claims, ensuring fair and timely resolution while adhering to company policies and regulatory requirements. You will manage a diverse caseload, requiring meticulous attention to detail, strong analytical skills, and exceptional communication abilities. This role is crucial in maintaining customer satisfaction and protecting the company's assets. The ideal candidate is a proactive problem-solver with a deep understanding of insurance law and claims handling procedures. This position is associated with Meru, Meru, KE , but the role is entirely remote.

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.
Qualifications:
  • 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.
This is an exciting opportunity to contribute your specialized skills to a leading organization while enjoying the benefits of a fully remote work arrangement, conceptually tied to Meru, Meru, KE .
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Senior Claims Adjuster - Complex Losses

30200 Tuwan KES2400000 Annually WhatJobs Direct

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Job Description

full-time
Our client is seeking an experienced Senior Claims Adjuster with a specialization in handling complex losses. This is a fully remote position, allowing you to manage and resolve intricate insurance claims from the comfort of your home office. You will be responsible for investigating, evaluating, and negotiating settlements for a variety of complex insurance claims, ensuring fair and timely resolution. Your role will involve detailed assessment of policy coverage, damages, and liability. You will conduct thorough investigations, gather necessary documentation, interview claimants and witnesses, and consult with experts when required. The ideal candidate possesses a strong understanding of insurance policies, legal principles, and claims handling best practices. Proven experience in managing high-value or multi-faceted claims is essential. Excellent analytical, negotiation, and communication skills are critical for this remote role, enabling effective interaction with policyholders, legal counsel, and other stakeholders. The ability to work independently, manage a caseload efficiently, and make sound, well-reasoned decisions under pressure is paramount. We are looking for a detail-oriented and ethical professional dedicated to providing exceptional claims service and upholding the company's reputation. This remote role offers significant autonomy and the opportunity to work on challenging and diverse claims.
Location: Kitale, Trans-Nzoia, KE
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Remote Senior Claims Adjuster - Complex Loss Specialist

80100 Nairobi, Nairobi KES150000 Monthly WhatJobs Direct

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Job Description

full-time
Our client, a leading insurance carrier, is seeking an experienced and highly organized Senior Claims Adjuster to join their fully remote claims department. This crucial role focuses on investigating, evaluating, and negotiating complex insurance claims, ensuring fair and timely resolutions while upholding company standards and regulatory compliance. You will manage a caseload of high-value and intricate claims, requiring meticulous attention to detail, strong analytical skills, and excellent negotiation abilities. The ideal candidate possesses a deep understanding of insurance policies, legal liabilities, and investigative procedures. This position is 100% remote, offering the flexibility to work from your home office anywhere in Kenya. You will collaborate closely with policyholders, legal counsel, repair professionals, and internal stakeholders using advanced communication and claims management software. Responsibilities include:
  • 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

80100 Nairobi, Nairobi KES85000 Annually WhatJobs Direct

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Job Description

full-time
Our client is seeking a meticulous and knowledgeable Claims Examiner specializing in Marine and Cargo Insurance to join their fully remote operations team, supporting business near Mombasa, Mombasa, KE . This role is essential for assessing and processing claims related to the transportation of goods by sea and other modes. You will be responsible for reviewing insurance policies, investigating the circumstances of loss or damage, determining coverage, and calculating claim payouts in accordance with policy terms and conditions. The ideal candidate will possess a strong understanding of marine insurance law, cargo handling processes, and international trade practices. Excellent analytical, investigative, and documentation skills are required to accurately assess complex claims. You will liaunt with policyholders, brokers, surveyors, legal representatives, and other stakeholders to gather necessary information and facilitate a fair and efficient claims resolution process. Proficiency in claims management systems and a commitment to upholding regulatory compliance and company standards are essential. The ability to manage a caseload effectively, work independently, and maintain clear, concise records in a remote environment is critical. We are looking for a detail-oriented professional with strong problem-solving abilities and a dedication to providing exceptional service within the specialized field of marine insurance. This is an excellent opportunity to contribute to a leading insurance provider while enjoying the benefits of a remote work arrangement.
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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