What Jobs are available for Remote Claims Adjuster Specialist in Kenya?
Showing 157 Remote Claims Adjuster Specialist jobs in Kenya
Remote Claims Adjuster Specialist
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Remote Senior Claims Adjuster - Specialist
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Remote Senior Claims Adjuster - Specialist Lines
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Senior Claims Adjuster - Remote Specialist
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Senior Insurance Claims Adjuster - Remote Analysis
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Responsibilities:
- Investigate, evaluate, and settle insurance claims in accordance with policy terms and conditions.
- Determine coverage and liability by meticulously reviewing policy documents and claim details.
- Conduct detailed investigations, which may include reviewing reports, photos, and statements.
- Communicate effectively with policyholders, claimants, attorneys, and other involved parties.
- Negotiate settlements within authorized limits, aiming for fair and equitable resolutions.
- Prepare comprehensive claim files, documenting all activities and decisions.
- Ensure compliance with all relevant insurance regulations and company procedures.
- Provide guidance and mentorship to junior claims adjusters.
- Identify potential fraud and escalate suspicious claims as per protocol.
- Maintain high standards of customer service and professionalism throughout the claims process.
- Bachelor's degree in Business, Finance, or a related field, or equivalent experience.
- Minimum of 7 years of experience in insurance claims adjusting.
- Possession of relevant professional insurance certifications (e.g., ACII, IIK) is highly desirable.
- In-depth knowledge of various insurance lines (e.g., property, casualty, auto, liability).
- Proven experience with claims management software and digital tools.
- Excellent analytical, problem-solving, and decision-making skills.
- Strong negotiation and communication skills.
- Ability to work independently, manage workload effectively, and meet deadlines.
- Demonstrated ability to work remotely with a high degree of self-discipline.
- Unwavering integrity and commitment to ethical practices.
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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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Insurance Claims Adjuster
Posted 1 day ago
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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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Lead Insurance Claims Adjuster
Posted 1 day ago
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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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