Senior Insurance Claims Assessor

About the Role

Our client seeks a seasoned Senior Insurance Claims Assessor to enhance their operations in Rustenburg . This role is essential for ensuring the accurate and efficient processing of insurance claims, upholding policy integrity, and delivering exceptional service to policyholders. You will serve as a subject matter expert, guiding less experienced team members and contributing to the development of streamlined claims procedures. Joining our client means becoming part of a forward-thinking organization that values expertise and client-centricity within the active economic hub of the North West province.

Key Responsibilities

• Manage a caseload of complex insurance claims, performing detailed assessments of coverage and liability.
• Conduct thorough investigations, gather necessary documentation, and liaise with involved parties to substantiate claims.
• Ensure all claim settlements are processed in line with policy terms, conditions, and relevant regulations.
• Mentor and guide junior claims assessors, providing technical expertise and feedback to improve their performance.
• Maintain precise records of claim activities and resolutions within the company's claims management system.
• Recommend process improvements and contribute to training initiatives to elevate the overall claims handling capability in Rustenburg .

Requirements

• Minimum of 5 years of hands-on experience in the insurance claims field, with a strong track record of success.
• Comprehensive understanding of various insurance products and claims adjudication processes.
• Excellent analytical skills and the ability to make sound judgments under pressure.
• Proficient communication and negotiation abilities, essential for stakeholder interactions.
• Relevant professional qualifications or certifications in the insurance industry are preferred.
• Demonstrated experience with claims management software and data analysis tools.

Benefits

• Competitive annual salary based on your experience and skills.
• A hybrid working arrangement that balances office presence in Rustenburg with remote flexibility.
• Access to a comprehensive medical aid plan and retirement savings benefit.
• Opportunities for continued professional development and career progression.
• A collaborative work environment within a respected insurance institution.

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