Claims Adjuster, Examiner, and Investigator

Job Description

The Claims Adjuster, Examiner, and Investigator will be responsible for reviewing and investigating liability claims. The ideal candidate should possess excellent analytical skills and experience in managing insurance claims effectively.

Responsibilities

• Evaluate and manage a portfolio of claims to ensure fair processing.
• Conduct field investigations when necessary to gather evidence.
• Prepare and present findings to management and stakeholders.
• Collaborate with internal and external partners for information.
• Monitor ongoing claims proceedings and intervene when needed.
• Review claims files and ensure documentation is complete and accurate.
• Participate in audits and compliance reviews as required.
• Stay updated on industry trends and regulatory changes affecting claims handling.

Requirements

Education

• Bachelor's degree in Insurance, Business, or related field
• Professional certifications such as SCLA or similar are preferred

Experience

• 5+ years of experience in claims examination or similar role

Technical Skills

• Microsoft Office
• Regulatory Compliance

Soft Skills

• Attention to Detail
• Critical Thinking

Certifications

• SCLA
• CPCU

Languages

• English: Fluent
• Zulu: Conversational

Advantageous

• Experience in property or casualty claims: Background in managing various types of insurance claims is preferred.
• Knowledge of regulatory compliance: Understanding of local legislation affecting insurance claims management.

Benefits

• Comprehensive health and wellness programs.
• Flexible working hours with opportunities for remote work.
• Employee assistance programs for mental health support.
• Generous leave policies including family and sick leave.

Company Culture

• Team Collaboration: We encourage teamwork and open communication across all levels of the organization.
• Innovation: We celebrate creativity and innovative approaches in our claims processes.
• Work-Life Balance: We support our employees' well-being and strive to maintain a healthy work-life balance.