Claims Officer

Job Summary

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.