Other Specification:

• Bachelor's degree in Business Administration, Finance, Insurance, or a related field
• Minimum of 1 year experience in insurance claims processing or related field
• Knowledge of insurance products and claim procedures
• Familiarity with insurance regulations and industry standards
• Strong analytical and problem-solving skills
• Excellent attention to detail
• Proficiency in Microsoft Office Suite and claims management software
• Strong written and verbal communication skills
• Customer service-oriented mindset
• Ability to work under pressure and meet deadlines.

Job Description:

• Receive and review insurance claims across various insurance products
• Verify claim information for accuracy and completeness
• Investigate claims by gathering additional information from policyholders, witnesses, and other relevant parties
• Assess claim validity and determine appropriate compensation based on policy terms and conditions
• Negotiate claim settlements with policyholders or their representatives
• Prepare and process claim payments
• Maintain accurate and detailed claim records
• Identify and report potential fraudulent claims
• Communicate claim status and decisions to policyholders and internal stakeholders
• Assist in resolving claim-related disputes and complaints
• Stay updated on insurance regulations and company policies
• Contribute to process improvement initiatives to enhance efficiency and customer satisfaction.

Source: Merojob

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