What Jobs are available for Remote Insurance Claims Adjuster Complex Cases in Kenya?

• 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.

• 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.

• 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.

• Investigate, evaluate, and adjudicate complex insurance claims, including liability assessment, coverage interpretation, and damages calculation.
• Conduct thorough reviews of policy documents, claim forms, investigative reports, and supporting evidence.
• Communicate professionally and empathetically with claimants, policyholders, witnesses, and legal representatives.
• Negotiate settlements within authority limits, aiming for fair and equitable resolutions while minimizing financial exposure.
• Collaborate with legal counsel, adjusters, and other external parties on litigated or high-value claims.
• Ensure all claim handling activities comply with company policies, industry best practices, and relevant state and federal regulations.
• Maintain accurate and detailed claim files, documenting all actions taken, decisions made, and communications.
• Identify potential fraud indicators and escalate suspicious claims for further investigation.
• Provide guidance and mentorship to junior claims adjusters and examiners.
• Stay current with changes in insurance laws, regulations, and claims handling best practices.

• Bachelor's degree in Business Administration, Law, Finance, or a related field. Relevant professional certifications (e.g., AIC, CPCU) are highly desirable.
• Minimum of 6 years of experience in insurance claims examination, with a significant focus on handling complex or specialty claims.
• In-depth knowledge of insurance policies, coverage provisions, and claims investigation techniques.
• Proven ability to analyze complex situations, interpret policy language, and make sound judgment decisions.
• Excellent negotiation, communication, and interpersonal skills.
• Strong investigative and problem-solving abilities.
• Proficiency in claims management software and standard office applications.
• Ability to manage a caseload effectively, prioritize tasks, and meet deadlines.
• Must be highly organized, detail-oriented, and capable of working independently in a remote environment.
• Experience with specific lines of insurance such as professional liability, casualty, or property is advantageous.

Duty Station: Uganda (with travel across the region)

Contract Type: Consultancy / Full-time Assignment

About the Role

Teriya Management Inc. is seeking an International Agriculture Insurance Specialist to contribute to a high-impact data and analytics initiative in agriculture, climate, and rural livelihoods.

The Agriculture Insurance Specialist will support premium calculation and accurate loss modeling for agricultural insurance products.

Qualifications and Experience

Education

• Master's or its equivalent in actuarial science, Agriculture insurance, mathematics and statistics, Agriculture/Agronomy

General Experience

• 5–6 years demonstrated experience in agricultural insurance, including environmental risk assessment, premium calculations, loss modeling, and agricultural risk evaluation.
• Track record of delivering solutions that reflect a deep understanding of farming systems, crop cycles, and economic drivers of agriculture.
• Proficiency in both spoken and written English

Technical Expertise

• Agricultural Insurance Capability
• Expertise in agricultural insurance, including environmental risk assessment, premium calculations, loss modeling, and agricultural risk evaluation
• Good interpretation of digital data from metrology, hydrology and economic data

Additional InformationThe position will require regional travel, including within Uganda.

Candidates must be able to lead a diverse, cross-functional team and collaborate with multiple stakeholders.

Why Join Us ?

This role offers the opportunity to shape innovative data solutions for agriculture, climate, and rural development in Africa. You will work at the intersection of technology, policy, and impact, contributing to scalable solutions that improve decision-making and resource allocation across the agricultural sector.

How to Apply:

Submit your CV (3 pages maximum) and a brief motivation note to:

Please note: Applications sent through other channels will not be accepted; only email submissions will be reviewed.

• 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.

• 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.