JOB DESCRIPTION FOR CLAIMS OFFICER
JOB SUMMARY: We are looking for a driven and detail-oriented individual to join our claims team as a Junior Claims Officer. In this role, you will play
a crucial part in managing and processing insurance claims efficiently and accurately, ensuring customer satisfaction and upholding company standards.
Qualifications:
- Bachelor's degree in Business Administration, Finance, Insurance, or a related field (preferred).
- Minimum of 1-2 years of experience in an insurance or claims processing environment (a plus).
- Strong analytical and problem-solving skills.
- Excellent attention to detail and accuracy.
- Effective communication and interpersonal skills, both written and verbal.
- Ability to work independently and as part of a team.
- Proficient in MS Office Suite and claims processing software (a plus).
- Ability to manage multiple tasks and deadlines effectively.
- Strong work ethic and a commitment to providing excellent customer service.
RESPONSIBILITIES:
- Conduct initial assessment of submitted claims, verifying completeness and eligibility based on policy terms and conditions.
- Gather and review necessary documentation to support claims, requesting additional information as needed.
- Communicate effectively with policyholders, claimants, and other stakeholders to obtain information and answer questions.
- Investigate claims as required, conducting interviews and contacting relevant parties.
- Calculate claim reserves and prepare preliminary settlement offers in accordance with company guidelines.
- Process approved claims payments promptly and accurately.
- Maintain accurate and up-to-date claim files and records.
- Escalate complex or questionable claims to senior team members for review and decision-making.
- Adhere to strict company policies and procedures, including data privacy and anti-fraud measures.
- Contribute to continuous improvement of claims processes and procedures.
Unsolicited Applications
Candidates are encouraged to send us unsolicited applications because we consider unsolicited resumes and file them for future recruitment.
