Claims Officer
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Key skills for this role
About the Role
IIQAF Group seeks a detail-oriented Claims Officer to manage insurance claims from notification to settlement in Dubai. The role involves reviewing documentation, assessing eligibility, coordinating with stakeholders, and ensuring compliance.
Key Skills for This Role
Responsibilities
- Receive, review, and process insurance claims accurately and efficiently
- Verify policy coverage, claim documentation, and supporting evidence
- Assess claim eligibility according to policy terms, conditions, and underwriting guidelines
- Coordinate with policyholders, brokers, healthcare providers, repair facilities, surveyors, and third party service providers
- Investigate claims and gather relevant information to support claim decisions
- Maintain accurate claim records using insurance claims management systems
- Prepare claim assessments, reports, recommendations, and settlement documentation
- Communicate claim status updates and settlement decisions to customers professionally
- Ensure timely processing of claims in accordance with company service standards
- Identify potentially fraudulent claims and escalate suspicious cases for further investigation
- Work closely with underwriting, finance, legal, and customer service teams to resolve complex claims
- Ensure compliance with UAE insurance regulations, internal policies, and quality standards
Requirements
- Bachelor's degree in Business Administration, Insurance, Finance, Risk Management, or a related field
- Previous experience as a Claims Officer, Insurance Claims Executive, Claims Handler, or similar role preferred
- Experience in general insurance, health insurance, motor insurance, life insurance, property insurance, or commercial insurance highly desirable
- Strong understanding of insurance policies, claims procedures, policy administration, and claims settlement
- Knowledge of insurance regulations and compliance requirements
- Experience using insurance claims management software and CRM systems
- Excellent analytical, organizational, and problem solving skills
- Strong verbal and written communication skills
- Proficiency in Microsoft Office, particularly Excel and Word
- Ability to manage multiple claims while meeting deadlines in a fast paced environment
Full Job Posting
Job Summary
- IIQAF Group is seeking a detail oriented and customer focused Claims Officer to join our insurance team in Dubai.
- The successful candidate will be responsible for managing insurance claims from initial notification through settlement, reviewing claim documentation, assessing claim eligibility, coordinating with policyholders and internal teams, ensuring compliance with insurance regulations, and delivering outs
- This role is ideal for professionals with experience in insurance claims, claims processing, claims administration, policy administration, claims investigation, risk management, insurance operations, customer service, and claims settlement.
Key Responsibilities
- Receive, review, and process insurance claims accurately and efficiently.
- Verify policy coverage, claim documentation, and supporting evidence.
- Assess claim eligibility according to policy terms, conditions, and underwriting guidelines.
- Coordinate with policyholders, brokers, healthcare providers, repair facilities, surveyors, and third party service providers.
- Investigate claims and gather relevant information to support claim decisions.
- Maintain accurate claim records using insurance claims management systems.
- Prepare claim assessments, reports, recommendations, and settlement documentation.
- Communicate claim status updates and settlement decisions to customers professionally.
- Ensure timely processing of claims in accordance with company service standards.
- Identify potentially fraudulent claims and escalate suspicious cases for further investigation.
- Work closely with underwriting, finance, legal, and customer service teams to resolve complex claims.
- Ensure compliance with UAE insurance regulations, internal policies, and quality standards.
Required Qualifications
- Bachelor's degree in Business Administration, Insurance, Finance, Risk Management, or a related field.
- Previous experience as a Claims Officer, Insurance Claims Executive, Claims Handler, Claims Administrator, Claims Processor, Insurance Operations Executive, Claims Coordinator, or Insurance Officer is preferred.
- Experience in general insurance, health insurance, motor insurance, life insurance, property insurance, or commercial insurance is highly desirable.
- Strong understanding of insurance policies, claims procedures, policy administration, and claims settlement.
- Knowledge of insurance regulations and compliance requirements.
- Experience using insurance claims management software and CRM systems.
- Excellent analytical, organizational, and problem solving skills.
- Strong verbal and written communication skills.
- Proficiency in Microsoft Office, particularly Excel and Word.
- Ability to manage multiple claims while meeting deadlines in a fast paced environment.
Required Skills
- Insurance Claims
- Claims Processing
- Claims Administration
- Claims Settlement
- Claims Investigation
- Insurance Operations
- Policy Administration
- Insurance Documentation
- Risk Assessment
- Fraud Detection
- Insurance Compliance
Benefits
- Performance based incentives
- Medical insurance
- Paid annual leave
- UAE employment visa
- End of service benefits as per UAE Labour Law
- Professional training and certification support
- Career growth and advancement opportunities
- Collaborative and professional work environment
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