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Insurance Claims Specialist

ReWorks Solutions

South Africa Remote permanent

Posted: March 26, 2026

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Quick Summary

Insurance Claims Specialist is responsible for serving clients, reviewing and submitting claims, and following up on open claims.

Job Description

Job Title: Insurance Claims Specialist

Job Type: Full-Time, Remote

Working Hours: US Hours (9am-5pm EST)

Key Responsibilities

• Serve as the main point of contact for clients, providing guidance and updates throughout the claims process
• Review and submit claims documentation to insurance carriers, ensuring completeness and accuracy
• Liaise with adjusters, carriers, and third-party vendors to track claim progress and advocate for clients
• Follow up on open claims, ensuring timely movement and resolution
• Interpret policy coverage and explain claim outcomes to clients in a clear, professional manner
• Maintain detailed and accurate records in agency management systems
• Assist clients with gathering required documentation such as incident reports, photos, and estimates
• Identify potential coverage issues and escalate complex claims to senior team members
• Ensure compliance with U.S. insurance regulations and internal procedures
• Support reporting on claims status, trends, and performance metrics


Requirements:
• 2+ years experience in U.S. Property & Casualty insurance claims (brokerage or carrier side)
• Familiarity with agency management systems
• Excellent written and verbal communication skills
• Strong attention to detail and organizational skills
• Ability to manage multiple claims simultaneously in a fast-paced environment
• Ability to work U.S. hours


Benefits:
• Comfortable working U.S. hours
• Remote work from home

Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.

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