What Jobs are available for Senior Claims Adjuster Specialist in Kenya?

Showing 157 Senior Claims Adjuster Specialist jobs in Kenya

Remote Senior Claims Adjuster - Specialist

00200 Ruiru, Central KES250000 Annually WhatJobs Direct

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Job Description

full-time
Our client, a rapidly expanding global insurance provider, is actively recruiting a highly skilled and experienced Senior Claims Adjuster to join their fully remote team. This role is critical in managing complex insurance claims, ensuring timely and fair resolution for policyholders. The successful candidate will operate from a remote location, leveraging advanced communication and claims management systems to deliver exceptional service. Your primary responsibilities will include investigating, evaluating, and negotiating settlement of complex claims across various insurance lines (e.g., property, casualty, auto). You will conduct thorough claim investigations, gathering necessary documentation, interviewing witnesses, and analyzing evidence to determine coverage and liability. This involves accurately assessing damages, obtaining repair estimates, and negotiating settlements with claimants, legal counsel, and other parties. You will be expected to maintain detailed and accurate claim files, ensuring compliance with all company policies, regulatory requirements, and legal standards. Proactive communication with policyholders, agents, and internal stakeholders is paramount to manage expectations and facilitate a smooth claims process. This role requires a deep understanding of insurance law, policy interpretation, and claims handling best practices. You will also be involved in identifying potential fraud and referring suspicious cases for further investigation. Providing guidance and mentorship to junior adjusters remotely will be part of your contribution. This is an excellent opportunity for a seasoned professional seeking the flexibility of a remote work environment combined with challenging and rewarding claims management responsibilities. A commitment to ethical conduct and customer satisfaction is essential.
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Remote Senior Claims Adjuster - Specialist Lines

80202 Casuarina KES1200000 Annually WhatJobs Direct

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full-time
Our client is looking for an experienced and detail-oriented Senior Claims Adjuster to join their dynamic, remote-first insurance team. This role will focus on handling complex claims within specialist lines of insurance, requiring a deep understanding of specific policy wordings and regulatory frameworks. You will be responsible for investigating, evaluating, and negotiating claims to ensure fair and timely resolution, all from a remote work environment. Your duties will include liaising with policyholders, legal counsel, and other relevant parties to gather necessary information, assess liability, and determine the appropriate settlement amounts. A critical aspect of this position is maintaining accurate and comprehensive claim files, documenting all activities and decisions meticulously. The ideal candidate will possess strong analytical skills, excellent judgment, and the ability to make informed decisions under pressure. You will be expected to stay abreast of industry trends and legislative changes that may impact claims handling. This is a fully remote position, meaning you will manage your workload and collaborate with colleagues virtually. We are committed to providing our remote employees with the tools and support they need to succeed, including advanced claims management software and ongoing professional development. If you are a seasoned claims professional seeking a challenging and rewarding remote opportunity, this role offers the chance to significantly contribute to our client's success while enjoying the flexibility of working from home. You will be an integral part of a team that values expertise, integrity, and efficient claims management. Your ability to communicate complex insurance concepts clearly and concisely to various stakeholders will be paramount. We seek individuals who can demonstrate a proven track record in managing high-value or intricate claims and a commitment to delivering exceptional service. This role requires a proactive approach to claim resolution and a strong understanding of risk assessment.
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Senior Claims Adjuster - Remote Specialist

60100 Embu, Eastern KES750000 Annually WhatJobs Direct

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Job Description

full-time
Our client is seeking a highly experienced and detail-oriented Senior Claims Adjuster to join their fully remote claims department. This critical role involves managing complex insurance claims from initiation to resolution, ensuring fair and timely settlements while adhering to company policies and regulatory requirements. You will be responsible for investigating claims, determining coverage, assessing damages, negotiating settlements, and authorizing payments. The ideal candidate possesses a strong understanding of insurance principles, excellent analytical and problem-solving skills, and superior negotiation abilities. You must be adept at handling sensitive information with discretion and professionalism. This position requires the ability to work independently, manage a high volume of claims, and maintain accurate documentation in a remote setting. You will collaborate with policyholders, legal counsel, and other stakeholders to ensure efficient claim processing.

Responsibilities:
  • Investigate, evaluate, and settle complex insurance claims in accordance with policy terms and conditions.
  • Determine coverage by carefully reviewing policy documents and applicable laws.
  • Assess damages and liability by gathering evidence, interviewing parties involved, and obtaining expert reports.
  • Negotiate settlements with policyholders, legal representatives, and third-party adjusters.
  • Authorize payments and process claim settlements efficiently.
  • Maintain detailed and accurate claim files, ensuring all documentation is complete and up-to-date.
  • Provide exceptional customer service to policyholders throughout the claims process.
  • Identify potential fraud and escalate suspicious cases for further investigation.
  • Stay informed about relevant insurance laws, regulations, and industry best practices.
  • Collaborate effectively with internal teams, external vendors, and legal counsel.

Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field; relevant insurance designations are highly preferred.
  • Minimum of 7 years of progressive experience as a Claims Adjuster, handling a variety of complex claims (e.g., property, casualty, liability).
  • In-depth knowledge of insurance policies, claim investigation procedures, and settlement practices.
  • Proven negotiation and conflict resolution skills.
  • Excellent analytical, critical thinking, and problem-solving abilities.
  • Strong organizational skills and the ability to manage a high workload in a remote environment.
  • Proficiency in claims management software and standard office applications.
  • Excellent written and verbal communication skills.
  • Ability to work independently and exercise sound judgment.
  • Commitment to ethical conduct and customer service excellence.
This remote role offers the opportunity to make a significant impact on insurance operations for clients in regions such as Embu, Embu, KE .
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Remote Senior Claims Adjuster - Complex Loss Specialist

80100 Nairobi, Nairobi KES150000 Monthly WhatJobs Direct

Posted 1 day ago

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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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Senior Claims Adjuster Supervisor

60100 Embu, Eastern KES135000 Annually WhatJobs Direct

Posted 1 day ago

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Job Description

full-time
Our client, a leading insurance firm, is actively recruiting a dedicated Senior Claims Adjuster Supervisor to oversee their remote claims operations. This crucial role demands significant expertise in claims handling, regulatory compliance, and team leadership within the insurance industry. The successful candidate will be responsible for managing a team of remote claims adjusters, ensuring the efficient and accurate processing of claims, and maintaining high levels of customer satisfaction. You will provide guidance and support to your team, review complex claims, and make final decisions on claim settlements. A thorough understanding of various insurance policies, legal requirements, and fraud detection techniques is essential. This position requires exceptional analytical and problem-solving skills, as well as the ability to make sound judgments under pressure. You will also be involved in developing and implementing claims handling procedures, monitoring performance metrics, and contributing to the overall improvement of the claims department. This is an excellent opportunity to lead a remote team and make a significant impact on customer experience and operational efficiency, all from a flexible, work-from-home environment. A bachelor's degree in a relevant field, such as Business, Finance, or Law, combined with substantial experience in claims adjusting and supervisory roles within the insurance sector, is required. Strong leadership, communication, and conflict resolution skills are vital. If you are a results-driven professional with a deep understanding of the claims process and a commitment to excellence in a remote setting, we invite you to apply and help us deliver exceptional service to our policyholders.
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Remote Claims Adjuster Specialist

20100 Karagita KES110000 Annually WhatJobs Direct remove_red_eye View All

Posted 1 day ago

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Job Description

full-time
Our client, a reputable insurance provider, is seeking an experienced and detail-oriented Remote Claims Adjuster Specialist to join their dedicated claims department. This position is entirely remote, allowing you to manage claims investigations and settlements from anywhere. The successful candidate will be responsible for evaluating insurance claims, determining coverage based on policy terms, and negotiating fair settlements with policyholders. You will conduct thorough investigations, which may include reviewing documentation, interviewing claimants and witnesses, and assessing damages. A strong understanding of insurance policies, legal and regulatory requirements, and claims handling best practices is essential. Excellent communication, negotiation, and customer service skills are paramount, as you will interact extensively with clients, legal professionals, and other stakeholders. You will maintain accurate and detailed records of all claim activities, ensuring timely processing and adherence to departmental protocols. The ability to work independently, manage a caseload efficiently, and make sound judgments under pressure is crucial. Proficiency with claims management software and other relevant technologies is required. This role offers a challenging and rewarding opportunity to contribute to the company's commitment to excellent customer service and efficient claims resolution. You will play a vital role in ensuring that our clients receive fair and timely settlements during their times of need. We are looking for a proactive individual who can adapt to evolving insurance landscapes and contribute to a positive remote working environment. Your expertise will be instrumental in upholding the integrity and reputation of our insurance services. This is a fantastic opportunity for a seasoned professional to leverage their claims handling skills in a flexible, remote setting.
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Senior Insurance Claims Adjuster - Remote Analysis

80200 Casuarina KES120000 Annually WhatJobs Direct

Posted 1 day ago

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Job Description

full-time
Our client, a leading insurance provider committed to exceptional service, is seeking a highly experienced Senior Insurance Claims Adjuster to join their fully remote operations team. In this critical role, you will be responsible for evaluating, investigating, and settling insurance claims efficiently and accurately, ensuring adherence to company policies and regulatory requirements. The ideal candidate will possess a keen analytical mind, strong negotiation skills, and a comprehensive understanding of insurance claim processes across various policy types. You will manage a diverse portfolio of claims, conduct thorough investigations (which may involve coordinating with remote adjusters or third-party vendors), determine coverage, negotiate settlements with policyholders and claimants, and ensure timely resolution. This position requires excellent communication skills, the ability to interpret complex policy language, and proficiency with claims management software. You will also be tasked with providing guidance and mentorship to junior adjusters, contributing to the overall expertise and performance of the remote claims department. A commitment to customer satisfaction and a high degree of integrity are essential. This is an excellent opportunity to leverage your extensive claims expertise within a flexible, remote-first environment, contributing significantly to the company's reputation for fairness and efficiency. You will play a key role in maintaining high standards of claim handling and customer service while working from anywhere.
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.
Qualifications:
  • 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.
The role is based in Malindi, Kilifi, KE , but is fully remote.
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Insurance Claims Adjuster

00500 Ongata Rongai, Rift Valley KES60000 Monthly WhatJobs Direct remove_red_eye View All

Posted 1 day ago

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Job Description

contractor
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:
  • 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.
Qualifications:
  • 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.
This contractor role offers an opportunity to utilize your claims adjusting expertise in a hands-on capacity, serving policyholders directly and contributing to the smooth operation of insurance services.
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