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Showing 160 Senior Insurance Claims Adjuster jobs in Kenya

Senior Insurance Claims Adjuster

20300 Mwembe KES85000 Annually WhatJobs Direct remove_red_eye View All

Posted 4 days ago

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Job Description

full-time
Our client, a leading innovator in the insurance sector, is seeking a highly experienced and motivated Senior Insurance Claims Adjuster to join their dynamic, fully remote team. This pivotal role involves managing complex insurance claims from initial report to final settlement, ensuring accuracy, fairness, and adherence to policy guidelines and regulatory requirements. You will be responsible for investigating claims, determining coverage, negotiating settlements with policyholders and third-party representatives, and preparing detailed reports. The ideal candidate will possess a strong understanding of various insurance lines, including property, casualty, and liability, and will be adept at utilizing claims management software and digital tools to streamline processes.

Responsibilities:
  • Conduct thorough investigations into insurance claims to determine cause, circumstances, and extent of liability and coverage.
  • Analyze policy terms and conditions to verify coverage and identify any exclusions or limitations.
  • Communicate effectively and empathetically with policyholders, providing clear explanations of the claims process, policy coverage, and settlement options.
  • Negotiate settlements with claimants, legal representatives, and other involved parties to reach fair and equitable resolutions.
  • Prepare comprehensive and accurate claim reports, documenting all findings, actions taken, and recommended resolutions.
  • Collaborate with underwriters, legal counsel, and other internal departments to resolve complex claims.
  • Stay abreast of industry trends, legislative changes, and best practices in claims management and insurance law.
  • Maintain meticulous records of all claim activities and communications in the claims management system.
  • Uphold the company's commitment to excellent customer service and ethical claims handling.
Qualifications:
  • Bachelor's degree in Business Administration, Law, Finance, or a related field is preferred.
  • Minimum of 5 years of experience in insurance claims adjusting, with a proven track record of managing complex claims.
  • In-depth knowledge of insurance principles, policies, and claims handling procedures across multiple lines of business.
  • Exceptional analytical, problem-solving, and critical thinking skills.
  • Excellent communication, negotiation, and interpersonal skills, with the ability to handle sensitive situations with tact and professionalism.
  • Proficiency in claims management software and standard office applications.
  • Ability to work independently and manage a caseload effectively in a remote environment.
  • Relevant professional certifications (e.g., ACII, CIP) are a significant asset.
Join our growing team and contribute to delivering exceptional claims service nationwide from the comfort of your home office. This is a fully remote position based in Nakuru, Nakuru, KE .
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Senior Insurance Claims Adjuster (Remote)

00200 Ongata Rongai, Rift Valley KES130000 Annually WhatJobs Direct remove_red_eye View All

Posted today

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Job Description

full-time
Our client is seeking a seasoned and meticulous Senior Insurance Claims Adjuster to join their fully remote claims department. This role is essential for evaluating insurance claims, determining liability, and negotiating settlements with policyholders. You will leverage advanced digital tools and communication platforms to manage a portfolio of claims efficiently and professionally, ensuring timely resolution and customer satisfaction. Responsibilities include investigating claims thoroughly by gathering evidence, interviewing involved parties, and reviewing policy coverage. You will assess damages, estimate repair costs or losses, and make fair and accurate settlement offers in accordance with policy terms and legal requirements. The ideal candidate possesses a deep understanding of insurance policies, claims procedures, and relevant legal and regulatory frameworks. Excellent analytical, negotiation, and decision-making skills are crucial. Proficiency in claims management software and strong virtual communication abilities are essential for success in this remote position. A Bachelor's degree in Business, Finance, or a related field is preferred, along with relevant insurance certifications (e.g., CIP, FLMI). The ability to work independently, manage time effectively, and maintain a high level of professionalism in a remote setting is paramount. This role offers the opportunity to contribute to the effective functioning of insurance operations, potentially serving clients in regions such as Ongata Rongai, Kajiado, KE . If you are a detail-oriented professional with a strong ethical compass and a desire to excel in remote insurance claims management, we encourage you to apply.
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Remote Senior Insurance Claims Adjuster

80100 Nairobi, Nairobi KES65000 Annually WhatJobs Direct remove_red_eye View All

Posted today

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Job Description

full-time
Our client, a distinguished name in the insurance sector, is seeking an experienced and detail-oriented Senior Insurance Claims Adjuster to join our fully remote claims handling team. This pivotal role allows you to manage complex claims from inception to closure, ensuring fair and efficient resolution for our policyholders. You will be responsible for investigating, evaluating, negotiating, and settling insurance claims across various lines of business, including property, casualty, and liability. This position requires exceptional analytical skills, a strong understanding of insurance policies and regulations, and the ability to communicate effectively with diverse stakeholders in a remote capacity. You will play a crucial role in upholding our client's reputation for excellent customer service and integrity.

Key Responsibilities:
  • Investigate assigned insurance claims thoroughly, gathering all necessary documentation and evidence.
  • Analyze policy coverage to determine the extent of the insurer's liability.
  • Assess damages and liabilities associated with claims, preparing detailed reports and estimates.
  • Negotiate settlements with claimants, legal counsel, and other involved parties.
  • Ensure timely and accurate processing of claims payments and reserves.
  • Maintain clear and concise communication with policyholders, agents, and other stakeholders throughout the claims process.
  • Stay current with relevant insurance laws, regulations, and industry best practices.
  • Identify potential fraudulent claims and escalate them to the appropriate department.
  • Contribute to the continuous improvement of claims handling procedures and customer service standards.

Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field, or equivalent experience.
  • Minimum of 5 years of experience as an insurance claims adjuster, with a proven track record of handling complex claims.
  • In-depth knowledge of various insurance policies, coverage types, and claims settlement practices.
  • Strong negotiation, communication, and interpersonal skills.
  • Excellent analytical and problem-solving abilities.
  • Proficiency in claims management software and standard office applications.
  • Ability to work independently, manage caseloads efficiently, and meet deadlines in a remote setting.
  • Relevant insurance designations (e.g., AIC, CPCU) are highly preferred.
  • Understanding of legal and regulatory frameworks governing insurance claims.

This fully remote position offers a competitive salary, comprehensive benefits, and the opportunity to advance your career in the insurance industry. Our client is committed to providing a supportive and productive remote working environment. The essential functions of this job involve managing insurance claims remotely.
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Remote Senior Insurance Claims Adjuster

90130 Mlolongo, Eastern KES120000 Annually WhatJobs Direct remove_red_eye View All

Posted 4 days ago

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Job Description

full-time
Our client is looking for an experienced and highly ethical Remote Senior Insurance Claims Adjuster to join their expanding team. In this fully remote role, you will be responsible for investigating, evaluating, and settling insurance claims efficiently and fairly, ensuring adherence to company policies and regulatory requirements. You will manage a portfolio of complex claims, conducting thorough investigations, interviewing claimants and witnesses, reviewing documentation, and determining liability and coverage. Your expertise will be critical in negotiating settlements with policyholders and third parties, while always upholding the company's commitment to customer service and integrity. This position requires a keen eye for detail, strong analytical skills, and the ability to make sound judgments under pressure. You will leverage technology to manage your caseload, document investigations, and communicate updates to relevant stakeholders. This is an excellent opportunity for a seasoned professional to advance their career in the insurance sector, enjoying the flexibility and autonomy of a remote work arrangement.

Responsibilities:
  • Investigate, evaluate, and settle insurance claims in accordance with policy provisions and company guidelines.
  • Manage a caseload of complex claims, including property, casualty, or liability claims, depending on specialization.
  • Conduct thorough investigations, including gathering evidence, interviewing claimants, witnesses, and other parties.
  • Review police reports, medical records, repair estimates, and other relevant documentation.
  • Determine coverage and liability based on policy terms and applicable laws.
  • Negotiate fair and equitable settlements with policyholders and their representatives.
  • Communicate claim status updates regularly to claimants, internal stakeholders, and legal counsel when necessary.
  • Maintain accurate and detailed claim files, documenting all actions taken and decisions made.
  • Ensure compliance with all state and federal insurance regulations and company procedures.
  • Identify potential fraud and escalate suspicious claims according to established protocols.
  • Provide exceptional customer service throughout the claims process.
  • Continuously develop knowledge of insurance products, industry trends, and claims best practices.

Qualifications:
  • Proven experience as a Claims Adjuster, preferably with a focus on senior or complex claims.
  • In-depth knowledge of insurance policies, claim investigation techniques, and settlement practices.
  • Strong analytical, negotiation, and decision-making skills.
  • Excellent written and verbal communication abilities.
  • 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, ethical conduct, and attention to detail.
  • Relevant insurance certifications or licenses (e.g., Adjuster's License) are highly desirable.
  • Bachelor's degree in a related field or equivalent work experience.
  • A dedicated home office space with reliable internet connectivity.
This role is a remote position, with the primary scope of claims handling relevant to Mlolongo, Machakos, KE .
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Senior Insurance Claims Adjuster - Remote

20100 Mwembe KES230000 Annually WhatJobs Direct

Posted 4 days ago

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Job Description

full-time
Our client is seeking an experienced and detail-oriented Senior Insurance Claims Adjuster to join their fully remote team. In this critical role, you will be responsible for managing a caseload of complex insurance claims, ensuring fair and efficient settlement for policyholders while safeguarding the company's interests. You will investigate claims, determine coverage, assess damages, negotiate settlements, and facilitate payments. The ideal candidate will possess a deep understanding of insurance policies, claims processes, and relevant legal and regulatory frameworks. Strong analytical, investigative, and communication skills are paramount. As a remote-first position, you must be highly organized, self-disciplined, and proficient in using digital tools for communication, documentation, and claims management. You will conduct virtual investigations, review evidence, and communicate effectively with claimants, legal representatives, and other stakeholders. This role requires the ability to work independently, manage your time effectively, and maintain a high level of accuracy and professionalism. Responsibilities:
  • Investigate, evaluate, and settle complex insurance claims in accordance with policy terms and conditions.
  • Determine coverage and liability for assigned claims, conducting thorough research and analysis.
  • Communicate effectively with policyholders, claimants, witnesses, and legal counsel to gather information and explain claim processes.
  • Assess damages and negotiate fair and equitable settlements within authorized limits.
  • Manage claims files, ensuring accurate and timely documentation of all activities and decisions.
  • Identify potential fraudulent claims and escalate them for further investigation.
  • Stay updated on insurance laws, regulations, and industry best practices.
  • Maintain strong working relationships with internal departments and external partners.
  • Provide excellent customer service to policyholders throughout the claims process.
  • Adhere to all company policies and procedures regarding claims handling and ethical conduct.
Qualifications:
  • Bachelor's degree in Business Administration, Law, or a related field.
  • A minimum of 6 years of experience as an Insurance Claims Adjuster, with a focus on handling complex claims.
  • Proven expertise in evaluating insurance policies and determining coverage.
  • Strong investigative, analytical, and problem-solving skills.
  • Excellent negotiation and communication abilities, both written and verbal.
  • Proficiency in claims management software and standard office applications.
  • Ability to work independently and manage a caseload efficiently in a remote environment.
  • Relevant professional certifications (e.g., ACII) are highly desirable.
  • A thorough understanding of Kenyan insurance regulations.
  • Demonstrated ability to handle sensitive information with discretion and integrity.
This fully remote role provides the flexibility to work from anywhere in Kenya while playing a key role in delivering exceptional claims service.
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Senior Insurance Claims Adjuster, Complex Cases

20100 Karagita KES250000 Annually WhatJobs Direct

Posted today

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Job Description

full-time
Our client is seeking a highly skilled and experienced Senior Insurance Claims Adjuster to manage complex and high-value claims. This is a critical, fully remote role requiring expertise in investigating, evaluating, and negotiating claims to ensure fair and timely resolution. You will be responsible for thoroughly assessing policy coverage, determining liability, and settling claims in accordance with company guidelines and regulatory requirements. The ideal candidate possesses a strong understanding of insurance principles, excellent analytical and negotiation skills, and a proven ability to manage a demanding caseload with accuracy and efficiency. This position requires a detail-oriented, self-motivated individual who can work independently and maintain high professional standards in a remote environment.

Responsibilities:
  • Investigate complex insurance claims by gathering necessary documentation, conducting interviews, and analyzing evidence.
  • Evaluate policy coverage, liability, and damages to determine the extent of the company's responsibility.
  • Negotiate settlements with policyholders, claimants, and legal representatives to reach fair resolutions.
  • Communicate effectively with all parties involved in the claims process, providing clear explanations and updates.
  • Manage a caseload of complex claims, ensuring adherence to timelines and regulatory requirements.
  • Prepare detailed reports on claim investigations, findings, and settlement recommendations.
  • Identify potential fraud indicators and escalate suspicious claims for further investigation.
  • Stay up-to-date with changes in insurance laws, regulations, and industry best practices.
  • Maintain accurate and organized claim files using the company's claims management system.
  • Provide guidance and support to less experienced claims adjusters as needed.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, Law, or a related field. Relevant insurance certifications (e.g., AIC, CPCU) are highly desirable.
  • Minimum of 5-7 years of experience as an insurance claims adjuster, with a significant focus on handling complex or specialized claims (e.g., commercial, liability, property).
  • In-depth knowledge of insurance policies, claims handling procedures, and relevant legal frameworks.
  • Proven negotiation and conflict resolution skills.
  • Strong analytical, critical thinking, and problem-solving abilities.
  • Excellent written and verbal communication skills.
  • Proficiency in using claims management software and standard office applications.
  • Ability to work independently, manage priorities effectively, and maintain a high level of accuracy in a remote setting.
  • High ethical standards and a commitment to fair claims practices.
  • Customer-focused approach with the ability to handle sensitive situations with professionalism.
This role is advertised for Naivasha, Nakuru, KE but is a fully remote position. Applicants must be self-disciplined, possess a reliable home office, and be comfortable managing their workflow autonomously. If you are an experienced claims professional seeking a challenging remote opportunity, we encourage you to apply.
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Senior Insurance Claims Adjuster - Property & Casualty

50200 Tuwan KES450000 Annually WhatJobs

Posted 28 days ago

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Job Description

full-time
Our client, a reputable insurance provider, is seeking an experienced Senior Insurance Claims Adjuster to join their fully remote claims department. This role involves managing complex property and casualty insurance claims from initial report to final settlement. You will be responsible for investigating claims, assessing damages, negotiating settlements, and ensuring fair and timely resolution for policyholders. The ideal candidate possesses strong analytical skills, excellent communication and negotiation abilities, and a thorough understanding of insurance policies and relevant regulations.

Key Responsibilities:
  • Investigate assigned property and casualty insurance claims thoroughly, including reviewing policy coverage, obtaining statements, and gathering evidence.
  • Assess damages and determine the extent of liability according to policy terms and conditions.
  • Appraise damaged property and provide detailed reports on findings.
  • Negotiate settlements with policyholders, claimants, and legal representatives in a fair and timely manner.
  • Manage a caseload of complex claims, ensuring efficient processing and accurate documentation.
  • Maintain clear and consistent communication with all parties involved throughout the claims process.
  • Ensure compliance with all state and federal insurance regulations and company policies.
  • Identify potential fraud indicators and escalate suspicious claims for further investigation.
  • Provide guidance and support to junior claims adjusters.
  • Contribute to the continuous improvement of claims handling processes.
Qualifications:
  • Bachelor's degree in Business Administration, Finance, or a related field, or equivalent work experience.
  • 5+ years of experience as a Claims Adjuster, with a specialization in Property & Casualty insurance.
  • Proven track record of managing and settling complex claims.
  • In-depth knowledge of insurance policies, claims investigation techniques, and settlement negotiation strategies.
  • Strong understanding of relevant legal and regulatory requirements.
  • Excellent analytical, problem-solving, and decision-making skills.
  • Exceptional communication, interpersonal, and negotiation abilities.
  • Proficiency in claims management software and Microsoft Office Suite.
  • Ability to work independently, manage time effectively, and meet deadlines in a remote work environment.
  • Relevant adjusting licenses are required or must be obtainable.
This is a fully remote opportunity, allowing you to manage claims efficiently from your chosen location. We are committed to providing exceptional service to our policyholders. The designated work location for this remote position is Bungoma, Bungoma, KE .
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Senior Insurance Claims Adjuster - Remote Analysis

80200 Casuarina KES120000 Annually WhatJobs Direct

Posted today

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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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