Summary
Date Posted: Wednesday, July 12 2023, Base Salary: Not Disclosed

JOB DETAILS:
Job Summary:
• The Claims Officer is responsible for efficiently and accurately processing insurance claims for policies. They play a critical role in investigating and assessing claims, ensuring compliance with policy terms and conditions, and facilitating prompt claim settlements. The Claims Officer will collaborate with various stakeholders, including policyholders, brokers, internal departments, and external service providers, to deliver exceptional customer service and maintain a high level of claims management efficiency.

Responsibilities and Duties:
Process Claims:
Receive and review claims documentation, ensuring completeness and accuracy.
• Verify policy coverage, terms, and conditions for each claim.
• Assess the validity and authenticity of claims in accordance with company guidelines and procedures.
• Analyze and evaluate claim information, including supporting documentation, reports, and expert opinions.
• Determine the appropriate amount of claim settlement based on policy coverage, regulations, and company policies.

Maintain Claims Management Standards:
• Adhere to established claims processing procedures, guidelines, and timelines.
• Maintain accurate and up-to-date claims records, ensuring proper documentation and data management.
• Monitor claim progress, follow up on outstanding requirements, and provide regular updates to stakeholders.
• Resolve claim-related inquiries, concerns, and disputes in a professional and timely manner.
• Collaborate with underwriters, loss adjusters, legal professionals, and other parties involved in claims management.

Customer Service and Communication:
• Provide exceptional customer service to policyholders, brokers, and other stakeholders.
• Respond to claim inquiries, provide guidance on claim procedures, and explain claim decisions.
• Communicate claim decisions, settlements, and any necessary claim-related information to policyholders and brokers.
• Address customer complaints or escalations, aiming for prompt resolution and customer satisfaction.
• Maintain strong working relationships with internal teams, external service providers, and industry professionals.

Compliance and Reporting:
• Ensure compliance with regulatory requirements, industry standards, and internal policies.
• Stay updated on industry trends, legal developments, and changes in claims handling practices.
• Prepare claims reports, statistics, and analysis for management review.

Qualifications, Skills & Personal Attributes:
• Bachelor's degree in a relevant field (e.g., insurance, business administration) or equivalent experience.
• Prior experience in claims processing within the non-life insurance industry.
• Strong knowledge of general insurance products, policies, and claims handling practices.
• Familiarity with insurance regulations, compliance requirements, and industry standards.
• Excellent analytical and problem-solving abilities with attention to detail.
• Effective communication skills, both written and verbal, with the ability to explain complex concepts clearly.
• Customer-centric mindset with a focus on providing exceptional service.
• Strong organizational and time management skills, with the ability to handle multiple tasks and prioritize effectively.
• Proficiency in using insurance claims management software and MS Office applications.

Working conditions
• The Job’s responsibilities sometimes may require travelling, working evenings and weekends, sometimes with little advance notice.

Job Experience: No Requirements

Work Hours: 8

Experience in Months:

Level of Education: Bachelor Degree

Job application procedure
• Interested and qualified? Click here to apply

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