Senior Remote Insurance Claims Assessor

About the Role

Our client is seeking a highly proficient Senior Remote Insurance Claims Assessor to join their fully remote operations, supporting their client base across South Africa . This vital role involves the comprehensive assessment and management of complex insurance claims, executed entirely from a remote work environment. You will be responsible for ensuring accurate claim valuations, policy adherence, and timely resolutions, while acting as a key resource for the remote claims team. This opportunity is perfect for an experienced, self-motivated professional who excels in autonomous work settings and possesses outstanding communication and analytical abilities to serve clients effectively.

Key Responsibilities

• Conduct thorough remote investigations and detailed assessments of a wide range of insurance claims.
• Interpret policy terms, evaluate evidence, and determine liability and quantum for claim settlements accurately.
• Maintain consistent and professional communication with policyholders, third parties, and internal departments using virtual tools.
• Offer technical guidance, mentorship, and support to remote-based junior claims assessors to ensure high standards.
• Meticulously document all claim activities, decisions, and correspondence within the digital claims management system.
• Proactively identify opportunities for enhancing remote claims processing efficiency and contributing to best practice development.

Requirements

• A minimum of 5 years of professional experience in insurance claims assessment , with demonstrated success in managing complex claims remotely.
• Strong understanding of various insurance products, policy interpretation, and regulatory compliance.
• Excellent analytical, critical thinking, and decision-making capabilities are crucial.
• Superior written and verbal communication skills, along with proficiency in virtual collaboration tools.
• Ability to work independently, manage time effectively, and maintain a high level of productivity in a remote setting.
• Relevant professional certifications are a plus.

Benefits

• A highly competitive annual salary, commensurate with your extensive experience and remote work contribution.
• A fully remote position offering unparalleled flexibility and autonomy.
• Comprehensive medical aid and retirement fund benefits package.
• Access to ongoing training and professional development opportunities to further your career.
• The chance to be part of an innovative and supportive remote team environment.