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Senior Claims Adjuster (Remote)
Our client, a reputable insurance provider, is looking for a dedicated Senior Claims Adjuster to join their fully remote claims department. This role is essential for managing the end-to-end claims process, ensuring fair and efficient resolution for policyholders. You will be responsible for investigating insurance claims, determining coverage validity, negotiating settlements, and authorizing payments in accordance with policy terms and company guidelines. This is a remote-first position, allowing you to operate effectively from anywhere within Kenya, with a particular focus on serving clients and managing claims associated with the Kitale, Trans-Nzoia, KE region. The ideal candidate will possess a strong understanding of insurance policies, claims investigation techniques, and relevant legal and regulatory frameworks. You will conduct thorough investigations, which may include gathering evidence, interviewing claimants and witnesses, and collaborating with external experts such as investigators or medical professionals. Excellent analytical and decision-making skills are paramount for accurately assessing liability, damages, and claim values. Strong negotiation and communication abilities are required to effectively interact with policyholders, legal representatives, and other involved parties. You must be adept at managing a diverse caseload, prioritizing tasks, and meeting deadlines in a high-pressure environment. This role demands integrity, a meticulous approach to detail, and a commitment to providing exceptional customer service throughout the claims process. We are seeking a self-motivated professional who can work independently and manage their responsibilities effectively in a remote setting. If you are an experienced Claims Adjuster looking for a challenging and rewarding remote opportunity where you can make a significant difference, we encourage you to apply.
Key Responsibilities:
Investigate insurance claims thoroughly and promptly. Determine coverage based on policy terms, conditions, and exclusions. Negotiate settlements with claimants and their representatives. Authorize payments for approved claims. Gather and analyze evidence, documentation, and statements. Conduct interviews with claimants, witnesses, and other relevant parties. Collaborate with internal and external experts (e.g., adjusters, appraisers, legal counsel). Maintain accurate and detailed claim files and records. Ensure compliance with all applicable laws, regulations, and company policies. Provide excellent customer service to policyholders throughout the claims process.
Qualifications:
Bachelor's degree in Business Administration, Law, or a related field. 5-7 years of experience as a Claims Adjuster or in a similar role within the insurance industry. Comprehensive knowledge of insurance policies, claims procedures, and regulations. Proven ability to conduct effective investigations and assessments. Strong negotiation, communication, and interpersonal skills. Excellent analytical and problem-solving abilities. Proficiency in claims management software. Ability to manage a high volume of claims efficiently and accurately. Demonstrated ability to work independently and manage time effectively in a remote environment.
