Claims Officer
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Key skills for this role
About the Role
Handle and coordinate insurance claims processes efficiently by communicating with clients, insurance companies, and third parties to ensure timely claim registration, follow-up, settlement, and resolution while maintaining high service standards and compliance with company policies.
Key Skills for This Role
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Job Summary
Handle and coordinate insurance claims processes efficiently by communicating with clients, insurance companies, and third parties to ensure timely claim registration, follow-up, settlement, and resolution while maintaining high service standards and compliance with company policies.
Key Responsibilities
- Receive and review insurance claims submitted by clients.
- Verify claim documents and ensure completeness before submission to insurers.
- Register and follow up claims with insurance companies and related parties.
- Coordinate with clients, insurers, surveyors, hospitals, workshops, and other service providers regarding claim status and requirements.
- Monitor claim progress and ensure timely processing and settlement.
- Review claim approvals, rejections, and settlement calculations.
- Assist clients in understanding claim procedures, coverage, and required documentation.
- Maintain accurate claims records, reports, and documentation.
- Follow up on outstanding claims and pending documents.
- Ensure compliance with policy terms, conditions, and regulatory requirements.
- Prepare periodic claims status reports for management.
- Support in resolving claim disputes and escalation cases when required.
Qualifications
- Bachelor’s degree in insurance, Business Administration, or a related field.
- 3 to 5 years of relevant experience in insurance claims handling, preferably within an insurance brokerage company.
- Good knowledge of insurance policies, claims procedures, and regulatory requirements.
- Strong communication and negotiation skills.
- High attention to detail and problem-solving abilities.
- Ability to manage multiple claims cases efficiently.
- Proficiency in Microsoft Office applications and insurance systems.
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