Claims Executive - Insurance
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Key skills for this role
About the Role
Raj Enterprises seeks a Claims Executive to manage and process insurance claims efficiently. The role involves coordinating with clients, insurers, and service providers to facilitate timely claim settlements and deliver excellent customer service.
Key Skills for This Role
Responsibilities
- Receive, review, and process insurance claims in accordance with company procedures
- Verify claim documentation for completeness and accuracy
- Register and maintain claims records in the system
- Monitor claim progress and ensure timely follow up with all stakeholders
- Coordinate with insurers, surveyors, loss adjusters, workshops, and medical providers as required
- Assist clients throughout the claims process and provide regular status updates
- Ensure claims are settled within agreed service timelines
- Collect and review supporting documents required for claim assessment
- Maintain accurate and organized claim files and records
- Ensure compliance with insurance regulations, company policies, and service standards
- Identify and escalate suspicious or potentially fraudulent claims
- Respond promptly to client inquiries regarding claim procedures and status
Requirements
- Bachelor’s degree in business administration, Insurance, Finance, or a related field
- 2–5 years of experience in insurance claims handling or insurance operations
- Knowledge of insurance products, policy wordings, and claims procedures
- Experience in motor, medical, property, or general insurance claims is an advantage
Full Job Posting
Job Summary
- The Claims Executive is responsible for managing and processing insurance claims efficiently while ensuring compliance with company policies, regulatory requirements, and service standards.
- The role involves coordinating with clients, insurers, loss adjusters, service providers, and internal teams to facilitate timely claim settlements and deliver excellent customer service.
Claims Management
- Receive, review, and process insurance claims in accordance with company procedures.
- Verify claim documentation for completeness and accuracy.
- Register and maintain claims records in the system.
- Monitor claim progress and ensure timely follow up with all stakeholders.
- Coordinate with insurers, surveyors, loss adjusters, workshops, and medical providers as required.
- Assist clients throughout the claims process and provide regular status updates.
- Ensure claims are settled within agreed service timelines.
Documentation & Compliance
- Collect and review supporting documents required for claim assessment.
- Maintain accurate and organized claim files and records.
- Ensure compliance with insurance regulations, company policies, and service standards.
- Identify and escalate suspicious or potentially fraudulent claims.
Customer Service
- Respond promptly to client inquiries regarding claim procedures and status.
- Provide guidance on documentation requirements and claim submission processes.
- Maintain professional relationships with clients, insurers, and service providers.
- Handle customer concerns and resolve claim related issues effectively.
Reporting & Administration
- Prepare claim reports and management updates as required.
- Maintain claim registers and trackers.
- Support claim audits and internal reviews.
- Assist with process improvement initiatives to enhance claims efficiency.
Qualifications & Experience
- Bachelor’s degree in business administration, Insurance, Finance, or a related field.
- 2–5 years of experience in insurance claims handling or insurance operations.
- Knowledge of insurance products, policy wordings, and claims procedures.
- Experience in motor, medical, property, or general insurance claims is an advantage.
Pay
- AED 4,000 AED 5,000 per month
Work Location
- In person
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