What Jobs are available for Loss Claims in Kenya?
Showing 158 Loss Claims jobs in Kenya
Insurance Claims Adjuster
Posted 21 days ago
Job Viewed
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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Remote Insurance Claims Adjuster
Posted 27 days ago
Job Viewed
Job Description
Our client is seeking a diligent and detail-oriented Remote Insurance Claims Adjuster to manage and process insurance claims efficiently. This is a fully remote position, offering the flexibility to work from your home office while serving clients across various regions. You will be responsible for investigating insurance claims, determining coverage, negotiating settlements, and ensuring compliance with policy terms and regulations. The role requires strong analytical skills, excellent communication, and a thorough understanding of insurance policies and claims procedures. You will play a crucial role in delivering fair and timely resolutions to policyholders. Key responsibilities include:
The ideal candidate will possess a Bachelor's degree in Business, Finance, or a related field, or equivalent work experience. Previous experience as an insurance claims adjuster, preferably in a specific line of insurance (e.g., auto, property, casualty), is highly desirable. Knowledge of insurance principles, policy language, and claims handling procedures is essential. Strong analytical, investigative, and problem-solving skills are a must. Excellent written and verbal communication skills, along with negotiation abilities, are critical. Proficiency in claims management software and standard office applications is required. Relevant insurance licenses (or the ability to obtain them quickly) are often a requirement for this role. The ability to work independently, manage a caseload effectively, and maintain a high level of accuracy in a remote setting is crucial. We are looking for reliable and customer-focused individuals committed to providing excellent claims service. The **Kitale, Trans-Nzoia, KE** location is a strategic hub for our client's operations, and we seek dedicated adjusters who can excel in a remote capacity.
- Receiving, reviewing, and investigating insurance claims submitted by policyholders.
- Analyzing policy coverage, exclusions, and endorsements to determine claim validity.
- Gathering relevant information and documentation, including police reports, medical records, and repair estimates.
- Conducting interviews with claimants, witnesses, and other involved parties.
- Assessing damages and determining the appropriate settlement amount based on policy terms and evidence.
- Negotiating settlements with claimants and/or their representatives.
- Documenting all claim activities and communications accurately in the claims management system.
- Ensuring claims are processed in compliance with company procedures and regulatory requirements.
- Identifying potential fraudulent claims and escalating them for further investigation.
- Providing clear and timely communication to policyholders regarding claim status and decisions.
The ideal candidate will possess a Bachelor's degree in Business, Finance, or a related field, or equivalent work experience. Previous experience as an insurance claims adjuster, preferably in a specific line of insurance (e.g., auto, property, casualty), is highly desirable. Knowledge of insurance principles, policy language, and claims handling procedures is essential. Strong analytical, investigative, and problem-solving skills are a must. Excellent written and verbal communication skills, along with negotiation abilities, are critical. Proficiency in claims management software and standard office applications is required. Relevant insurance licenses (or the ability to obtain them quickly) are often a requirement for this role. The ability to work independently, manage a caseload effectively, and maintain a high level of accuracy in a remote setting is crucial. We are looking for reliable and customer-focused individuals committed to providing excellent claims service. The **Kitale, Trans-Nzoia, KE** location is a strategic hub for our client's operations, and we seek dedicated adjusters who can excel in a remote capacity.
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1
Lead Insurance Claims Adjuster
Posted 24 days 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
Posted 3 days ago
Job Viewed
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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3
Senior Insurance Claims Adjuster
Posted 27 days ago
Job Viewed
Job Description
Our client, a reputable and growing insurance provider, is seeking a seasoned Senior Insurance Claims Adjuster to join their fully remote team. This position is ideal for an experienced professional looking for flexibility and the opportunity to manage complex claims from the comfort of their home office.
You will be responsible for investigating, evaluating, and settling insurance claims in a timely and efficient manner, ensuring fairness and adherence to policy terms and conditions. This role requires a meticulous approach, strong negotiation skills, and a comprehensive understanding of insurance law and best practices. You will be a key point of contact for policyholders, attorneys, and other stakeholders, providing clear communication and expert guidance throughout the claims process.
Key Responsibilities:
You will be responsible for investigating, evaluating, and settling insurance claims in a timely and efficient manner, ensuring fairness and adherence to policy terms and conditions. This role requires a meticulous approach, strong negotiation skills, and a comprehensive understanding of insurance law and best practices. You will be a key point of contact for policyholders, attorneys, and other stakeholders, providing clear communication and expert guidance throughout the claims process.
Key Responsibilities:
- Investigating assigned insurance claims thoroughly to determine coverage and liability.
- Gathering and analyzing all relevant documentation, including police reports, medical records, and repair estimates.
- Conducting interviews with claimants, witnesses, and other parties involved.
- Evaluating the extent of damages and determining the appropriate settlement amount based on policy provisions and damage assessment.
- Negotiating settlements with claimants and their representatives.
- Preparing detailed claim reports and recommendations for claim disposition.
- Managing a caseload of complex claims, ensuring timely resolution and adherence to service standards.
- Maintaining accurate and organized claim files in the company's claims management system.
- Staying current with insurance regulations, industry trends, and legal requirements.
- Providing exceptional customer service and maintaining professional relationships with all parties.
- Participating in ongoing training and professional development to enhance skills and knowledge.
- Advising policyholders on coverage and claims procedures.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Minimum of 7 years of experience as an insurance claims adjuster, with a focus on specific lines of insurance (e.g., auto, property, casualty).
- Relevant professional certifications (e.g., CPCU, adjuster licenses) are highly desirable.
- In-depth knowledge of insurance policies, legal principles, and claims investigation techniques.
- Excellent analytical, critical thinking, and problem-solving skills.
- Strong negotiation, communication, and interpersonal skills.
- Proficiency in claims management software and standard office applications.
- Ability to work independently and manage time effectively in a remote setting.
- High level of integrity and ethical conduct.
- A commitment to providing excellent customer service.
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4
Insurance Claims Adjuster - Property and Casualty
Posted 24 days ago
Job Viewed
Job Description
Our client is seeking a detail-oriented and customer-focused Insurance Claims Adjuster to join their team in Garissa, Garissa, KE . This role requires you to be on-site to conduct thorough investigations and assessments of property and casualty insurance claims. You will be responsible for evaluating damage, determining liability, negotiating settlements, and ensuring fair and timely resolution for policyholders. The ideal candidate will possess strong analytical skills, excellent negotiation abilities, and a solid understanding of insurance policies and procedures. You will conduct on-site inspections of damaged properties, interview claimants and witnesses, and gather all necessary documentation to support claim decisions. This position involves significant interaction with policyholders, repair services, and legal counsel, requiring exceptional communication and interpersonal skills. A commitment to providing outstanding customer service while upholding the company's integrity and policies is paramount. You will work closely with underwriters and claims management to ensure adherence to regulatory requirements and company standards. The ability to manage a caseload efficiently, prioritize tasks, and work effectively in a challenging environment is essential. This is a critical role in protecting the company's assets and maintaining customer trust.
Responsibilities:
Responsibilities:
- Investigate insurance claims to determine coverage and liability.
- Conduct thorough on-site inspections of damaged properties and assets.
- Interview claimants, witnesses, and other relevant parties.
- Document all findings accurately and comprehensively.
- Assess the extent of damages and estimate repair costs.
- Negotiate settlements with policyholders and third-party representatives.
- Ensure claims are processed in compliance with company policies and regulations.
- Prepare detailed reports for management review.
- Maintain effective communication with all stakeholders throughout the claims process.
- Contribute to fraud detection and prevention efforts.
- Proven experience as an Insurance Claims Adjuster or similar role.
- In-depth knowledge of property and casualty insurance policies and claims handling procedures.
- Strong investigative and analytical skills.
- Excellent negotiation and conflict-resolution abilities.
- Proficiency in claims management software.
- Valid insurance adjuster license or willingness to obtain one.
- Strong written and verbal communication skills.
- Ability to work independently and manage time effectively.
- Customer-focused approach with a commitment to fair settlements.
- High school diploma or equivalent; Bachelor's degree preferred.
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5
Remote Insurance Claims Adjuster - Complex Claims
Posted 9 days ago
Job Viewed
Job Description
Our client is seeking a meticulous and experienced Remote Insurance Claims Adjuster to handle complex claims across various lines of business. This is a fully remote position, allowing you to manage claims efficiently from any location in Kenya. As a Claims Adjuster, you will be responsible for investigating, evaluating, and negotiating insurance claims to determine the extent of the insurer's liability and the amount of compensation. You will thoroughly review policy coverage, gather evidence, interview claimants and witnesses, and consult with experts as needed to assess the validity and value of claims. Prompt and fair settlement of claims while adhering to company guidelines and regulatory requirements is paramount. This role requires strong analytical and problem-solving skills, with the ability to make sound judgments based on evidence and policy terms. Excellent negotiation and communication skills are essential for effectively interacting with policyholders, legal representatives, and other parties involved in the claims process. You must be adept at documenting all aspects of the claims investigation and resolution process accurately and comprehensively. Familiarity with various types of insurance claims (e.g., property damage, liability, bodily injury) and relevant legal frameworks is highly desirable. Proficiency in claims management software and other relevant digital tools is expected. The ability to manage a caseload of complex claims efficiently and meet established service level agreements in a remote environment is crucial. This is an exceptional opportunity for a seasoned claims professional to leverage their expertise in a flexible, remote work setting, contributing to fair claim resolutions for clients in the **Ongata Rongai, Kajiado** region and across the country. If you are a dedicated professional with a commitment to integrity and efficient claims handling, we encourage you to apply.
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6
Insurance Claims Adjuster - Remote
Posted 11 days ago
Job Viewed
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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7
Insurance Claims Adjuster - Remote Processing
Posted 7 days 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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8
Remote Lead Insurance Claims Adjuster
Posted 14 days ago
Job Viewed
Job Description
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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