Claims Associate

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Job Description - Claims Associate

Job Summary:

The Customer Claims Associate ensures the timely and accurate administration and processing of claims. This will be done through proactively assisting Claims Section Head in their management of claims, so as to achieve high levels of satisfaction through high quality claim management, resolution and excellent client service.

Duties and Responsibilities:

  • Evaluate all claim and policy information and investigate all details and ensure applicable coverage of individual.
  • Perform interviews and gather all statements and documents from clients and evaluate all facts for coverage based on agreement.
  • Investigate and prepare reports for all denials of claims and settlements and provide update on all files.
  • Evaluate progress for all claims and coordinate with section head for all issues and effective resolution.
  • Develop new methods to handle all claims.
  • Administer and settle all claims effectively and inform all customers and claimants for any denial on claims.
  • Coordinate with section head and management for all claims file review and audits.
  • Resolve all issues in claim processes to minimize risks in claims processes and maintain records of all filed claims.
  • Manage all incoming mails and ensuring prompt routing to other teams
  • Working in a collaborative team environment while meeting quality standards
  • Maintain and update Management, Sales and Clients on Claims status

Qualifications:

  • Requires a bachelor's degree in a related area i.e. Degree in Finance, Accounting or Business Administration
  • At least 1-2 years of experience in the field
  • Preferably with Logistics experience
  • Demonstrates ability to work and problem-solve independently --- has taken initiative to research and resolve processing and system issues using available resources
  • Possesses superior Customer Service skills --- seeks to understand expectations of internal and external customers. Knows which questions to ask and what information to verify to get to the root cause of a problem.
  • Essential to have good numerical and financial skills
  • Proficient in MS Windows Programs

Job Types: Full-time, Permanent

Pay: Php16,000.00 - Php21,000.00 per month

Benefits:

  • Opportunities for promotion
  • Pay raise

Schedule:

  • 8 hour shift

Supplemental pay types:

  • 13th month salary
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